E-ISSN 2149-2530
Original Article
National Control for Tuberculosis: Does Primary Health Care System Have a Crucial Role for Fight?
1 Department of Chest Disease, Sincan Dr. Nafiz Körez State Hospital, Ankara, Turkey  
2 Department of Chest Disease, University of Health Sciences Dr. Abdurrahman Yurtaslan Oncology Research and Training Hospital, Ankara, Turkey  
3 Family Physician, Provincial Health Directorate, Elazığ, Turkey  
Turk Thorac J ; 5: -
DOI: 10.5152/TurkThoracJ.2018.092
Key Words: Tuberculosis, control, dispensary
Abstract

OBJECTIVE: To analyze the tuberculosis control studies in a primary healthcare center, and to observe the changes throughout the years.


MATERIAL AND METHODS
: Obtained data of patients followed–up between 2005-2014 in Elazig Dispensary were investigated retrospectively.


RESULTS
: Of the total 1,251 patients, 51.6% was male. Majority of the patients were between the ages 15-24 (19.9%), 25-35 (18.5%) and 65+ (14.4%). While the rate of sputum smear examination was 71.6%, the positivity rate for Acid-Fast Bacilli was 55.5%. It was detected that drug sensitivity test has been applied in only 25.8% of all patients. Treatment success of all patients was 85.8%. Cure rate of smear- positive cases was found to be 26.35%. The rate of the relapsing patients was 9.1%. Overall treatment response rate was found to be 87.4%.


CONCLUSION
: The control of tuberculosis in primary healthcare is partially successful; yet, not enough. The rate of smear -positive defaulters was found to be high in young adult individuals which indicates that contamination is probably still going on dangerously. Furthermore, the overall rate of microscopic examination, sputum culture and drug sensitivity tests performed to patients in primary healthcare system is low and should be improved immediately.


Cite this article as
: Türkkani MH, Özdemir T, Özdilekcan Ç, et al. National Control for Tuberculosis: Does  Primary  Health Care System Have a Crucial Role for Fight? Turk Thorac J 2018; DOI: 10.5152/TurkThoracJ.2018.092

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