[Analysis of the national tuberculosis program. Evolution of tuberculosis in Bihor district, Romania].
The prevention and control of tuberculosis are made by a special network, covering all the sanitary units and the entire medical staff. Ten years ago, the DOTS strategy (Directly Observed Treatment, Short-course) was enacted and the National Program for tuberculosis control (PNCT) was implemented on "medium terms" (1997-2000 and after that 2001-2005), with results in 2003 when, for the first time after two decades, has been observed a decrease of the incidence of tuberculosis, maintained also during the next years. The national program of health - the Supervising and control of tuberculosis, in Bihor district rolled in good terms, without any problems in achieving the proposed aims, due to the good coordination between institutions and professionals directly involved in the surveillance and control of disease. As a result of PNCT and prophylactic programs, there was a long-term diminish of costs associated to health care and a medium-term improvement of the following variables: incidence, mortality caused by TB, rate of readmissions, rate of therapeutic success of new TB cases with positive microscopy / new culture-positive TB cases, rate of diagnosis of new pulmonary TB cases with positive microscopy.
Armean
Petru
P
Universitatea din Oradea, Facultatea de Medicină şi Farmacie Oradea, disciplina: Managementul unitătilor sanitare, Medicină socială. armeanpetru@yahoo.com
Daina
Lucia
L
Sărmăşan
Claudia
C
Ion
Daniela Ariana
DA
Chivu
Răzvan Daniel
RD
Vigdorovici
Marcela
M
Davidescu
Lavinia
L
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D023801:Directly Observed Therapy / Q000379:methods; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D009313:National Health Programs / Q000639:trends*; D011322:Primary Prevention / Q000379:methods / Q000592:standards / Q000639:trends; D012383:Romania / Q000453:epidemiology; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control