Willingham F F, Schmitz T L, Contreras M, Kalangi S E, Vivar A M, Caviedes L, Schiantarelli E, Neumann P M, Bern C, Gilman R H
University of Maryland, School of Medicine, Baltimore, Maryland, USA.
Emerg Infect Dis. 2001 Jan-Feb;7(1):123-7. doi: 10.3201/eid0701.010117.
We examined the prevalence of tuberculosis (TB), rate of multidrug-resistant (MDR) TB, and characteristics of TB on a female general medicine ward in Peru. Of 250 patients, 40 (16%) were positive by sputum culture and 27 (11%) by smear, and 8 (3%) had MDRTB. Thirteen (33%) of 40 culture-positive patients had not been suspected of having TB on admission. Six (46%) of 13 patients whose TB was unsuspected on admission had MDRTB, compared with 2 (7%) of 27 suspected cases (p = 0.009). Five (63%) of 8 MDRTB patients were smear positive and therefore highly infective. In developing countries, hospital control, a simple method of reducing the spread of MDRTB, is neglected.
我们调查了秘鲁一家女性综合内科病房的结核病（TB）患病率、耐多药结核病（MDR-TB）发病率以及结核病特征。在250名患者中，40人（16%）痰培养呈阳性，27人（11%）涂片呈阳性，8人（3%）患有耐多药结核病。40名培养阳性患者中有13人（33%）入院时未被怀疑患有结核病。入院时未被怀疑患有结核病的13名患者中有6人（46%）患有耐多药结核病，而27名疑似病例中有2人（7%）患有耐多药结核病（p = 0.009）。8名耐多药结核病患者中有5人（63%）涂片呈阳性，因此具有高度传染性。在发展中国家，医院防控这一减少耐多药结核病传播的简单方法被忽视了。
