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结核病:医疗管理最新进展

Tuberculosis: medical management update.

作者信息

Yepes Juan F, Sullivan Jennifer, Pinto Andres

机构信息

Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, Phildelphia 19104-6030, USA

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Sep;98(3):267-73. doi: 10.1016/j.tripleo.2004.05.012.

Abstract

Tuberculosis (TB) is an infectious chronic disease. After decades of steadily declining prevalence, the disease has reemerged in the last 5 years. Symptoms of TB are mild and not specific and can be classified as either systemic or localized to target organs. Microscopic examination of the sputum remains an inexpensive and rapid way to identify highly infectious patients. Four different antimicrobial agents-rifampin, ethambutol, pirazinamide, and isoniazid-form the basis of currently recommended antituberculosis therapy. Tuberculosis could be an occupational risk for health care workers. Dentists must be involved in the health promotion and early detection of TB.

摘要

结核病是一种传染性慢性病。在患病率持续数十年稳步下降之后,该疾病在过去5年中再度出现。结核病症状轻微且不具特异性,可分为全身性或局限于靶器官。痰涂片镜检仍然是识别高传染性患者的一种廉价且快速的方法。四种不同的抗菌药物——利福平、乙胺丁醇、吡嗪酰胺和异烟肼——构成了目前推荐的抗结核治疗的基础。结核病可能是医护人员面临的职业风险。牙医必须参与结核病的健康促进和早期检测工作。

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