Kiter G, Arpaz S, Keskin S, Sezgin N, Budin D, Seref O
Medical Faculty of Pamukkale University, Chest Diseases Department, Denizli, Turkey.
Int J Tuberc Lung Dis. 2003 Feb;7(2):153-8.
Nazilli District Prison, Turkey.
To evaluate the tuberculosis situation in a Turkish prison.
Data obtained between 1997 and 2001 during the systematic annual tuberculosis screening programme undertaken in Nazilli District Prison were evaluated retrospectively. The screening programme consisted of yearly miniature chest radiography, and clinical and bacteriological evaluation of prisoners with abnormalities. Active tuberculosis cases among prisoners diagnosed passively at any time during the period were also studied.
Over the 5-year period, 99.8% of the prisoners were screened. The mean point prevalence of tuberculosis in Nazilli District Prison was 341 per 100,000 prisoners. The total number of active tuberculosis cases was 13; five were symptomatic, of whom three were detected during screening. The remaining eight cases were determined only by screening. Treatment outcomes were treatment completion for six cases and cure for seven cases.
Because tuberculosis prevalence is high among prisoners, it is necessary to continue screening for tuberculosis in prison in addition to passive case-finding activities. Treatment success is satisfactory in Nazilli District Prison. Screening of prison staff, contact examination and preventive approaches need further investigation.
土耳其纳济利地区监狱。
评估一所土耳其监狱中的结核病情况。
对1997年至2001年期间在纳济利地区监狱开展的系统性年度结核病筛查项目中获得的数据进行回顾性评估。筛查项目包括每年进行的微型胸部X光检查，以及对有异常情况的囚犯进行临床和细菌学评估。还对在此期间任何时候被动诊断出的囚犯中的活动性结核病例进行了研究。
在这5年期间，99.8%的囚犯接受了筛查。纳济利地区监狱结核病的平均点患病率为每10万名囚犯中有341例。活动性结核病例总数为13例；5例有症状，其中3例在筛查期间被发现。其余8例仅通过筛查确定。治疗结果为6例完成治疗，7例治愈。
由于囚犯中结核病患病率较高，除了被动发现病例的活动外，有必要继续在监狱中进行结核病筛查。纳济利地区监狱的治疗成功率令人满意。监狱工作人员的筛查、接触者检查和预防方法需要进一步研究。
