[Situation of the new cases of pulmonary tuberculosis with positive smears follow up in the reference center of District Center, Dakar].
BACKGROUND
In order to assess the care conformity of the new cases of pulmonary tuberculosis with positive smear (TPF+) with the recommendations of the national program of fight against tuberculosis (PNT), a retrospective study on files has been made in January 1st to June 30, 2000 in the reference center of District Center, in Dakar, Senegal.


METHODS
All the new cases of TPF+ were included. Were excluded the relapses, the re treatment after failure or interruption. Were successively studied: the socio-demographic characteristics, the patient's status, and the quality of the bacteriological and the therapeutic follow-up.


RESULTS
According to the reports, 115 new cases were counted. In contrary, based on the registers, 109 new cases of TPF+ including 38 women and 71 men were counted. The follow-up gave, at the end, 58% of cure, 4% of finished treatment, 32% of abandon, 4% of failure and 3% of transfer. Discordances of the data between cards, registers and reports/rates are explained by the lack of rigour during the notification of these supports. This bad notification contributes to deteriorate the quality of the patient's follow-up, but also the quality of the cases notification. It resounds negatively on the national health information system.


CONCLUSIONS
A qualitative survey among the providers and the abandoned treatment could be more interesting to better understand the problematic of the tuberculosis patients follow-up for the best dealt with.
Seck
I
I
Service de Médecine Preventive et Santé Publique, Faculté de médecine, de pharmacie et d'odontologie, Université Cheikh Anta DIOP-Dakar, Sénégal.
Tal Dia
A
A
Ndiaye
P
P
Wone
I
I
Toure
T
T
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012675:Senegal; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000188:drug therapy*