- 期刊
Preliminary Report-Effectiveness of Taiwan Multiple Drug Resistance Tuberculosis Consortium (TMTC)
並列摘要
In contrary to the conventional model of DOT for MDR-TB patient care, Taiwan CDC launched a hospital-initiated, patient-centered treatment program (Taiwan MDR-TB consortium, TMTC) since May 2007. A total of 370 MDR-TB cases that were diagnosed before 30(superscript th) Aug, 2008 were enrolled and 225(60.8%) MDR-TB patients receiving TMTC care for at least 6 months within 6 months of diagnosis were classified as TMTC group. All others were classified as control group. The crude conversion rates of smear and culture were better in TMTC group than control group. After stratification by patient classifications, the culture conversion rate for TMTC group at 18 months was 87.6 %, which was 1.64 (95% confidence interval=1.38-1.95, p＜0.001) fold better than control group. The model of government-organized, hospital-initiated and patient-centered treatment, revealed better process indicators in this preliminary report. Further analysis for treatment outcome in long term follow-up in order to evaluate the policy of disease prevention is warranted.
延伸閱讀
- 林佩瑩、林鴻堂、姜秀子、簡榮彥、陳彥旭、薛博仁（2018）。The Strategic Framework in Preventing Tuberculosis and Challenges in Taiwan Long-term Care Facilities。感染控制雜誌，28(5)，223-233。https://doi.org/10.6526/ICJ.201810_28(5).0003
- Chiang, C. Y., & Kim, S. J. (2009). Increasing Drug Resistance of Mycobacterium tuberculosis in a Medical Center-What About in Taiwan Overall?. Journal of the Formosan Medical Association, 108(1), 1-3. https://www.airitilibrary.com/Article/Detail?DocID=09296646-200901-108-1-1-3-a
- 王振源（2007）。The importance of reinfection in the development of tuberculosis in Taiwan〔博士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2007.00673
- 王貴鳳（2004）。Tuberculosis Case Management and Factors Related to Default Rate in Taiwan〔碩士論文，高雄醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0011-2903200614021386
- Chien-Bang Hsu、Hsiu-Yun Lo、Cheng-Yi Lee、Shiang-Lin Yang、Kwei-Feng Wang、Shih-Yan Yang（2008）。Preliminary Evaluation of Taiwan's Tuberculosis DOTS Strategy。Epidemiology Bulletin，24(3)，230-253。https://doi.org/10.6525/TEB.200803_24(3).0003