Didilescu Cristian, Ibraim Elmira
Institutul de Pneumologie Marius Nasta, Bucureşti.
Pneumologia. 2006 Jan-Mar;55(1):4-6.
In Bucharest, TB incidence (new cases + relapses) was 65.9 per thousand in 1985. After that, it increased every year, reaching 154.1 per thousand in 2001. In the last 4 years the incidence decreased to 120 per thousand, meaning a decrease rate of 22% in this interval. In 2005, incidence ranged between 91 per thousand in Sector 1, and 138.7 per thousand in Sector 5. Among all patients registered in 2005, 86.1% were new cases and 13.9% relapses. One noted also a decrease of TB incidence in children, from 65.2 per thousand in 2002 to 27.8 per thousand in 2005. Progressive extension of DOTS in the whole city led to a success rate for "source" patients of 88.7% in 2004 (new pulmonary TB cases, smear positive). The late discovery of some cases and failure of re-treatments explain mainly the fact that, between 2002 and 2004, in Bucharest were registered about 200 TB deaths every year. Tuberculosis continues to be one of the main public health problems in Bucharest.
1985年，布加勒斯特的结核病发病率（新发病例+复发病例）为千分之65.9。此后，发病率逐年上升，2001年达到千分之154.1。在过去4年中，发病率降至千分之120，这意味着在此期间下降率为22%。2005年，发病率在第1区为千分之91至第5区为千分之138.7之间。在2005年登记的所有患者中，86.1%为新发病例，13.9%为复发病例。还注意到儿童结核病发病率有所下降，从2002年的千分之65.2降至2005年的千分之27.8。在全市范围内逐步推广直接观察短程疗法（DOTS），使2004年“源头”患者（新的涂片阳性肺结核病例）的成功率达到88.7%。一些病例发现较晚和再治疗失败主要解释了以下事实：在2002年至2004年期间，布加勒斯特每年登记约200例结核病死亡病例。结核病仍然是布加勒斯特主要的公共卫生问题之一。
