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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 10 th ANNUAL CONGRESS 25-29 APRİL 2007. DOTS.

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ANALYSIS DEFAULT AND TRANSFER CASES IN TUBERCULOSIS MAGEMENT

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  1. 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

  2. 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

  3. DOT

  4. SÜREYYAPAŞA TB REPORTING AND RECODING SYSTEM

  5. 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

  6. 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

  7. 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

  8. 2004-2005 TB COHORT

  9. 2004 TB COHORT TREATMENT OUTCOMES(n=530) *Treatment Completed

  10. 2005 TB COHORT TREATMENT OUTCOMESn=494 * Treatment completed

  11. Compearing 2004 and 2005 years treatment outcomes

  12. NEW SPUTUM SMEAR POSITIVE CASES OUTCOMES IN 2004 (Ministry of Health’s data)

  13. Notified treatment outcomes of tb dyspensary in Turkey (%) • 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

  14. 2004 and 2005 DEFAULT CASES 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

  15. 2004 PATIENTS 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

  16. 2004-2005 YILI TERK VAKALARININ DİRENÇ SONUÇLARI

  17. Logistic regretion analysis

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