Kiliçaslan Zeki, Amasya Ayşenur, Cuhadaroğlu Cağlar
Department of Chest Disease, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Tuberk Toraks. 2006;54(1):11-6.
We compared age, sex and the forms of disease between the group consisted of patients admitted to dispensaries by symptoms and the other group consisted of patients found by screening of the contacts. Study covers randomly selected 640 patients from the group diagnosed by passive methods (P-Tbc) and 419 patients from the group diagnosed by active methods (A-Tbc) in Istanbul dispensaries between 1999-2000. Data, since 1997 in Istanbul Union against Tbc, were taken from the central archives. Of P-Tbc cases, 27% (174/640) was female, 73%(466/640) was male. Of A-Tbc cases, 46% (193/419) was female and 54% (226/419) was male (p= 0.0001). While 3.4% of P-Tbc cases (22/640) was between 0-14 years old, it was 7.8% (33/419) in the A-Tbc group (p= 0.002). Study shows that screening the tuberculosis patients' close contact give us an important numbers of contagious cases. It also seems how to increase the female and child tuberculosis patients diagnosing.
我们比较了因症状就诊于诊所的患者组和通过接触者筛查发现的患者组之间的年龄、性别和疾病形式。该研究涵盖了1999年至2000年期间在伊斯坦布尔诊所中随机选取的640例通过被动方法诊断的患者（P-Tbc组）和419例通过主动方法诊断的患者（A-Tbc组）。自1997年以来伊斯坦布尔抗结核联盟的数据取自中央档案。在P-Tbc组病例中，27%（174/640）为女性，73%（466/640）为男性。在A-Tbc组病例中，46%（193/419）为女性，54%（226/419）为男性（p = 0.0001）。P-Tbc组病例中3.4%（22/640）年龄在0至14岁之间，而A-Tbc组为7.8%（33/419）（p = 0.002）。研究表明，对结核病患者的密切接触者进行筛查可发现大量传染性病例。这似乎也说明了如何提高女性和儿童结核病患者的诊断率。
