Med Mal Infect. 2004 Aug-Sep;34(8-9):364-70.
The diagnosis of tuberculosis is considered on general signs, respiratory or extra-respiratory clinical signs, complementary examinations or because of a particular epidemiologic context. Once the diagnosis considered, respiratory isolation must be implemented during the short diagnostic period. This period must either rule out the diagnosis, or lead to treating contagious forms within a week and non-contagious forms, in particular extra-respiratory presentations, within a month. Treating, before or after diagnosis confirmation, is preceded by a clinical and biological evaluation having for objective to determine the infection site, to assess supporting factors, in particular immunodepression, contra-indications to some antimycobacterial drugs, elements suggesting resistance, and psychosocial elements which could decrease the efficiency of the treatment.
结核病的诊断基于一般体征、呼吸或肺外临床体征、辅助检查或特定的流行病学背景。一旦考虑到结核病的诊断，在较短的诊断期内必须实施呼吸道隔离。此期间必须排除诊断，或在一周内对传染性类型进行治疗，对非传染性类型，特别是肺外表现，在一个月内进行治疗。在确诊之前或之后进行治疗，需先进行临床和生物学评估，目的是确定感染部位，评估支持因素，特别是免疫抑制、某些抗分枝杆菌药物的禁忌症、提示耐药的因素以及可能降低治疗效果的社会心理因素。
