Tuberc Respir Dis.  1971 Mar;18(1):21-28. 10.4046/trd.1971.18.1.21.

Long-term Observation of Bacteriologically Positive Cases among TB Patients Registered at Urban and Rural Health Centres

Abstract

A long-term observation was carried out for sputum positive cases whe were registered at urban and rural health centres in Kyong Ki Do from Jan 1, 1964 to Dec. 31, 1967, in order to get various informations about prevalence of registration treatment results and management of the patients. The result were obtained as follows : 1) 39% of the patients in rural were found to have past treatment before registration at health centres and 42% in urban. 2) Among 804 patients, 342 in rural 462 in urban, 61% in rural and 33% in urban were still kept unter treatment at the end of 1969 which is more than 2-5 years. Patients discharged with completed treatment were 6% in ruraI and 10% in urban, patients transfered out were 5% in rural and 6% in urban, patients discharged as a defaulted were 20% in ruraI and 38% in urban, and deaths were 8% in rural and 13 % in urban. 3) The patients whose sputum were converted to negative were 34% in rural and 42% in urban. Duration to negative conversion was Ionger in rural than in urban. By extent of diseases, of negative converters, minimal cases were 52 % in rural and 76% in urban, and patients with cavity were 26% in rural and 35% in urban. Among the patients whose sputum were negative converted 18.6% in rural and 34% in urban were treated with INH alone. 4) Of the x- ray changes, improved cases were 60% both in ruraI and urban, not changed cases 30 % and deteriorated cases were 20 %. Among the x-ray improved cases, 40 % in ruraI and 47% in urban, were had their cavity closed. 5) Among the sputum negative converted patients, 30 % in rural and 40 % in urban were interrupted their treatment more than, month.

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