Summary of TB prevention and control work 1 Under the correct leadership of the superior business department, closely around the TB prevention and control work plan, through the unity and joint efforts of front-line staff of TB, we have always adhered to the policy and strategy of "prevention first, combining prevention and control", strengthened the centralized management of TB, and strengthened the discovery, diagnosis, treatment and management of TB, and achieved remarkable results in TB prevention and control work. The report on tuberculosis prevention and control in the first half of 20xx is as follows:
First, the prevention and control work has achieved results
(1) The government attaches importance to and constantly improves the TB control mechanism to ensure that TB is controlled.
Go smoothly. The first element of modern TB control strategy is the government's political commitment to the national TB control plan. A perfect working mechanism is the main embodiment of the government's commitment and the guarantee for the implementation of the plan. Our hospital has earnestly fulfilled its promise and established a new sustainable and effective TB control mechanism with government-led, multi-sectoral cooperation and the participation of the whole society. A conference on the prevention and control of infectious diseases was held, which further clarified the responsibilities of various departments and villages.
(two) publicity, extensive mobilization, to create a public opinion atmosphere for the prevention and control work.
We have continuously stepped up publicity, actively adopted various forms to publicize the national TB prevention and control policies and strategies, popularized TB prevention and control knowledge, effectively raised people's awareness of TB prevention and control, and created a public opinion atmosphere for prevention and control.
First, use 3.24 TB Prevention Day to carry out publicity activities. On March 24th this year, we made a publicity exhibition board 10, set up consultation points in each village to consult more than 600 people/KLOC-0, and distributed 20xx leaflets and 500 leaflets.
Second, the knowledge of tuberculosis prevention and control should be included in the health education of primary and secondary school students, 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.
Third, pay attention to the health promotion of tuberculosis in rural population.
(three) the implementation of training, improve the quality, do a good job in the prevention and control of technical support.
Over the past year, the tuberculosis prevention and control institutions in our hospital have taken various forms to carry out technical training, continuously strengthened the construction of the professional team for tuberculosis prevention and control, and created a professional team with fine business, strong ability and retention, which significantly improved the ability of tuberculosis prevention and control within its jurisdiction.
(four) to strengthen supervision and management, and constantly improve the quality of tuberculosis prevention and treatment, the treatment rate of patients reached more than 95%.
While doing a good job in patient discovery, our hospital pays special attention to the supervision of project patients, comprehensively improves the quality of work, strives to standardize the operating procedures and contents of supervision and management of tuberculosis prevention and control at all levels, makes full use of the three-level prevention and control network, and conscientiously implements the DOTS strategy to ensure that patients can not only receive free treatment, but also enjoy our free management and services. Supervisors make full use of the opportunity to go deep into patients' families and care about patients' treatment enthusiastically, patiently and meticulously. In the first half of the year, xx cases of tuberculosis patients were managed in our hospital, and the follow-up supervision rate was 100%, which publicized the knowledge of tuberculosis prevention and treatment and the preferential policies of the state, and played an excellent publicity effect among the surrounding people. At the same time, standardized management has been affirmed and recognized by medical staff in hospitals and the broad masses of the people, effectively improving the referral rate of tuberculosis patients.
Second, the main problems
No pains, no gains. Over the past year, we have done a lot of work in the prevention and treatment of tuberculosis and achieved certain results. However, we are also soberly aware that the situation of tuberculosis prevention and control in our hospital is still very serious, which is still far from the requirements of superiors and the wishes of the people.
(a) the government and relevant departments of the project supporting funds are less, which affects the normal development of tuberculosis prevention and control work.
(2) Software information is still lacking. Files and various report materials were not bound in time. In the supervision and management of patients, there are still some phenomena such as low supervision frequency and imperfect basic data.
(3) The sputum examination in township hospitals cannot be fully implemented as required. Although sputum examination is being carried out, there are too few registered patients and the sputum positive detection rate is low.
Three. Suggestions for the next step
(a) to strengthen the leadership of tuberculosis prevention and control work. It is necessary to effectively put the prevention and control of tuberculosis into the important agenda, regularly check and inquire about the progress of tuberculosis prevention and control, study and solve practical problems and difficulties in the work, study and formulate improvement measures, quantitatively decompose all tasks to the top of the head, conduct regular assessments, and clarify rewards and punishments.
(2) Carry out extensive publicity. Strengthen publicity, especially knowledge of tuberculosis prevention and treatment, and improve the health quality of the whole people.
(3) Strengthen supervision and inspection. Further strengthen supervision, improve the quality of DOTS, and standardize patients' medication.
(4) Strengthen the management of documents and materials. Do a good job in the standardized filing of all kinds of tuberculosis prevention and treatment materials.
Summary of TB prevention and control work 2 On the basis of last year's TB prevention and control work, our township continued to strengthen the supervision and management of TB patients in its jurisdiction, focusing on the publicity and referral of TB prevention and control in its jurisdiction. The main work of tuberculosis prevention and control in 20xx is summarized as follows:
I. Project supervision and management of tuberculosis patients
The supervision and management of tuberculosis patients is the focus of tuberculosis prevention and treatment in hospitals. In addition to guiding and urging patients to take drugs by telephone, they also regularly organize personnel to visit patients' homes to communicate face to face and supervise patients' medication. Throughout the year, the health center counted 30 telephone supervisors and interviewed 65,438+00 patients.
The supervision and management of patients' medication is mainly divided into two stages. In March, the health center organized a township medical work conference to arrange patient supervision. Rural doctors are responsible for supervising tuberculosis patients in their respective areas. Because rural doctors live close to patients and serve mainly residents in their jurisdictions, they are relatively familiar with patients' conditions, easy to communicate with patients, convenient for supervision, and effectively improve patients' compliance.
Three, the inspection and guidance of tuberculosis prevention and control work
Health centers have strengthened supervision over the prevention and treatment of tuberculosis in the township, focusing on the discovery and referral of tuberculosis patients, regularly checking the infectious disease registration book and outpatient logs, and carefully checking them. The examination greatly improved the outpatient doctors' understanding of tuberculosis prevention and treatment, and referred 3 cases of tuberculosis and suspected tuberculosis patients. At the same time, the detection rate of tuberculosis patients has also increased. For the management of patients' medication, we should first supervise and train hospital doctors and rural doctors. For every new patient in the area, rural doctors should go to the patient's home to give on-site supervision and guidance. After all rural doctors have mastered the supervision skills of tuberculosis patients and can successfully carry out the supervision work of tuberculosis patients in their jurisdiction. Focus on the inspection of township medical supervisors.
Four. Existing problems and deficiencies
Compared with 20xx, this year's TB prevention and control work has been greatly expanded and matured, but there are still some problems and deficiencies in the whole development zone, mainly in the following aspects:
(1) The foundation of tuberculosis prevention and control work is relatively weak. Because people lack due sensitivity to tuberculosis patients, they often don't go to the hospital for treatment in time after discovering tuberculosis patients; Moreover, my family and I don't know enough about tuberculosis during treatment, so we can't stick to the course of treatment.
(2) Training and guidance for tuberculosis is still insufficient. Village doctors and private clinics in the service stations of medical institutions in villages in my township lack the working consciousness of disease prevention and control, including tuberculosis prevention and control, let alone the corresponding operational skills. Although the management center has also carried out some training and guidance on TB prevention and control laws, regulations, policies and practical skills, with the gradual improvement of people's medical and health needs, the content, frequency and intensity of training and guidance need to be increased.
(3) The propaganda of tuberculosis prevention and treatment needs to be strengthened. My hometown has always believed that effective health education and publicity is an important and necessary means of tuberculosis prevention and treatment. In the first half of the year, although the management center carried out some preliminary publicity activities on tuberculosis prevention and health education, the means, objects and fields of publicity were still too single and limited. In short, in order to further make the prevention and treatment of tuberculosis in my hometown meticulous, comprehensive and solid.
Health centers mainly carry out and increase the following work:
(1) Strengthen the business study of tuberculosis prevention and treatment. Most rural doctors have not systematically studied and engaged in relevant disease prevention and control work, and have no solid theoretical knowledge base and skilled operation skills. It is difficult to find out the situation of health prevention and control work, including tuberculosis prevention and control, and make timely referrals.
(2) Increase the infrastructure construction for tuberculosis prevention and control. Although the supervision and management network of tuberculosis patients has been initially established, it is far from enough to just stay in the treatment and management of patients. The most important thing for TB prevention and control is to improve the detection rate of patients, and the health center will further strengthen the supervision and inspection of TB detection and referral in villages.
Summary of tuberculosis prevention and control work 3 20xx years will soon pass. Looking back on this year, under the correct guidance of the district CDC and the direct leadership of the hospital leaders, the tuberculosis prevention and control work in our hospital was successfully completed. The work in the past year is briefly described as follows:
I. Main Work Completed
1, do a good job in publicity and education.
The most important thing in tuberculosis prevention and treatment is to raise people's awareness of prevention and treatment, focusing on prevention and nip in the bud. Therefore, it is very important to publicize the knowledge of tuberculosis prevention and treatment. To this end, our hospital has carried out the publicity work of tuberculosis prevention and control knowledge in this year's tuberculosis prevention and control work, such as setting up points on "March 24" tuberculosis prevention and control day, publicizing tuberculosis prevention and control knowledge, conducting health consultation and distributing publicity materials. Go to the village to carry out tuberculosis prevention and treatment education from time to time; Follow-up, drug supervision and preventive guidance for close contacts of tuberculosis patients and their families within their jurisdiction; Conduct irregular relevant knowledge training for medical staff and rural doctors in our hospital. In order to improve the awareness and level of tuberculosis prevention and treatment of people and medical staff in the area.
2, strengthen the prevention of tuberculosis, timely BCG vaccination for newborns.
3. Patient screening: strengthen the sense of responsibility of outpatient doctors, and require outpatient doctors to routinely screen newly diagnosed patients with chronic cough and expectoration for more than 2 weeks. If suspected patients are found, they will be transferred to the county CDC for diagnosis.
4, patient treatment management:
All tuberculosis patients in this town have been included in the follow-up management of tuberculosis, and they are regularly visited on time for follow-up supervision. The contents of supervision include: description of illness, medication guidance, filling in medication records, treatment of side effects of medication, and the importance of adhering to medication rules.
Do not forget to carry out publicity and education on tuberculosis prevention and treatment during the follow-up process, including:
(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.
(2) Tuberculosis can be cured, so we should establish firm confidence and fully cooperate with doctors.
(3) The key to cure tuberculosis is to adhere to the rules of chemotherapy scheme and complete the prescribed course of treatment.
(4) 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.
Second, the existing problems
1. The cultural quality of patients and their families in our town is low, so it is difficult to receive knowledge education on tuberculosis prevention and improve their awareness of disease prevention.
2. The patient's knowledge level is limited, and he does not listen to the doctor's advice and insists on taking medicine after drug reaction.
Three. Views on future work
1, strengthen the business and professional ethics study of clinicians and village doctors, and improve their sense of responsibility and professional level.
2, often carry out various training courses to improve the professional level of village doctors.
3, increase the propaganda of health education, especially the propaganda of tuberculosis prevention and control knowledge. Strengthen awareness and improve people's awareness of disease prevention.
Summary of TB prevention and control in the first half of 20xx Under the correct leadership of county health bureau and CDC, we adhered to the policy of "prevention first, combining prevention and control", fully implemented modern TB control strategies, strengthened centralized management of TB, and strengthened the discovery, diagnosis, treatment 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.
Carry out the treatment, referral, recommendation, centralized recommendation and unified screening and exclusion of close contacts of smear-positive pulmonary tuberculosis in a solid and orderly manner. The patient system management rate reached 100%. By the end of June, * * * had referred 6 suspected pulmonary tuberculosis patients, followed up suspected patients 10 cases, followed up 8 cases, the follow-up rate was 80%, and 5 cases were managed.
Second, business training is always unremitting.
Hold a regular meeting of epidemic prevention personnel once a month, persevere and unswervingly, and timely analyze and solve outstanding problems in prevention and control work. In addition, according to the requirements of the project, six training courses for rural personnel are held at regular meeting time every month, training 66 people. During the training, we insisted on combining with the actual situation and conducted corresponding knowledge training for epidemic prevention commissioners, rural doctors and other different positions, which greatly improved our professional level and skills and laid a solid foundation for tuberculosis prevention and treatment.
Third, promote patient supervision according to regulations.
From the beginning of this year to the present, in February, we adopted a combination of on-site supervision and telephone supervision to visit tuberculosis patients in the whole jurisdiction. Follow-up the patients included in this year's drug resistance monitoring regularly to understand the basic situation of drug use and review it.
Regularly supervise the village-level medical institutions once every two months, mainly check the outpatient log and infectious disease register, register and report in strict accordance with the Measures for the Administration of Infectious Diseases, ensure no missed diagnosis, and do a good job in the management of tuberculosis patients in the jurisdiction.
Fourth, the effectiveness of health education and publicity has already appeared.
We have continuously stepped up publicity, widely publicized the national TB prevention and control policies and strategies in various forms, popularized TB prevention and control knowledge, effectively raised people's awareness of TB prevention and control, and created an atmosphere of public opinion on TB prevention and control.
First, conduct face-to-face publicity and explanation for every patient who comes to see a doctor and consult, and issue publicity cards for tuberculosis prevention and treatment, so as to make health education regular and timely.
Second, on March 24th, World Tuberculosis Publicity Day, we went deep into the central schools in the jurisdiction to carry out the special publicity and signature activities of "Holding hands with big hands to make you healthy" and "You and I * * * participate together to eliminate the harm of tuberculosis", distributed more than 300 posters and 850 leaflets, received more than 200 consultations, and received health education directly and indirectly 1000.
Summary of TB prevention and control in 5-20xx years, our district adhered to the working mechanism of "government-led, multi-sectoral cooperation and participation of the whole society", fully implemented modern TB control strategies, strengthened the discovery, diagnosis, treatment and management of TB patients, and achieved results in prevention and control. The work in 20xx years is summarized as follows:
First, leaders attach importance to and improve the mechanism.
Our district regards TB prevention and control as a livelihood project, and the district government has set up a leading group for TB prevention and control with the deputy head in charge as the leader, and organized a working meeting of the leading group to study and solve the difficulties in TB prevention and control in our district, which will be included in the government target assessment. Establish and improve the tuberculosis prevention and control network in districts, towns and villages, maintain the coverage rate of DOTS in towns in our district 100%, and solidly promote the health management of tuberculosis patients based on the national basic public health service project platform.
The second is to pay close attention to indicators and strengthen management.
In 20xx, non-tuberculosis institutions reported 297 cases of suspected pulmonary tuberculosis, and 276 cases were referred, with a referral rate of 92.9%, and 290 cases were referred and followed up, with an overall referral tracking rate of 97.6%. The investigation results of missing reports of infectious diseases show that the reporting rate of (suspected) tuberculosis is 100%. Screening suspected cases of MDR/XDR-TB 109 cases, and culturing 109 cases. 48 cases were positive, 38 cases were negative, 3 cases were polluted, and 20 cases were waiting for the culture results. 52 patients were tested for drug sensitivity, and it was found that 1 patient was multidrug resistant.
20xx * * * admitted 234 suspicious patients 1024, and found 234 active pulmonary tuberculosis, including 63 cases of smear positive (57 cases of initial smear positive and 6 cases of retreatment smear positive), xx cases of initial smear negative (5 cases of re-smear negative1case) and 4 cases of tuberculous pleurisy. The detection rate of smear-positive pulmonary tuberculosis patients was 26.9%, and close contacts of smear-positive patients were registered and screened 155 cases. The screening rate of close contacts was 100%. No active tuberculosis was found, and the rate of receiving free anti-tuberculosis treatment was 100%. The systematic management rate in 20xx was 99.66%, the cure rate of smear positive patients was 95. 12%, and the follow-up rate of treatment interruption was 100%.
Third, give priority to prevention.
(a) Focus on "schools"
According to the arrangement of the District Health and Family Planning Bureau and the District Education Bureau, 20xx years 14243 freshmen in the whole district were screened for tuberculosis symptoms, and the screening rate was 98.9%. Among them, 270 freshmen were tested for IgM/IgG antibody of Mycobacterium tuberculosis, and no active tuberculosis patients were found. In 20xx, there were 17 cases of active pulmonary tuberculosis students in our district, involving Jiangnan Vocational Middle School, xx Middle School, Hemian Middle School, Bai Jie Middle School, Huguo Middle School, Dadu Middle School, Lu Xian No.2 Middle School and xx Majie Middle School. Our center handled the epidemic situation in accordance with the Code for School Tuberculosis Prevention and Control (Trial) and the Handbook for School Tuberculosis Prevention and Control. Students dropped out of school for treatment, and the epidemic spread to schools to carry out disinfection work in an all-round way. Close contacts of 3 1 and 2 1 were screened for symptoms and chest films, and active pulmonary tuberculosis patients 1 person were found through screening.
(2) Pay attention to "the elderly and diabetes"
Combined with the basic public health service project, the elderly and diabetic patients who participated in the health examination were screened for tuberculosis symptoms, and the patients suspected of tuberculosis symptoms were examined by chest X-ray free of charge. 34399 elderly people have been screened in 20xx, and the screening rate is 8 1.9%. 5497 cases of diabetes have been screened, the screening rate is 65.65%, and no active tuberculosis has been found.
(3) Pay attention to "monitoring and analysis"
Implement a special person to monitor the epidemic situation, report the abnormal epidemic situation in time, analyze the reasons and find out the correct solution. Adhere to the quarterly monitoring and analysis of 1 epidemic situation, form a standardized analysis report and report the epidemic situation to the District Health and Family Planning Bureau.
Take "health promotion" as a preventive measure.
Constantly increase publicity, actively adopt various forms, widely publicize TB prevention and control policies and strategies, popularize TB prevention and control knowledge, and create a strong publicity atmosphere, effectively improving the people's awareness rate of TB prevention and control knowledge and enhancing their awareness of disease prevention and control.