The monitoring and evaluation of Global Fund tuberculosis projects includes: statements, development reports, and supervision.
Tuberculosis, also called "tuberculosis", is a chronic infectious disease caused by Mycobacterium tuberculosis.
Mycobacterium tuberculosis can infect various organs of the human body, most commonly pulmonary tuberculosis.
The symptoms of invasion into different parts are different.
Primary: When the body's resistance is reduced, tuberculosis bacteria invade the human body for the first time through the respiratory tract or digestive tract, often forming primary lesions in the lungs or intestinal wall.
Blood type dissemination: When the body's resistance is reduced, it is caused by a large number of tuberculosis bacteria invading the blood circulation at one time or multiple times in a very short period of time. At this time, due to the increased allergic reaction of the body, the blood vessel permeability can be increased.
Secondary type: refers to the recurrence of potential lesions left in the lungs during the primary infection or re-infection with Mycobacterium tuberculosis.
Tuberculosis is a chronic and slow-onset infectious disease that is prone to occur in young people.
Human-to-human respiratory tract transmission is the main mode of tuberculosis infection, and the source of infection is contact with tuberculosis patients who excrete the bacteria.
The incubation period is 4 to 8 weeks.
80% of them occur in the lungs, and secondary infections can also occur in other parts (cervical lymph nodes, meninges, peritoneum, intestines, skin, bones).
Except for a few cases with acute onset, the clinical course is mostly chronic.
In the early stage of pulmonary tuberculosis or mild pulmonary tuberculosis, there may be no symptoms or mild symptoms and they may be ignored. If the disease is in the active and progressive stage, the body temperature usually rises in the afternoon, usually between 37 and 38°C, and there are often low fever, fatigue, weight loss,
Systemic symptoms such as night sweats and respiratory symptoms such as cough and hemoptysis can lead to irregular menstruation or amenorrhea in women.
Treatment: 1. There are many bacteria in early lesions, and drugs are easy to work.
2. Appropriate dosage can not only exert the maximum bactericidal or bacteriostatic effect, but also be easily tolerated by patients and have little toxic effects.
3. Combined use of drugs can prevent the development of drug resistance. Combined use of drugs can also select drugs for various metabolic states of bacteria and intracellular and extracellular bacteria, thus achieving the purpose of enhancing drug efficacy.
4. Medication cannot be interrupted at will. Intermittent therapy has specific requirements on dosage and intervals, and its usage also has certain rules. It is not intermittent therapy.
5. Chemotherapy must be carried out throughout the course, with the purpose of eliminating persistent bacteria and preventing recurrence. The whole course is not necessarily a long course.