Gisselbrecht M
Service de Gériatrie, Hôpital Européen Georges Pompidou, Paris, France.
Rev Mal Respir. 2004 Nov;21(5 Pt 3):8S106-13.
In industrialised countries the incidence of tuberculosis increases with age.
Tuberculosis remains a current problem in the elderly and may be contracted in an institution. Elderly persons living in institutions account for four times more cases than the elderly living at home. Tuberculosis may present in all forms and situations but the clinical and radiological features may be atypical. Although tuberculin anergy may be found frequently in elderly patients the diagnosis relies on the same principles as in the younger patient. Mortality, even with treatment, is increased and rises with age. Several problems arise in institutions: the screening of sick residents and of subjects at risk as well as the screening of infected patients.
A rigorous policy of prevention and surveillance should lead to a fall in the incidence of the disease in institutions
This collection of data demonstrates that tuberculosis remains a real health problem in elderly subjects in institutions.
在工业化国家，结核病的发病率随年龄增长而上升。
结核病在老年人中仍然是一个现实问题，且可能在机构中感染。住在机构中的老年人患结核病的病例数是居家老年人的四倍。结核病可呈现各种形式和情况，但其临床和放射学特征可能不典型。尽管老年患者中经常会出现结核菌素无反应，但诊断原则与年轻患者相同。即使接受治疗，死亡率也会增加，且随年龄增长而上升。机构中会出现几个问题：对患病居民和高危人群的筛查以及对感染患者的筛查。
严格的预防和监测政策应能降低机构中该病的发病率。
这些数据收集表明，结核病在机构中的老年人群体中仍然是一个切实存在的健康问题。
