الفهرس 
AcknowledgementOnly 14 pages are availabe for public view
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Abstract
The aim of the study was to assess directly observed therapy that
applied to diagnosed cases of tuberculosis in the period from January 2006to
cases which outcome ended in December 2011 in Dakahlia governorate
Chest hospitals as a tool for treatment and control of tuberculosis in the
community.
This study included 1736 patients, 1161 pulmonary and 575 extra
pulmonary tuberculous cases.
The data obtained were tabulated and statistically analyzed and the
following results were obtained:
- Tuberculosis was common in middle age 15-29 (32.3%) years old
(golden age).
- Tuberculosis was common in male (65.6%), than female (34.4%).
- rural areas (90%), while in urban areas was (10 %).
- Pulmonary cases (66.9%) were higher than extra pulmonary cases
(33.1%).
- There was significant reduction of pulmonary cases from 69.2% in
2006 to 56.5% in 2011 and there was significant increase in extra
pulmonary cases from 30.8% in 2006to 43.5% in 2011.
- Most common site of tuberculosis was sputum smear positive
pulmonary tuberculosis (74.2%), sputum smear negative pulmonary
tuberculosis (25.8%).
- Most common site of extrapulmonary tuberculosis was pleural
tuberculosis (50.9%), and tuberculous lymphadenitis (19.6%).
- New cases (88.8%) represented the highest percentage of all cases
attended for treatment.
- Sputum conversion was 53%, 51.5% and 75.9% at two months, five
months of treatment and at the end of treatment respectively.
Summary
(144)
- Outcome of cases was obtained as follows:
o Cases that successfully treated were 84.8% (23.1% cured
cases and 61.7% cases that completed treatment). (nearly
equal to WHO target ’’85 %’’).
o Cases with failed treatment were 5.1%, Died cases were 5.1%,
defaulters were 2.4% and transferred out cases were 2.6%.