Homolka J, Krejbich F
I. klinika tuberkulózy a respiracních nemocí 1, LF UK a VFN, Praha.
Cas Lek Cesk. 2008;147(3):155-8.
Authors compared the situation in tuberculosis among foreigners in the Czech Republic during the years 2003-2006. Foreigners participated in 13.0-14.2% of total notified tuberculosis cases during this period. Proportion of smear positive cases among foreigners in this period grew up from 32.8% to 40.8%. The proportion of active case finding of tuberculosis cases among foreigners declined from 36.0% to 15.4%. At the same time foreigners formed an important part in drug resistance of TB-strains in the Czech Republic. 50% of MDR-TB cases were detected in foreigners. In 20 MDR-TB cases notified in the years 2003-2006 10 were detected in foreigners. If the number of immigrants from countries with high prevalence of tuberculosis to the Czech Republic increases the control of TB in the Czech Republic could be negatively influenced.
作者比较了2003年至2006年期间捷克共和国境内外国人的结核病情况。在此期间,外国人占结核病通报病例总数的13.0%至14.2%。这一时期外国人中涂片阳性病例的比例从32.8%上升至40.8%。外国人中结核病病例主动发现的比例从36.0%降至15.4%。与此同时,外国人在捷克共和国结核菌株耐药性方面占重要部分。50%的耐多药结核病病例在外国人中被检测到。在2003年至2006年通报的20例耐多药结核病病例中,有10例在外国人中被检测到。如果从结核病高流行国家移民到捷克共和国的人数增加,可能会对捷克共和国的结核病控制产生负面影响。