Part I Tuberculosis treatment work report
A, the main achievements
1, do a good job in the missionary work
Before chemotherapy using verbal way to the patient and family members to explain in detail to the patient and family members of tuberculosis prevention and control during the requirements, so that the patient can take the initiative to cooperate with the treatment.
The content of publicity and education: 1, tuberculosis is a respiratory infectious disease, the first two months of treatment must pay attention to the airborne transmission of family members and the surrounding population. 2, tuberculosis can be cured, we must set up a firm confidence, and fully cooperate with the doctor. 3, adherence to the rules of treatment according to the chemotherapy program developed by the doctor, to complete the prescribed course of treatment is the key to the cure of tuberculosis. 4, the drugs may appear side effects, such as once the side effects appear, the doctor should promptly find a doctor. 5, the patient should not take the chemotherapy program. 6, the patient should not take the chemotherapy program. If side effects occur, find a doctor to deal with them in time and don't stop taking the medicine by yourself.5. In principle, send the sputum to the tuberculosis prevention organization for examination at the end of 2 months, 5 months and 6 months after the treatment. The patient should be able to get the sputum at night and in the early morning for checking in the conjugate defense institution.
2. The birth rate of newborns in the township reaches 15 per thousand, and the BCG vaccination rate reaches 90%.
3, the patient's treatment throughout the management:
To do the initial patient counseling, content package to explain the condition, introduce the treatment program, drug dosage, usage and side effects to adhere to the rules of the importance of medication. The wrong time to take medication in a timely manner, such as by telephone, home visits and other ways to recover the patient in a timely manner. And strengthen education to persuade patients to adhere to regular treatment. Train patients and family members to recognize anti-tuberculosis drugs, understand the common dosage and method of administration, as well as possible side effects, and urge patients to use the drugs in a regular manner. Village doctors are able to make an initial visit within three days of receiving a report of a new patient on treatment, and thereafter make a home visit once a month. The content includes health teaching, verification of medication, verification of the amount of remaining medication spot-check urine, and urging on-time clinic pick-up and re-examination.
4, patient management: this year found seven new cases of initial treatment of sputum smear-positive tuberculosis patients, seven patients can be in accordance with the requirements of the dost strategy for treatment management. Cure 7 patients, the cure rate of 100%.
Second, there are problems
1, the cultural quality of patients is low, it is difficult to accept the tuberculosis prevention doctor's mission, resulting in difficult to carry out the work.
2, the village doctor work responsibility is not strong.
3, the village level knot prevention doctor business level is not high, can not be good guidance to deal with the patient in the drug during the side effects.
Third, the future work of the opinion
1, strengthen the village doctor business and professional ethics learning, improve the work of responsibility and business level.
2, often carry out a variety of training courses, in order to improve the business level of the village knot prevention doctors.
Part II Tuberculosis Treatment Work Report
(a) Strengthen the education and publicity efforts to enhance the public's awareness.
Prevention and treatment of tuberculosis is a long-term and arduous work, to do a good job of this work, education and publicity work is fundamental and critical work. Combined with the actual situation of work combined with a variety of publicity and other forms of publicity in the community correctional personnel and ex-prisoners vigorously publicize. Through publicity and education, to improve their behavior and ability to resist drugs, received a better effect. March 24, our bureau in the county re-propagation office, the Health Bureau, the CDC organization, actively participate in publicity activities, through the distribution of a variety of forms of publicity materials, publicity supplies, on-site answers to legal inquiries, tuberculosis prevention and control of knowledge propaganda. Activities *** counted more than 500 copies of the information issued, answering the consultation 20 times, for the general public in our county *** with the participation of the law to prevent and control tuberculosis has created a good atmosphere.
(B) to establish and improve a variety of systems to strengthen organizational leadership.
To do a good job of preventing and controlling tuberculosis, the system is a guarantee, organizational leadership is the key. To this end, I combined with the actual situation, the development of the unit to prevent and control tuberculosis work responsibility system, to do community correctional personnel and ex-prisoners are all included in the scope of publicity. According to the party committee team just adjusted the actual, adjusted and enriched the prevention and treatment of tuberculosis work leading group, clear responsibility, all cadres and workers *** with participation in the prevention and treatment of tuberculosis work.
(C) do a good job of special groups of people to prevent and control tuberculosis knowledge publicity work.
Part III Tuberculosis Treatment Report
In the first half of 20xx, according to the county health bureau, the county CDC requirements, the town in the prevention and treatment of tuberculosis has always adhered to the "prevention, prevention and treatment of tuberculosis" policy policy, comprehensive implementation of the strategy to control tuberculosis. In the first half of the year, according to the requirements of the county health bureau, the county CDC, the town in the tuberculosis prevention and control work always adhere to the "prevention-oriented, prevention and treatment" policy policy, the full implementation of the implementation of the tuberculosis control strategy, strengthened health education and tuberculosis patient management, tuberculosis prevention and control work has achieved remarkable results. Now the town of tuberculosis prevention and control work reported as follows:
First, the leadership, measures in place
The town government, the hospital leadership attaches great importance to the establishment of a government-led, multi-departmental cooperation, the whole town people *** with the participation of tuberculosis prevention and control system, and constantly improve the work of tuberculosis prevention mechanism, to ensure that tuberculosis control work is carried out smoothly.
Second, the prevention and control work achieved
(a) the completion of the objectives
1, vigorously publicize the knowledge of tuberculosis prevention and control and the relevant national policies to improve the discovery rate, as of July our town has been exceeded by 5 cases of patients with a positive coating, the completion rate of 125%, 7 cases of coating, the completion rate of 100%, the rate of 100% of the tuberculosis report, the referral of patients with a first diagnosis of 100%, tracking in place of 100%. 100%, tracking in place rate of 100%, smear-positive patients family screening rate of 100%.
2, quarterly and timely to the town government to report on the work of tuberculosis prevention and treatment, there are written reporting materials and site reporting photos.
(B) the specific work carried out
1, the implementation of incentives to increase incentives. I carried out the town jurisdiction of the medical staff of tuberculosis reporting incentives, specially set up an incentive program for tuberculosis reporting doctors and radiology, laboratory and other auxiliary departments for cash incentives, incentives ranging from 10 to 150 yuan, prompting the town of tuberculosis prevention tasks to better accomplish.
2, a good supervision and management of tuberculosis patients in the jurisdiction, specializing in management, to ensure that measures are in place, regular visits to patients and supervision.
3, on time to participate in the regular meetings organized by the CDC, on time to report a variety of reports, briefings, plans, summaries and other information.
4, the implementation of training to improve the quality of medical personnel, for the prevention and treatment of good technical assurance training content, including the basic knowledge of tuberculosis prevention and treatment and the national tuberculosis prevention and control policies and strategies, the training covers the whole hospital medical staff, the jurisdiction of rural doctors, individual clinics, medical personnel, as well as the town, the village, the community cadres.
5, vigorously publicize, widely mobilized, all the people to establish the awareness of tuberculosis prevention. 20xx the first half of the year, the town to take a variety of forms (household propaganda, health bulletin boards, knowledge lectures, publicity points, etc.), extensive and in-depth tuberculosis prevention and treatment policy and strategy to publicize, popularize tuberculosis prevention and treatment knowledge, and effectively improve the people's tuberculosis prevention and control knowledge knowledge of the rate of knowledge and enhance the prevention and treatment of disease awareness. The publicity of the policy and strategy of tuberculosis prevention and treatment has been widely and y publicized.
Third, the work of the existing problems
1, the cultural quality of patients is low, it is difficult to accept the tuberculosis prevention doctor's missionary, resulting in work difficult to carry out.
2, the county first and second hospital inspection costs are high, the reimbursement rate is low, the patient can not afford, to our work has also brought great difficulties.
Fourth, the future work of the views and recommendations
1, focusing on the popularization of tuberculosis prevention and control knowledge of the general population within the jurisdiction of the town, to improve the rate of knowledge so that the majority of people can participate in the prevention and control of tuberculosis work.
2, more communication with government departments to effectively strengthen the implementation of tuberculosis prevention and treatment.
Part IV Tuberculosis Treatment Work Report
In 20xx, the state's tuberculosis prevention and treatment work at all levels of government, the higher authorities, the health administrative departments and the center of the leadership of the correct leadership and strong support, in the state at all levels of tuberculosis prevention and treatment institutions under the staff's hard work, and better complete the work of the various tasks.
First, pay close attention to learning.
First, pay close attention to learning and training to improve the operational quality of personnel.
20xx state tuberculosis prevention for the county (city) level tuberculosis prevention agencies, successfully held a tuberculosis prevention and treatment, laboratory diagnosis of 2 training courses, training personnel 35 times. Counties (cities) have also successively organized 33 training courses of various types supported by planning, training personnel 1354 times. Through learning and training, further improve the statewide knot defense agency personnel business capacity, for the successful completion of the annual task objectives to provide a strong guarantee.
Second, strengthen supervision and management, standardize tuberculosis prevention and treatment.
In order to understand the progress of the implementation of the objectives of the Plan, timely grasp of the existing problems, in 20xx on 8 counties (cities) tuberculosis prevention and control work in different forms of supervision for four times, a total of 34 counties to supervise the time, visit the tuberculosis patients of nearly 100 cases, and complete the supervisory report, through the county-level tuberculosis prevention agencies, medical institutions and patients of the supervision, timely discovery of the problem, and put forward the views of the improvement. Further standardize the work procedures and continuously improve the quality of work.
Third, to carry out mass publicity, improve the level of knowledge.
We take the "3.24" World Tuberculosis Prevention and Control Day as an opportunity to focus on the theme of publicity, to carry out the core message of tuberculosis prevention and control publicity, invited state television reporters, ethnic newspaper reporters through the news, newspaper form of coverage of the publicity activities, the center has been in the Tencent, Sina.com to open the tuberculosis prevention and control of official microblogging, the core message of tuberculosis prevention and control, and the related information. The center has set up an official microblog for TB prevention and treatment on QQ.com and Sina.com, releasing microblog information scientifically and accurately centering on the core information on TB prevention and treatment and related knowledge. Through the production of banners for on-site signing of the "One Million Volunteers' Knowledge Dissemination Action for TB Prevention and Control" and on-site display of the "One Million Volunteers' Knowledge Dissemination Action for TB Prevention and Control" posters, the public is encouraged to actively participate in the dissemination of knowledge about TB prevention and control, and the public is encouraged to participate in the dissemination of knowledge about TB control. **Together with the creation of a favorable atmosphere for the whole society to participate in the prevention and treatment of tuberculosis.
Fourth, standardize the management of drugs to ensure the quality of drugs.
In 20xx, we in accordance with the requirements of the "standard operating manual for the management of anti-tuberculosis drugs", special people, special libraries, special account management; at the beginning of the year to measure and report the state's drug demand plan; check the quantity and quality of the drugs issued at the provincial level; standardize the drug storehouse, apply for supplemental drugs in a timely manner; at any time to inventory the inventory, to ensure that the account matches the goods. Annual state-level reception hrze: 3100 boxes, hr: 6000 boxes, hre: 800 boxes, 3600 syringes, 1800 injections of water, timely allocation to the counties (cities), over the past year, there has been no shortage of medicines or expiration, mold and other problems.
V. Strengthen information management, improve the quality of information entry.
In accordance with the requirements of the Plan, strengthen the monitoring and evaluation of tuberculosis epidemics throughout the state, data analysis, keep abreast of the operation of the statewide tuberculosis information management system, a variety of information entry, the completion of key indicators, on time to complete and report the quarterly and annual reports required by the state 5 times, timely analysis of the quarterly and annual tuberculosis epidemic monitoring data throughout the state 4 times, the quarterly analysis of the results in a timely manner Inform the counties (cities) CDC and related units, in order to timely identify problems and improve the work of the existing deficiencies.
Six, the state's key indicators of tuberculosis completed:
(a) patient registration. 20xx tuberculosis prevention agencies received 4,463 cases of primary diagnosis of patients, primary diagnosis of registration rate of 210/100,000, a decline of 10.6% compared with last year. Tuberculosis prevention institutions *** found registered active tuberculosis patients 1755 cases, down 3.9% from last year, of which the first treatment of 439 cases of smear, down 30.3% from last year; re-treatment of smear patients 76 cases, down 27.6% from last year; the first treatment of 1240 cases of smear-negative patients, an increase of 13.8% over the last year
(ii) treatment and management of the situation. The state actively implement the national policy on free tuberculosis examination and treatment, try to make the discovery of tuberculosis patients can get timely, effective and standardized treatment. 1755 cases of tuberculosis patients found in 20xx 1751 cases of implementation of treatment management, implementation of treatment rate of 99.8%; 20xx statewide treatment management of 630 cases of primary treatment of smear-negative tuberculosis patients, cured 582 cases, cure rate of 92.4%; the first treatment of smear-negative patients, cured 582 cases, cured 582 cases, cured 582 cases, cured 582 cases, cured 582 cases, cured 582 cases, cured 582 cases. Cure rate of 92.4%; registered management of 105 cases of re-treatment of smear-positive tuberculosis patients, cured 100 cases, cure rate of 95.2%.
(C) the patient in place statewide tuberculosis prevention agencies need to track the network direct report of tuberculosis patients for 513 cases, tracking 496 cases, tracking rate of 96.7%, tracking in place 432 cases, tracking in place rate of 87.1%. Through the medical institutions referral, tuberculosis prevention institutions tracked in place 1559 cases, the overall rate of 94.7%, up 5.3% from last year.
(d) Other indicators: 100% screening rate of close contacts of patients with Touyang; 100% completion rate of supervision at the county and municipal levels; 99.8% timely entry of case information for the first time in the tuberculosis information management system; 100% completeness of case referral information in the tuberculosis information management system; 96.8% rate of management of the system for the end of the course of treatment of 1,826 tuberculosis patients, in addition to the referral rate of the indicators have met the requirements of planning. The indicators have all met the planning requirements.
VII. Other work:
20xx, our department will be Jieshishan County, XX County as the object of support, for the two counties of tuberculosis prevention personnel changes, the tuberculosis information management system is not familiar with the lack of full-time sputum examiner, tuberculosis patients found a low rate of problems, we through the site supervision, phone calls, and other forms of technical guidance, and timely feedback to the director of the CDC information, suggestions, scheduling sputum examiner, and the need to provide technical advice to the CDC director. Suggestions, scheduling sputum examination personnel, commissioned by the city CDC sputum examination room for training, through the efforts of the two counties sputum examination work normally carried out, Jieshishan County case information has been recognized by the province, as scheduled to complete the task of the discovery of the patient, XX County, the solution to the winter can not be photographed, sputum examination of the problem of the information entry is basically timely, accurate and complete.
formulated the "Linxia State Tuberculosis Prevention and Control Plan (20xx-20xx years)" and reported to the State Health Bureau, the state government issued on August 15, 20xx; complete the level and 8 counties and cities in 20xx TB prevention and treatment funding measurement and entry work; immunization planning work package county supervision; participated in two county and city level CDC work assessment; participated in the second half of the province's tuberculosis in 20xx Supervision.
Eight, there are difficulties and problems:
(a) tuberculosis defense funding is insufficient. With the successive end of the tuberculosis control program, state and county level tuberculosis prevention and treatment supporting funds were reduced or canceled, the lack of funding, affecting the normal work and the sustainable development of tuberculosis prevention and treatment.
(ii) Insufficient human resources for prevention and treatment. In accordance with the "norms of tuberculosis control work", the number of state and county level tuberculosis prevention personnel and operational personnel can not yet meet the current needs of the work, coupled with frequent mobilization of tuberculosis prevention personnel, unskilled in operational work, to carry out routine work has brought a lot of difficulties.
(C) the quality of medical defense cooperation needs to be improved. Some cities and counties part of the integrated medical institutions tuberculosis and suspected tuberculosis patients registration, reporting system is not sound enough, coordination is not smooth enough, registration, reporting of patients referral rate is not high.
(D) patient detection needs to be improved. Although the state has completed the task of tuberculosis control indicators, but the tuberculosis epidemic is still very serious, especially multidrug-resistant patients continue to increase, there are still many new patients to be found, to diagnose, to treat, to manage, tuberculosis control work is a heavy task and a long way to go.
(E) Tuberculosis patient system management needs to be strengthened. Standardized, full treatment is to improve the cure rate, the prevention and treatment of multidrug-resistant cases of the key, the state's implementation of Tuyang tuberculosis patients in the health care personnel face-to-face under the medication based on the full supervision of chemotherapy work is very weak, the treatment of tuberculosis patients, management, supervision, visits to be strengthened.
Nine, 20xx year's work intention:
20xx year, the state in earnest to complete the tuberculosis publicity and education, professional training, drug management, information and monitoring, supervision and visitation and the project work on the basis of the regular work tasks, do the following key work.
(a) Increase the government's efforts to explore new work models.
Seriously implement the Linxia State TB Prevention and Control Plan (20xx-20xx), assess the current situation of TB prevention and treatment work in the region, analyze in depth the challenges and difficulties faced, and strive for policy and financial support from the local government. The counties (cities), in accordance with the principle of local conditions and steady progress, continue to explore and promote the new prevention and control service system working model of coordination among tuberculosis disease prevention and control organizations, designated medical institutions and primary health care institutions, so that the single model of tuberculosis prevention and control in the state can develop into a diversified model, improve the level of service, and ensure sustainable development of tuberculosis prevention and control work in the state.
(ii) Strengthening the prevention and treatment of tuberculosis in schools.
20xx years around the school has occurred a number of tuberculosis cluster cases, the Ministry of Health and Education Ministry of Education jointly below to further strengthen the prevention and control of tuberculosis in schools. 20xx years the counties and cities to strengthen the active monitoring of tuberculosis outbreaks in schools, and make a good record of the school tuberculosis outbreaks of the on-site investigation of the treatment and analysis of school tuberculosis outbreaks to assist the education sector to carry out the prevention and control of tuberculosis in schools of the health education.
(C) With the long-term implementation of the tuberculosis control program.
More than 35,000 tuberculosis patients in the state have received anti-tuberculosis treatment, due to the lack of in-depth health education, supervision and management of the implementation of insufficient efforts, the patient's awareness of the importance of standardized treatment is not in place and other reasons, so that more and more drug-resistant cases are threatening our health. However, our state equipment, lack of technical personnel, is not yet able to diagnose drug-resistant cases, 20xx state level to carry out sputum tuberculosis culture and drug sensitivity test work, XX County, XX County to carry out sputum culture work, as well as early discovery of drug-resistant patients, control of infectious agents.
(d) Strive for universalization of anti-tuberculosis compound preparation in all counties and cities, in order to improve the dependence and efficacy of treatment for tuberculosis patients.
(v) Strengthening the management of mobile patients and improving the prevention and control mechanism.
The counties (cities) seriously do a good job in the discovery, registration, referral, acceptance and management of the mobile population of tuberculosis patients, make full use of the tuberculosis special reporting system, the implementation of cross-regional tuberculosis patient management mechanism. Strengthen the localized management of tuberculosis patients in the mobile population and the custodial population. Cross-regional management has been implemented for the migrant population and for TB patients who are not in their own region after being released from prison (institution). We are actively exploring useful practices and experiences in tuberculosis prevention and treatment for migrant workers and other migrant populations, and constantly improving the mechanism for preventing and treating tuberculosis in migrant populations.
(F) conscientiously implement the "eight-one" work measures formulated by the center.
Combined with the monthly social practice activities, the center conducted research on the treatment and management of TB patients in 8 counties (cities), especially the treatment and management of TB patients with smear-positive status, through household visits, telephone inquiries, etc., and completed the research report.