Tuberculosis control work summary

1, do a good job of missionary work

In the chemotherapy before the use of verbal ways to patients and family members to explain in detail to patients and family members of tuberculosis prevention and treatment during the requirements, so that the patient can take the initiative to cooperate with the treatment.

The content of the 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 is curable, to establish firm confidence, and fully cooperate with the doctor.3 adherence to the

according to the rules of the chemotherapy program formulated by the doctor to complete the prescribed course of treatment is the key to curing tuberculosis.4 the drugs may appear after side effects, if there is a side effect, it is timely. If the side effects occur, find a doctor in time to deal with them, do not stop the medicine by yourself.5 In principle, the treatment is completed 2 months, 5 months, 6 months on time to send sputum to the tuberculosis prevention organization for examination. Whenever you follow up the sputum check, keep the night sputum and the early morning sputum for checking at the conjugate defense institution.

2. The birth rate of newborns in the township reached 15 per thousand, and the BCG vaccination rate reached 90%.

3, the patient's treatment throughout the management:

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 missionary, resulting in work difficult to carry out.

2, the village doctor work responsibility is not strong.

3, the village level knot prevention doctor business level is not high, can not be very good guidance to deal with the patient in the drug during the side effects.

Three, 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 township conjunctive defense doctor's business level.

3. The higher-level business departments should go to the grassroots level more often to guide the township tuberculosis control doctors.

20xx according to the district CDC requirements and Dalian City, six hospitals on the management of tuberculosis assessment requirements of the relevant spirit, in the center of the top and bottom of the unity of mind, all the staff actively work hard to fight to the national tuberculosis prevention and control planning as the goal, combined with the actual situation of my center, the successful completion of the tasks set out in the work objectives for the year 20xx, the main work is now summarized as follows:

First, based on the goal, to grasp the center of tuberculosis prevention work.

The center's anti-TB work, then, is the main point of the tuberculosis prevention work objectives and control of the center's TB epidemic; it is to promote the center's tuberculosis prevention work across a new level of a good start. 20xx years of tuberculosis prevention work of the top and bottom of the heart, the entire workforce actively work hard to strive to maintain the stability of the tuberculosis prevention work and the center of the anti-TB work as an important task of my center to grasp. Leaders actively take the lead, and work regardless of their roles, as long as it is beneficial to the center's tuberculosis prevention work, and beneficial to the control of tuberculosis epidemic in my jurisdiction, all strive to do a good job. Through the study, the entire township medical staff further fully realize the importance of controlling the tuberculosis epidemic in our township, and enhance the sense of urgency. Throughout the year **** carried out health education lectures 4 times and publicized 1 time. Actively publicize the Party's policies and knowledge of tuberculosis prevention and treatment. The implementation of drug fee waivers and non-hospitalization chemotherapy for project management patients has made the public feel the care and love of the people's government and medical workers for the public. At the same time also make the tuberculosis prevention personnel control management level has been greatly exercised and improved.

Second, publicity work

In view of the rebound of the global tuberculosis epidemic, the World Health Organization declared a global tuberculosis emergency in 1993, calling for urgent global action to strengthen tuberculosis control. And March 24 every year as the "World Tuberculosis Control Day". The Ministry of Health of China has upgraded the management of tuberculosis from Category C to Category B infectious diseases and included tuberculosis as one of the five key diseases during the "Tenth Five-Year Plan" period. It is an important task in front of us to grasp the opportunity and strengthen the propaganda. This year, the center actively organized the special training and outdoor publicity of tuberculosis prevention and treatment knowledge to the residents in the district on the day of "3.24". Through the distribution of tuberculosis knowledge of publicity materials, improve the population's understanding of tuberculosis knowledge.

Third, supervisory visits

January 1, 20xx to December 4, 20xx has been registered tuberculosis patients 5 cases, 5 cases are currently under treatment; general practitioners supervise the treatment of 5 cases, 5 cases of medication card filled in on time.

Fourth, there are problems

1, tuberculosis prevention institutions and personnel instability, so that the work can not be carried out.

2, the categorization of management is still the end of the solution, many tuberculosis patients to hospitals or ordinary clinics for treatment, due to economic difficulties and irregular treatment and the formation of drug-resistant, difficult to treat the increase in the number of patients with repeat treatment.

20xx, in the county health bureau and the center of the correct leadership, we adhere to the "prevention-oriented, prevention and treatment" principle, the full implementation of modern tuberculosis control strategy, strengthen the tuberculosis categorization management, strengthened tuberculosis discovery, referral and management of tuberculosis prevention and control work has achieved significant results. The work of tuberculosis prevention and treatment has achieved remarkable results. Now the specific work is summarized as follows:

First, tuberculosis discovery timely and effective

Solid and orderly implementation of the diagnosis due to the disease, referrals for uniform screening and exclusion, and the active implementation of the Global Fund round of three tuberculosis control project, to come to the clinic of 'suspected tuberculosis patients are all referrals to the County Center for Disease Control Tuberculosis outpatient clinic for the entire year. *** referral of 28 cases of suspected patients, are the implementation of the network direct reporting, acceptance of 22 cases of free treatment, tracking 5 cases, tracking in place 5 cases, tracking in place rate of 100%.

Second, business training is unremitting

Once a month, the village epidemic prevention personnel regular meeting unremittingly, thunder, timely analysis and solve the knot prevention work of the outstanding problems. The training insisted on combining the actual, divided into different positions such as outpatient, radiology, village doctors and other appropriate knowledge training, business level and skills have been greatly improved, for the prevention and treatment of tuberculosis has laid a solid foundation.

Three, the patient supervision rule-based promotion

In accordance with the requirements, every six months to carry out tuberculosis prevention and treatment of village health clinics to supervise the work of the village health clinics, mainly to check the village health clinic log, infectious disease registry, etc., at the same time, every entry of tuberculosis patient visits, at least four times at the township level, the village level once a week. The content of the visit includes: whether to take the medication on time, whether to take the medication in the right way, whether to take the medication with or without side effects, whether to follow up on time, and precautions, etc.

Fourth, the effectiveness of the health education propaganda has been obvious

We continue to increase publicity, and actively take a variety of forms of extensive and in-depth on the national tuberculosis prevention and treatment policy and strategy to publicize, popularize the knowledge of tuberculosis prevention and treatment. Publicity, popularization of tuberculosis prevention and treatment knowledge, effectively improve the people's knowledge of tuberculosis prevention and treatment knowledge rate, enhance the awareness of prevention and treatment of disease, for the prevention and treatment of work to create an atmosphere of public opinion ...... First, the use of hospital outpatient clinics, for each case of consultation, consulting with the masses to carry out face-to-face publicity, explanation, and the issuance of tuberculosis prevention and treatment publicity card. The first is to use the hospital outpatient clinic to carry out face-to-face publicity and explanation for every case of people coming to the clinic and consulting, and to distribute tuberculosis prevention and treatment publicity cards, so as to realize the regularization and readiness of health education. The second is to use 3.24 World Tuberculosis Awareness Day to carry out large-scale on-site consulting activities in front of the town hall of Shiguan Town, distributing more than 10 posters and 80 copies of various types of folders, and accepting consultations with more than 35 people. Third, the use of publicity columns to publicize the knowledge of tuberculosis prevention and treatment to the masses, so that more people understand the knowledge of tuberculosis and improve the knowledge of tuberculosis prevention and treatment of the whole population.

In the first half of 20xx, according to the county health bureau, the county CDC requirements, our town in the tuberculosis prevention and control work has always adhered to the "prevention-oriented, prevention and control of the combination of" policy guidelines and policies, the full implementation of tuberculosis control strategy, strengthened health education and tuberculosis patients categorized management, tuberculosis prevention and control work has made progress. Management, tuberculosis prevention and treatment work has achieved remarkable results. Now the town of tuberculosis prevention and control work reported as follows:

First, the leadership attention, 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 of the people *** with the participation of tuberculosis prevention and control system, and constantly improve the work of tuberculosis prevention mechanism, to ensure that the control of tuberculosis work smoothly. The work of tuberculosis control is guaranteed to go on 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 smear-positive, the completion rate of 125%, 7 cases of smear-negative, completion rate of 100%, the tuberculosis Reporting rate of 100%, the first diagnosis of patients referral rate of 100%, tracking in place rate of 100%, smear positive patients family screening rate of 100%.

2, every quarter in a timely manner to the town government to report on the work of tuberculosis prevention and treatment, there are written reporting materials and on-site reporting photos.

(2) specific work carried out

1, the implementation of incentives to increase incentives. I carried out the township 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 township tuberculosis prevention tasks better completed.

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 a good technical guarantee

Training content, including the basic knowledge of tuberculosis prevention and treatment and the national tuberculosis prevention and control policies and strategies, training covers the whole hospital medical staff, the jurisdiction of the village doctors, individual clinic medical staff, as well as townships, villages, and community cadres.

6, 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 knowledge and enhance the prevention of the disease and treatment of disease awareness. The company's mission is to promote the development of the TB prevention and treatment system.

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, focus on the town of the general population within the jurisdiction of the popularization of tuberculosis prevention and control knowledge 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, and effectively strengthen the implementation of tuberculosis prevention and treatment.

The work of tuberculosis prevention and treatment is summarized in 5

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 all tasks.

First, pay close attention to learning and training, improve the quality of personnel operations.

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 the study and training, further improve the state junction 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, 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 nearly 100 cases, and complete the supervisory report, through the county-level tuberculosis prevention agencies, medical institutions and patients of the supervision, timely detection of problems and Through the supervision of the county-level tuberculosis prevention institutions and medical institutions and patients, timely detection of problems, and put forward suggestions for improvement, to further standardize the work procedures, and constantly improve the quality of work.

Three, 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, invite 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 opened the official microblog of tuberculosis prevention and control. The center has opened an official microblog for tuberculosis prevention and treatment on QQ.com and Sina.com, and releases microblog information scientifically and accurately, focusing on the core information of tuberculosis 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 posters of the "One Million Volunteers' Knowledge Dissemination Action for TB Prevention and Control", the public is encouraged to actively participate in the dissemination of knowledge on TB prevention and control, and the public is encouraged to participate in the dissemination of knowledge on TB control. **The company's website has been updated with the latest information on the latest developments in the industry, including the latest news on the latest developments in the industry.

Four, standardize the management of drugs, to ensure the quality of drugs.

20xx, we in accordance with the requirements of the "standard operating manual for the management of anti-tuberculosis drugs", dedicated, dedicated library, special account management; early in the year to measure and report the statewide drug demand plan; check the quantity and quality of drugs issued at the provincial level; standardize the drug storehouse, apply for additional drugs in a timely manner; at any time to inventory, to ensure that the account matches the goods. The year state-level reception hrze: 3100 boxes, hr: 6000 boxes, hre: 800 boxes, 3600 syringes, 1800 injections of water, timely allocation to the counties (cities), a year, 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, complete and report the quarterly and annual reports required by the state on time for five times, and analyze the quarterly and annual tuberculosis epidemic monitoring data throughout the state in a timely manner for four times. The quarterly analysis results will be timely informed to 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 fulfillment

(a) patient registration. 20xx year, tuberculosis prevention agencies received 4,463 cases of primary diagnosis of patients, primary diagnosis of the registration rate of 210/100,000, a decline of 10.6% over 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 in the tuberculosis information management system for the first time; 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. All indicators have 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, telephone calls and other forms of technical guidance, timely feedback information to the CDC director.

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; immunization planning work package county supervision; participated in the two county and city level CDC work assessment; participated in the second half of the province's tuberculosis in 20xx The company's work has been recognized as one of the most successful in the world.

Eight, there are difficulties and problems:

(a) tuberculosis defense funding is insufficient. With the successive end of the tuberculosis control program, the 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 workers face to face under the drug-based full supervision of chemotherapy work is very weak, the treatment of tuberculosis patients, management, supervision, visits to be strengthened.

Nine, 20xx year's work intends

20xx year, the state in earnest to complete the tuberculosis publicity and education, professional training, drug management, information monitoring, supervision and visit and project work on the basis of the routine work of various tasks, to do the following key work.

(a) Increase the government's commitment to explore new work models. We will earnestly implement the Linxia State TB Prevention and Treatment Plan (20xx-20xx), assess the current situation of TB prevention and treatment 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) strengthen the school tuberculosis prevention and control work

20xx years around the school has occurred a number of tuberculosis cluster cases, the Ministry of Health and the Ministry of Education jointly below to further strengthen the prevention and control of tuberculosis in schools. 20xx counties and municipalities to strengthen the active monitoring of tuberculosis outbreaks in schools, and keep records, school tuberculosis outbreaks of the on-site investigation, disposal and analysis, to assist the Education department to carry out school tuberculosis prevention and control of health education.

(c) With the long-term implementation of the tuberculosis control program, the state has more than 35,000 tuberculosis patients 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 adherence and efficacy of treatment for tuberculosis patients.

(v) Strengthen the management of mobile patients and improve the prevention and control mechanism. The counties (cities) seriously do a good job of mobile population tuberculosis patient discovery, registration, referral, acceptance and management, 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.

(6) earnestly implement the "eight-one" work measures formulated by the center, combined with the monthly social practice activities, the 8 counties (cities) tuberculosis patients, especially the treatment and management of Tuberculosis patients, through household visits, telephone inquiries and other means of research, and complete the research report.