Survey on Current Status of Usage of Second-line Anti-tuberculosis Drugs in Yunnan
Objective To investigate the usage of second-line anti-tuberculosis drugs(SLD) in medical institutions,and to provide scientific evidence for the related policy making in Yunnan.Methods Questionnaire surveys were performed to all TB prevention and control institutions,tuberculosis specialist hospitals,general hospitals and rural health clinics at each level.Results A total of 558 institutions were involved in the survey,and 74.19 % of them had used SLD.The proportions of institutions using SLD were as follows: 100% for provincial level,61.7% for prefecture(city) level,72.98% for county level and 76.95% for township level.The proportion of SLD use varied among different types of institutions,with 88.46% of general hospital,77.34% of township level,and 53.42% of TB control institutions.Only 0.72% institutions performed drug susceptibility testing(DST) for first-line TB drugs.Conclusions SLD is commonly used in medical institutions at different levels but DST is seldom performed in Yunnan,and hence,it is necessary to develop a policy on the rational use of SLD.