Analysis default and transfer cases in tuberculosis magement
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ANALYSIS DEFAULT AND TRANSFER CASES IN TUBERCULOSIS MAGEMENT. A.Öngel, H.Arda, Ş.Bilgin, K.Oruç, G.Çetintaş, S.Ağca, H. C. Çalışır .Süreyyapaşa  Chest Disease and Chest Surgery Training and Resarching Hospital TURKISH THORACIC SOCIETY 10 th ANNUAL CONGRESS 25-29 APRİL 2007. DOTS.

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Analysis default and transfer cases in tuberculosis magement

ANALYSIS DEFAULT AND TRANSFER CASES IN TUBERCULOSIS MAGEMENT

A.Öngel, H.Arda, Ş.Bilgin, K.Oruç, G.Çetintaş, S.Ağca,

H.C.Çalışır

.Süreyyapaşa  Chest Disease and Chest Surgery

Training and Resarching Hospital

TURKISH THORACIC SOCIETY 10th ANNUAL CONGRESS 25-29 APRİL 2007


DOTS

  • Sustained political commitment to increase human and financial resources and make TB control a nationwide activity integral to the national health systemandardiz

  • Access to quality-assured TB sputum microscopy for case detection among persons presenting with, or found through screening to have, symtoms of TB.

  • Standardized short-course chemotherapy (SCC) for all cases of TB under proper case-management conditions including direct observation of treatment.

  • Uninterrupted supply of quality-assured drugs with reliable drug procurement and distribution.

  • Recording and reporting system enabling outcome assessment of every patient and asseement of the overall programe performance.

Treatment of Tuberculosis: Guidelines for National Programmes

WHO/CDC/TB/2003




Cohort definition
COHORT DEFINITION

  • Cohort: Common characteristics sharing and in adefinite period following one group people

    (birth in particular year, same district living, exposured to same agent )

  • Study of following researching group beginnig of cause to occurcence disease.

  • Problem of longer period following:Default of follow-up

Prof.Dr. Nazmi Bilir, Prof. Dr. Gül Ergör Saha Araştırmaları

Araştırma Yöntemleri

THORACIC CONGRESS 27 NİSAN 2005 Antalya


Treatment outcomes
TREATMENT OUTCOMES

  • CURE: Patient who is sputum smear-negative in the last month of treatment and on at least one previous occasion.

  • TREATMENT FAILURE:Patient who is sputum smear-positive at 5 months or later during treatment.

  • TREATMENT COMPLETED: Patient who has completed treament but who does not meet the criteria to be classified as a cure or a failure.

  • TREATMENT SUCCESS: Completion cure and treatment completed patients.

  • DIED: Patient who dies for any reason during the course of treatment.

  • DEFAULT: Patient whose treatment was interrupted for consecutive months or more.

  • TRANSFERED OUT: Patient who has been transferred to another recording unit and for whom the treatment outcome is not known.

Treatment of Tuberculosis: Guidelines for National Programmes

WHO/CDC/TB/2003


City of detected uper of the 400 tuberculosis patients in 2005 ministery of health s recording
City of detected uper of the 400 tuberculosis patients in 2005 ( Ministery of Health’s recording )

Number of detected tuberculosis cases in our clinic (2004) :530

Number of detected tuberculosis cases in our clinic(2005): 494



2004 tb cohort treatment outcomes n 530
2004 TB COHORT TREATMENT OUTCOMES 2005 (n=530)

*Treatment Completed


2005 tb cohort treatment outcomes n 494
2005 TB COHORT TREATMENT OUTCOMES 2005 n=494

* Treatment completed



New sputum smear positive cases outcomes in 2004 ministry of health s data
NEW SPUTUM SMEAR POSITIVE CASES OUTCOMES IN 2004 2005 (Ministry of Health’s data)


Notified treatment outcomes of tb dyspensary in turkey
Notified treatment outcomes of tb dyspensary in Turkey (%) 2005

  • Default rates of different studies in our country (0-39.5)

  • Transfered out (0-5.7)

Talay F., Kümbetli Ş.:İstanbul Eyüp Verem Savaş Dispanserinde Tüberküloz Hastalarının

Tedavi Sonuçları ve Bu Sonuçları Etkileyen Faktörler Toraks Dergisi 2007;8(1):31-36


2004 and 2005 default cases
2004 and 2005 DEFAULT CASES 2005

530

494

60(11,1%)

157 (31,9%)

Default and Transfered out

43(71,6%)

86 (%54,8)

16(37,2%))

79 (%91,8)

Treatment completed at tb dispensary


Default causes

2004 PATIENTS 2005

43 of 60 patients called

16 patients another city

9 patients social security

3 patients near tb dispansery

4 patients drug side effects

4 patients another disease

2 patients ex

5 default cases

2005 PATIENTS

86 of 157 cases called

79 patients followed tb dispancery becasuse of system chaining

1 patients drug side effect

4 patient another disease

2 patient default

DEFAULT CAUSES

16 Teratment Completed

at tb dispensary

79 Teratment Completed

at tb dispensary




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