There are several indispensable Problems for the treatment of Pulmonary T.B. Patients
on the ambulatory basis. The most important things of them, to carr out the ambulatory
treatment efficientry, are home care and case finding. The home care must be done
carefully in order to prevent the T B. infection among the members of patient family as
well as the patient himself. The case finding is also significant for the aforementioned
purpose. It is because we can not expect the perfection in T.B. control on the
ambulatory basis other than finding T.B. patients as early as possible. Therefore we
have conducted Home visiting for the patients who were diagnosed to have T.B. and
given them knowledges on home care. On the other hand we have tasted tuberculin
reaction for their families, positive cases of whom had been X-rayed also. Here is out
report old the home visiting conducted for 100 cases being under our treatment.
1) The most of tile patients are living with their families together in their smoll
rooms and 38% of them are living in the rented rooms.
2) Many patients are lifting in the poor condition and almost half of them are
supporter of their family.
3) 47% of them are keeping modified rest, however, which is not considered enough
fort care of their sickness, 32% of them are keeping sufficient rest, and 21% of them
have not any rest.
4) We could find out tile source of infection on 54% of the patients through our visits
of their home. 50% of it has it source with their family.
5) 19% of them are isolated completely, 81% of them are living in same room with
their families, and over half of them are living with the children younger than 10 years
old.
6) For result of tuberculin test on their family, 90.4% are possitive it is a significant
result chat about 70% of the tested children younger than 10 years old is possitive.
7) 25% of their families are active T.B. patients, primary T.B. is 40.2% of them the
highest rate.
8) There is no remarkable difference in Tuberculin reaction on some view point such
as Isolation, Sputum Examination on, Classification of Pulmonary T.B. and T.B. death
etc. However, we could find remarkable difference in incidence of active T.B. among
them. The rate of incidence of active T.B. is higher under the unfaverable condition.
9) The rate of infection and incidence of T B. among the couples is not considerable.
However, it is remarkably higher among children younger than 10years old comparing
with that of them.
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