|STUDY OF CAMPS FOR EXAMINING SPUTUM OF CHEST SYMPTOMATICS
ATTENDING OUTPATIENTS OF PERIPHERAL HEALTH INSTITUTIONS
|P Jagota, B Mahadev, BT Uke & KL Vasudeva Rao:
Indian J TB 1989, 36, 27-30.
A study was designed to evaluate the outcome of
holding sputum camps. The chest symptomatics referred by Peripheral
Health Institutions (PHIs) to the camp were compared in terms of
proportion of chest symptomatics registered and number of cases
found with routine Case-finding actually carried out in the PHIs
of an average District Tuberculosis Programme (DTP) and any educative
effect of camp on the PHI staff. The study was carried out in 15
PHIs with wide range of performances in Case-finding. A team consisting
of Medical Officer (MO), Treatment Organiser and Laboratory Technician
of National TB Institute conducted sputum camps by involving the
local staff and MOs of PHIs. The MOs of PHIs registered all the
eligible symptomatics from the daily outpatients for a period of
one month before the due date of the camp. The sputum was collected,
slides prepared and patients advised to come on the camp date. A
total of 528 chest symptomatics who reported at the PHIs during
camp month were registered. Of them, 380 patients' sputum smears
were prepared and 25 were found positive. Of the 528 symptomatics
referred to the camp, only 86 (16.3%) actually turned up and 4 (16%)
were positive. Prior to the sputum camp, 54 smear positive cases
were diagnosed by these centres in 6 months. In the subsequent 6
months, 112 cases were diagnosed.
The study clearly shows that the efficacy of Case-finding by the sputum camp method is very low in comparison with
integrated Case-finding at PHIs. More than 80% of the cases were
missed by the camp by way of loss due to referral on the camp day.
However, there was significant increase in the total number of cases
diagnosed during 6 months after the camp, in comparison to 6 months
prior to camp, thus, indicating the educative effect of the camp
on the PHI MOs. The integrated sustained Case-finding activity in
the PHIs cannot be substituted with the periodic Case-finding camps
or holding of 'specialised clinics'.
|KEY WORDS: CHEST SYMPTOMATICS, SPUTUM CAMP,
PHIs, CASE-FINDING, REFERRAL.