耐多药结核病患者既往抗结核治疗史的自我报告与影像学结果的关系。
Relationship between self reporting of past history of anti-tuberculosis treatment and radiographic findings in multidrug-resistant tuberculosis.
机构信息
Nelson Mandela School of Medicine, Caprisa, Congella, Durban, South Africa.
出版信息
Int J Tuberc Lung Dis. 2004 Nov;8(11):1385-7.
SETTING
A referral hospital for multidrug-resistant tuberculosis (MDR-TB) patients in KwaZulu-Natal, South Africa.
OBJECTIVE
To investigate how self-reporting of past exposure to anti-tuberculosis therapy in MDR-TB patients relates to their chest radiographs.
RESULTS
Chest radiographs of 406 patients with bacteriologically confirmed MDR-TB who were admitted to a tertiary referral hospital during 1998-2001 were reviewed. Of 245 patients with chronic radiographic changes, 91% reported previous anti-tuberculosis treatment, while of 161 patients with acute radiographic changes, 70% reported no previous history of TB treatment.
CONCLUSION
Self-reporting by patients of previous anti-tuberculosis treatment relates to the duration of disease assessed radiologically, and is much more reliable than previously postulated.
背景
南非夸祖鲁-纳塔尔省的一家耐多药结核病（MDR-TB）患者转诊医院。
目的
调查耐多药结核病患者自我报告的过去抗结核治疗史与他们的胸部 X 光片之间的关系。
结果
对 1998-2001 年间入住一家三级转诊医院的 406 例经细菌学证实的耐多药结核病患者的胸部 X 光片进行了回顾性分析。在 245 例慢性放射学改变的患者中，91%报告了以前的抗结核治疗，而在 161 例急性放射学改变的患者中，70%报告了没有以前的结核病治疗史。
结论
患者自我报告的过去抗结核治疗与放射学评估的疾病持续时间有关，比之前推测的要可靠得多。
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