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KMID : 0379319810060010073
Korean Journal of Rural Medicine
1981 Volume.6 No. 1 p.73 ~ p.81
A Study on the Defaulters of Tuberculosis Patient Registered at Health Center in Kyongnam Area


Abstract
This study was designed to analyze the result of Tb worker¢¥s activities on the performance of follow up program as part of the government tuberculosis program.
The specific objectives of this study was: also to improve the method of managing the patient who were registered at health center by the setting the priorities depend upon in their results of sputum examinationand X-ray examination.
All the medical records of 509 patients who, were dropped out from government health center in Kyongnam area during 1978, were: analyzed and interpreted.
Followings are the result of the study.
1. The number of investigated cases were 509 (356 males and 153 females), by age the most prevalent group was 20~29 year old group as 27.3% and 20~40 year old group was 61.5%, above 61 year old was:14.9%.
2. The microscopic result of their sputum was positive in 52. 10/0,¢¥, and by X-ray examination moderate advanced case was 63.9%, minimal 18.5% and. far advanced 17.6% in order.
3. Average duration of treatment was 9.03, months, 11.4 months in microscopic positive: cases and 6.5 months in negative cases.
4. Conversion rate of microscopic positive case was 42.9% on sputum culture, in the negative cases, it was confirmed in negative 20.1 % only by the initial sputum culture.
5. The rate who get take X-ray and sputum examination among any family member of the patients was 43.4% in positive cases, 20.9% in negative cases.
6. 80.2% of positive cases took X-ray for following up in every 6 month after registration, 41. 0% in negative cases.
7. Defaulting reasons which recorded in individual card were undetermined reason (42.0%), treating elsewhere (22.4%), refused treatment (17.9%) and moved out(17.7%).
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