Summary of TB prevention and control work 1 I. Main achievements
1, do a good job in publicity and education.
Before chemotherapy, explain the requirements of tuberculosis prevention and treatment to patients and their families in detail orally, so that patients can actively cooperate with the treatment.
Education content: 1 Tuberculosis is a respiratory infectious disease, so we must pay attention to the air transmission to family members and people around us in the first two months of treatment. Tuberculosis can be cured, so we should establish firm confidence and fully cooperate with doctors. 3 insist
The key to cure tuberculosis is to treat it according to the rules of chemotherapy scheme formulated by doctors and complete the prescribed course of treatment. There may be side effects after taking the medicine. If there are side effects, seek medical advice in time, and don't stop taking the medicine by yourself. 5. In principle, the sputum examination 2 months, 5 months and 6 months after treatment should be sent to TB control institutions for examination on time. During each follow-up sputum examination, the sputum at night and in the morning will be left to the TB control institution for examination.
2. The birth registration rate of newborns in the township is 65438 0.5 ‰, and the BCG vaccination rate is 90%.
3, the patient's treatment process management:
It is important to educate the newly diagnosed patients, including explaining the condition, introducing the treatment plan, drug dosage, usage and side effects, so as to adhere to the medication rules. Deal with those who take medicine late, such as recovering patients in time by telephone or home visit. And strengthen education to persuade patients to insist on timely treatment. Train patients and their families so that they can identify anti-tuberculosis drugs, understand commonly used doses and methods of administration, and possible side effects, and urge patients to use drugs regularly. Village doctors can make their first visit within three days after receiving the new report, and then make 1 home visit every month. The contents include health education, verification of drug use, verification of remaining drug amount, spot check of urine, supervision and timely outpatient drug collection and review.
4. Patient management: Seven new cases of sputum smear positive pulmonary tuberculosis were found this year, and all of them can be treated and managed according to the dost strategy. Seven cases were cured, and the cure rate was 100%.
Second, the existing problems
1, the patient's cultural quality is low, and it is difficult to accept the education of tuberculosis doctors and carry out his work.
2. Village doctors are not responsible for their own work.
3. The professional level of tuberculosis doctors in rural areas is not high, so they can't guide and deal with the side effects in the process of drug use.
Three. Suggestions for future work
1, strengthen the study of village doctors' business and professional ethics, and improve their sense of responsibility and professional level.
2, often carry out various training courses, in order to improve the professional level of rural tuberculosis prevention and treatment doctors.
3, the superior business department should go deep into the grassroots to guide township tuberculosis prevention and treatment doctors.
Summary of TB prevention and control work in 20xx, according to the relevant requirements of the District CDC and the spirit of the management assessment requirements of Dalian Sixth Hospital, all the staff of the center worked together with Qi Xin, aiming at the national TB prevention and control plan, and combined with the reality of our center, successfully completed all the tasks stipulated in the 20xx work objectives. The main work is summarized as follows:
First, based on the goal, do a good job in tuberculosis prevention and treatment in the center.
The prevention and treatment of tuberculosis in the center is the goal of tuberculosis prevention and control, and it is the focus of controlling tuberculosis epidemic in the center; This is a good start, which pushes the prevention and treatment of tuberculosis in the center to a new level. In 20xx, the work of tuberculosis prevention went up and down to Qi Xin, and all the staff made active efforts to keep the work of tuberculosis prevention stable, taking the work of tuberculosis prevention in the center as an important work of our center. Leaders actively take the lead and do their duty. As long as it is conducive to the prevention and treatment of tuberculosis in the center, they will work hard. Through the study, the medical staff in the township further fully realized the importance of controlling the tuberculosis epidemic in our township and enhanced their sense of urgency. * * health education lectures were held 4 times throughout the year, and publicity was given 1 time. Actively publicize the party's policies and knowledge of tuberculosis prevention and treatment. The implementation of drug fee reduction and non-hospitalization chemotherapy for project management patients has made the people feel the care and love of the people's government and medical workers. At the same time, the management level of TB prevention and control personnel has been greatly trained and improved.
Second, the propaganda work
In view of the resurgence of global tuberculosis epidemic, the World Health Organization declared a global tuberculosis emergency in 1993, calling on the world to take urgent action to strengthen tuberculosis control. March 24th of each year will be designated as "World Tuberculosis Prevention Day". The Ministry of Health of China promoted the management of tuberculosis from Class C infectious diseases to Class B infectious diseases, and listed tuberculosis as one of the five key diseases during the Tenth Five-Year Plan period. It is an important task for us to seize the opportunity and strengthen publicity. This year, on March 24th, the center actively organized the residents in its jurisdiction to conduct special training, and publicized the knowledge of tuberculosis prevention and treatment outdoors. Through the distribution of publicity materials on tuberculosis knowledge, the public's understanding of tuberculosis knowledge has been improved.
Third, supervise the visit.
From 20xx65438+1 October1to 20xx65438+February 4th, 5 pulmonary tuberculosis patients were registered, and 5 cases are currently being treated; 5 cases were treated under the supervision of general practitioners, and 5 cases filled in medication cards on time.
Fourth, the existing problems
1, TB prevention and control institutions and personnel are unstable, and the work cannot be carried out.
2. Centralized management is still unresolved. Many tuberculosis patients go to hospitals or comprehensive outpatient clinics for treatment. Due to economic difficulties and irregular treatment, drug resistance is formed, and more and more patients are refractory.
Summary of TB prevention and control in 3 20xx years, under the correct leadership of the county health bureau and the center, we adhered to the policy of "prevention first, combining prevention with treatment", fully implemented modern TB control strategies, strengthened centralized management of TB, and strengthened the discovery, referral and management of TB, and achieved remarkable results in TB prevention and control. The specific work is summarized as follows:
First, timely and effective detection of tuberculosis.
The unified screening and elimination of disease-related referral was carried out in a solid and orderly manner, and the third phase of the global fund tuberculosis control project was actively implemented, and all suspected tuberculosis patients who came to see a doctor were referred to the tuberculosis clinic of the county CDC. In the whole year, 28 suspicious patients were referred to the network for direct reporting, 22 cases received free treatment, 5 cases were followed up, and 5 cases were tracked in place, with a tracking rate of 100%.
Second, business training is always unremitting.
Once a month, village epidemic prevention personnel persist in analyzing and solving outstanding problems in prevention and control work in a timely manner. In the training, we have carried out corresponding knowledge training for different positions such as outpatient department, radiology department and rural doctor, which greatly improved the professional level and skills and laid a solid foundation for tuberculosis prevention and treatment.
Third, promote patient supervision according to regulations.
According to the requirements, supervise the village clinics to carry out tuberculosis prevention and control work once every six months, mainly checking the outpatient log and infectious disease registration book of the village clinics, and visiting each tuberculosis patient at least four times at the township level, with weekly visits at the village level 1 time. The interview contents include: whether to take medicine on time, whether to take medicine correctly, whether there are any side effects after taking medicine, whether to return to the clinic on time and matters needing attention.
Fourth, the effectiveness of health education and publicity has already appeared.
We continue to intensify publicity, actively publicize the national TB prevention and control policies and strategies in various forms, popularize TB prevention and control knowledge, effectively raise people's awareness of TB prevention and control, and create a public opinion atmosphere for prevention and control ... First, make use of the hospital outpatient service to give face-to-face publicity and explanation to every patient who comes to see a doctor and consult, and issue TB prevention and control publicity cards to make health education regular and timely. Second, on March 24th, World Tuberculosis Publicity Day, a large-scale on-site consultation activity was held at the entrance of Shiguan Town Government. More than 65,438+00 posters and 80 leaflets were distributed and more than 35 people were consulted. The third is to publicize the knowledge of tuberculosis prevention and control to the masses by using the publicity column, so that more people can understand the knowledge of tuberculosis and improve the awareness rate of tuberculosis prevention and control knowledge of the whole people.
Summary of TB prevention and control work in the first half of 20xx According to the requirements of county health bureau and county disease prevention and control center, our town has always adhered to the principle of "prevention first, combining prevention and control", fully implemented TB prevention and control strategies, strengthened health education and centralized management of TB patients, and achieved remarkable results in TB prevention and control work. The prevention and treatment of tuberculosis in our town is reported as follows:
First, leaders attach great importance to it and measures are in place.
The town government and hospital leaders attached great importance to it, established a tuberculosis prevention and control system led by the government, coordinated by various departments and participated by the whole town people, and constantly improved the tuberculosis prevention and control mechanism to ensure the smooth progress of tuberculosis prevention and control work.
Second, the effectiveness of prevention and control work
(A) the completion of the target
1, vigorously publicize the knowledge of tuberculosis prevention and control and relevant national policies to improve the detection rate. As of July, our town has overfulfilled 5 cases of smear positive patients, with a completion rate of 125%, 7 cases of smear negative patients, with a completion rate of 100%, a tuberculosis reporting rate of 100% and a referral rate of 100%.
2. Report the prevention and treatment of tuberculosis to the town government in a timely manner every quarter, with written report materials and on-site report photos.
(2) The specific work carried out
1, implement the incentive mechanism and increase incentives. Our hospital has carried out incentives for medical staff to report tuberculosis in the whole town, and specially set up an incentive scheme to give cash rewards to tuberculosis reporting doctors, radiology departments, laboratory departments and other auxiliary departments. The amount of rewards ranged from 10 yuan to 150 yuan, which promoted the better completion of tuberculosis prevention and control tasks in our town.
2, completes the supervision and management of tuberculosis patients within the jurisdiction, the specialist is responsible for the management, to ensure that measures are in place, regular visits and supervision of patients.
3. Attend the regular meeting organized by the county CDC on time, and submit various reports, briefings, plans, summaries and other materials on time.
4, the implementation of training, improve the quality of medical personnel, for the prevention and control work to do a good job of technical support.
The training content includes the basic knowledge of tuberculosis prevention and control and the national tuberculosis prevention and control policies and strategies. The training covers the medical staff of the whole hospital, rural doctors, medical staff of individual clinics within the jurisdiction, and community cadres in towns and villages.
6, vigorously promote, widely mobilize, the whole people to establish awareness of prevention and control. In the first half of 20xx, our town took various forms (door-to-door publicity, health publicity column, knowledge lectures, publicity points, etc.). ) Publicize TB prevention and control policies and strategies extensively and deeply, popularize TB prevention and control knowledge, effectively improve people's awareness of TB prevention and control, and enhance awareness of TB prevention and control.
Third, the problems existing in the work
1, the patient's cultural quality is low, and it is difficult to accept the education of tuberculosis doctors and carry out his work.
2. The first and second hospitals in the county have high examination fees and low reimbursement rates, which are unbearable for patients and bring great difficulties to our work.
Four. Opinions and suggestions on future work
1. Focus on popularizing the knowledge of tuberculosis prevention and control among the general population within the jurisdiction of our town, improve the awareness rate, and let the broad masses participate in the work of tuberculosis prevention and control.
2, more communication with government departments, and effectively strengthen the implementation of tuberculosis prevention and control work.
Summary of TB prevention and control work in 5-20xx years, with the correct leadership and strong support of governments at all levels, superior departments, health administrative departments and central leaders, and the hard work of staff of TB prevention and control institutions at all levels in Quanzhou, all tasks were successfully completed.
First, pay close attention to study and training to improve the professional quality of personnel.
In 20xx, the National Institute of Tuberculosis Control and Prevention successfully held two training courses on tuberculosis control and laboratory diagnosis in county (city) level tuberculosis control institutions, with a total of 35 participants. Counties (cities) also held 33 training courses with planning support, with the number of trainees 1354. Through study and training, the professional ability of staff in Quanzhou TB prevention and control institutions has been further improved, which provides a strong guarantee for the smooth completion of the annual task objectives.
Two, strengthen supervision and management, standardize the prevention and treatment of tuberculosis.
In order to understand the progress of the implementation of the planning objectives and grasp the existing problems in time, we conducted four different forms of supervision in 8 counties (cities) in 20xx, supervised 34 counties, visited nearly 100 tuberculosis patients and completed the supervision report. Through the supervision of county-level TB institutions, medical institutions and patients, problems are found in time, suggestions for improvement are put forward, working procedures are further standardized, and continuous improvement is made.
Third, carry out mass propaganda to improve the level of understanding.
We took the opportunity of "3.24" World Tuberculosis Day to publicize the core information of tuberculosis prevention and treatment, and invited reporters from national television and national newspaper to report this publicity activity through news and newspapers. The Center opened the official Weibo for TB prevention and control in Tencent.com and Sina.com, and scientifically and accurately released Weibo information around the core information and related knowledge of TB prevention and control. By making a banner and signing it on the spot, and displaying a poster on the spot, we will encourage the public to actively participate in the dissemination of knowledge about TB prevention and create a good atmosphere for the whole society to participate in TB prevention and control.
Fourth, standardize drug management and ensure drug quality.
In 20xx, according to the requirements of the Standard Operating Manual for the Management of Anti-TB Drugs, we implemented the management of special personnel, special libraries and special accounts. Calculate and report the statewide drug demand plan at the beginning of the year; Check the quantity and quality of drugs distributed at the provincial level; Standardize the drug warehouse and apply for supplementary drugs in time; Take stock at any time to ensure that the accounts are consistent. In the whole year, the state received HRZE: 365,438+000 boxes, HR: 6,000 boxes, hre:800 boxes, 3,600 syringes and 65,438+0,800 water for injection, which were distributed to counties (cities) in time. Over the past year, there have been no problems such as drug shortage, expiration and mildew.
Five, strengthen information management, improve the quality of information input.
In accordance with the requirements of the plan, strengthen the monitoring, evaluation and data analysis of the TB epidemic situation in Quanzhou, timely grasp the operation of the TB information management system in Quanzhou, the information input and the completion of key indicators, complete and report the quarterly and annual reports specified by the state five times on time, timely analyze the monitoring data of the quarterly and annual TB epidemic situation in Quanzhou four times, and report the quarterly analysis results to the county (city) CDC and relevant units in time, so as to find problems in time and improve the work.
Six, the completion of key indicators of tuberculosis in Quanzhou
(1) patient registration. In 20xx, tuberculosis control institutions admitted 4463 newly diagnosed patients, and the initial registration rate was 210/100000, which was 10.6% lower than last year. Anti-TB institutions * * * found registered active pulmonary tuberculosis patients 1755, down by 3.9% compared with last year, among which 439 cases were newly diagnosed with smear positive, down by 30.3% compared with last year; 76 patients with smear positive were treated again, a decrease of 27.6% compared with last year; The number of smear negative patients was 1.24, an increase of 1.3% compared with last year.
(2) Treatment management. Quanzhou actively implements the national policy of free examination and treatment of tuberculosis, and tries its best to make all found tuberculosis patients receive timely, effective and standardized treatment. Among the 1755 cases of pulmonary tuberculosis found in 20xx, the treatment management was 175 1 case, and the treatment rate was 99.8%. 630 cases of smear-positive pulmonary tuberculosis were newly diagnosed in Quanzhou in 20xx, and 582 cases were cured, with a cure rate of 92.4%. Registration management retreats smear-positive pulmonary tuberculosis 105 cases, and105 cases are cured, with a cure rate of 95.2%.
(III) Arrival of patients: The number of tuberculosis patients to be tracked by TB control institutions in Quanzhou is 5 13, with 496 cases tracked, with a tracking rate of 96.7% and 432 cases tracked, with a tracking rate of 87. 1%. Medical institutions referred 1559 cases, with an overall rate of 94.7%, up 5.3% from last year.
(4) Other indicators: The screening rate of close contacts of smear positive patients was100%; Completion rate of county and municipal supervision100%; The timely rate of initial entry of medical record information in TB information management system was 99.8%. The information integrity rate of tuberculosis information management system is100%; 1826 At the end of treatment, the system management rate was 96.8%, and all indicators met the planning requirements except the referral rate.
Seven. Other jobs
In 20xx, our department designated Jishishan County and xx County as the assistance targets. In view of the problems of great changes in TB prevention and control personnel in two counties, unfamiliarity with TB information management system, lack of full-time sputum examination personnel, and low detection rate of TB patients, technical guidance was provided through on-site supervision, telephone and other forms, timely feedback information to the director of CDC, suggestions were made, sputum examination personnel were sent, and training was entrusted to the sputum examination room of CDC. After many efforts, the sputum examination work in the two counties was carried out normally, and the medical records of Jishishan County were affirmed in the province, and the patient discovery task was completed as scheduled. XX county solved the problem that filming and sputum examination could not be carried out in winter, and the information input was basically timely, accurate and complete.
The Plan for Tuberculosis Prevention and Control in Linxia Prefecture (20xx-20xx) was formulated and submitted to the State Health Bureau, which was issued by the state government on August 15 of 20xx. Complete the calculation and entry of TB prevention and control funds for 20xx at the same level and 8 counties and cities; Immunization planning includes county-level supervision; Participated in two county-level disease control assessment; Participated in provincial tuberculosis supervision in the second half of 20xx.
Eight, the existing difficulties and problems:
(1) Insufficient investment in prevention and control funds. With the end of the tuberculosis control project, the supporting funds for tuberculosis prevention and control at the state and county levels have been reduced or cancelled, and the lack of funds has affected the normal development and sustainable development of tuberculosis prevention and control.
(2) Prevent and control the shortage of human resources. According to the Work Standard for Tuberculosis Prevention and Control, the number of TB prevention and control personnel and business personnel at the county level can't meet the needs of current work, and the frequent transfer of TB prevention and control personnel and lack of business experience have brought many difficulties to daily work.
(3) The quality of cooperation between medical treatment and prevention needs to be improved. The registration and reporting system of pulmonary tuberculosis and suspected pulmonary tuberculosis patients in some comprehensive medical institutions in some cities and counties is not perfect, the coordination work is not smooth enough, and the referral rate of registered patients is not high.
(4) The patient discovery needs to be improved. Although our state has achieved all the goals of tuberculosis control, the epidemic situation of tuberculosis is still very grim, especially the number of multidrug-resistant patients is increasing, and there are still a large number of new patients to be found, diagnosed, treated and managed. Tuberculosis control has a long way to go.
(5) The systematic management of tuberculosis patients needs to be strengthened. Standardized and whole-course treatment is the key to improve the cure rate and prevent the occurrence of multi-drug resistant cases. The whole process supervision of chemotherapy for smear-positive pulmonary tuberculosis patients in Quanzhou is very weak, and the treatment, management, supervision and visit of pulmonary tuberculosis patients need to be strengthened.
Nine. Work plan for 20xx years
In 20xx, on the basis of earnestly completing the routine work of tuberculosis publicity and education, professional training, drug management, information monitoring, supervision and visit, and project work, Quanzhou City has done the following key work.
(1) Increase government input and explore new working modes. Conscientiously implement the Plan for Tuberculosis Prevention and Control in Linxia Prefecture (20xx-20xx), evaluate the current situation of tuberculosis prevention and control in this region, deeply analyze the challenges and difficulties faced, and strive for the policy and financial support of the local government. Counties (cities) in accordance with the principle of local conditions and steady progress, continue to explore and promote the new working mode of prevention and treatment service system coordinated with tuberculosis prevention and treatment institutions, designated medical institutions and primary medical and health institutions, so that the single tuberculosis prevention and treatment model in our state will develop into a diversified model, improve the service level and ensure the sustainable development of tuberculosis prevention and treatment in the whole state.
(2) Strengthen the prevention and treatment of tuberculosis in schools.
In 20xx, there were many cases of pulmonary tuberculosis in schools all over the country. The Ministry of Health and the Ministry of Education have jointly strengthened the prevention and control of tuberculosis in schools. In 20xx, counties and cities should strengthen the active monitoring of school tuberculosis epidemic situation, make records, carry out on-site investigation, disposal and analysis of school tuberculosis epidemic situation, and assist the education department to carry out health education on school tuberculosis prevention and treatment.
(3) With the long-term implementation of the tuberculosis control project, more than 35,000 tuberculosis patients in Quanzhou have received anti-tuberculosis treatment. Due to the lack of in-depth health education, inadequate supervision and management, and patients' insufficient understanding of the importance of standardized treatment, more and more drug-resistant cases are threatening our health. However, due to the lack of equipment and technicians in our state, it is still impossible to diagnose drug-resistant cases. In 20xx, the country will strive to carry out sputum culture and drug sensitivity test, and xx county and XX county will carry out sputum culture to find drug-resistant patients early and control the source of infection.
(4) Strive to popularize anti-tuberculosis compound preparation in all counties and cities, and improve the compliance and curative effect of tuberculosis patients.
(five) to strengthen the management of mobile patients, improve the prevention and control mechanism. Counties (cities) conscientiously do a good job in the discovery, registration, referral, reception and management of tuberculosis patients in the floating population, make full use of the tuberculosis special report system, and implement the cross-regional management mechanism for tuberculosis patients. Strengthen the localized management of pulmonary tuberculosis patients among floating population and staying population. Cross-regional management shall be implemented for floating population and pulmonary tuberculosis patients who are not in the local area after being released from prison. Actively explore the beneficial practices and experiences of tuberculosis prevention and control of migrant workers and other floating population, and constantly improve the tuberculosis prevention and control mechanism of floating population.
(VI) Conscientiously implement the "Eight Ones" work measures formulated by the Center, and investigate the treatment and management of tuberculosis patients in eight counties (cities), especially smear-positive tuberculosis patients, through home visits and telephone inquiries, and complete the investigation report.