Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #100492

Monica L. Monteon, MS¹, Christine M. Arcari, PhD, MPH², Patrick Remington, MD, MPH³, Marty S. Kanarek, PhD³, and Tanya V. Oemig, RM (NRM)⁴. (1) Depatment of Population Health Sciences, University of Wisconsin, 610 N Walnut St, Madison, WI 53726, (2) Department of Population Health Sciences, University of Wisconsin-Madison Medical School, 605 WARF Building, Madison, WI 53726-2397, (608) 265-5491, carcari@wisc.edu, (3) Department of Population Health Sciences, University of Wisconsin-Madison, 760 WARF Building, 610 Walnut St., Madison, WI 53726, (4) Wisconsin Department of Health and Family Services, Wisconsin TB Program, 1 W Wilson, PO 2659, Madison, WI 53701

Objective: The Wisconsin Strategic Plan for the Elimination of Tuberculosis (TB) set goals of treatment completion at 90% and documentation of treatment improvement at 95% for all reported cases of TB. The objective of this study is to measure the success in achieving these goals. Methods: Data were abstracted from patient charts maintained by the Wisconsin TB Program. Treatment completion was considered for patients indicated for completion in <12 months. Documentation of treatment improvement included therapy adherence, culture conversion, and chest x-ray improvement for pulmonary cases and therapy adherence and clinical improvement for extrapulmonary cases. Results: A total of 249 TB cases were reported in Wisconsin between 2000 and 2002. Treatment completion was determined in 204 patients (148 pulmonary cases and 56 extrapulmonary cases) and 170 (87.1%) completed treatment in <12 months. There was a significant difference in treatment completion by site of disease, 89.9% for pulmonary cases and 66.1% for extrapulmonary cases (p<0.01). Documentation of treatment improvement was 61.2% among pulmonary cases and 83.6% among extrapulmonary cases (p<0.01). There was a significant decrease in the documentation rates for pulmonary patients during the study period (p<0.01). Conclusions: Barriers in Wisconsin need to be identified if we are to progress toward elimination of TB. While the goal of 90% treatment completion of all cases was nearly accomplished the goal of 95% documentation of treatment improvement was not achieved. This is important because case management of TB is necessary for control and prevention of TB in the United States.

Learning Objectives: The learning objectives are

A. Articulate Wisconsin Tuberculosis (TB) Program's progress from 2000-2002 towards the treatment goals of
• treatment completion in 12 months or less in 90% of active cases of TB and
• documentation of treatment improvement in 95% of cases of TB B. Identify barriers to meeting these goals in Wisconsin and C. Recognize the importance of case management of TB for control and prevention of TB and progress towards the goal of the elimination of TB (1 case per million by 2010).

Keywords: Tuberculosis, Evaluation

Presenting author's disclosure statement:


I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Survey Designs, Telephone Surveys and Results: Poster Session

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA