| The Accuracy of Tuberculosis Notification Reports at a Private General Hospital after Enforcement of New Korean Tuberculosis Surveillance System. |
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Cheol Hong Kim, Won Jung Koh, O Jung Kwon, Young Mee Ahn, Seong Young Lim, Chang Hyeok An, Jong Wook Youn, Jung Hye Hwang, Gee Young Suh, Man Pyo Chung, Hojoong Kim |
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Division of Pulmonary and Critical Care Medicine, Department of Medicin, Samsung Medical Center, Sungkyunkwan University School of Medicine Seoul, Republic of Korea, Korea. ojkwon@smc.samsung.co.kr |
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| Abstract |
BACKGROUND
The committee of tuberculosis(TB) survey planning for the year 2000 decided to construct the Korean Tuberculosis Surveillance System (KTBS), based on a doctor's routine reporting method. The successful keys of the KTBS rely on the precision of the recorded TB notification forms. The purpose of this study was to determine that the accuracy of the TB notification form written at a private general hospital given to the corresponding health center and to improve the comprehensiveness of these reporting systems. MATERIALS AND METHODS: 291 adult TB patients who had been diagnosed from August 2000 to January 2001, were enrolled in this study. The lists of TB notification forms were compared with the medical records and the various laboratory results; case characteristics, history of previous treatment, examinations for diagnosis, site of the TB by the international classification of the disease, and treatment. RESULTS: In the list of examinations for a diagnosis in 222 pulmonary TB patients, the concordance rate of the 'sputum smear exam' was 76% but that of the 'sputum culture exam' was only 23%. Among the 198 cases of the sputum culture exam labeled 'not examined', 43(21.7%) cases proved to be true 'not examined', 70 cases(35.4%) were proven to be 'culture positive', and 85(43.0%) cases were proven to be 'culture negative'. In the list of examinations for a diagnosis in 69 extrapulmonary TB patients, the concordance rate of the 'smear exam other than sputum' was 54%. In the list of treatments, the overall concordance rate of the 'type of registration' in the TB notification form was 85%. Among the 246 'new' cases on the TB notification form, 217(88%) cases were true 'new' cases and 13 were proven to be 'relapse', 2 were proven to be 'treatment after failure', one was proven to be 'treatment after default', 12 were proven to be 'transferred-in' and one was proven to be 'chronic'. Among the 204 HREZ prescribed regimen, 172(84.3%) patients were taking the HREZ regimen, and the others were prescribed other drug regimens. CONCLUSION: Correct recording of the TB notification form at the private sectors is necessary for supporting the effective TB surveillance system in Korea. |
| Key Words:
Tuberculosis, Surveillance, Private sector, Korea |
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