Dagli Canan Eren, Cetin Tanrikulu Abdullah, Hamit Acemoglu, Yilmaz Palanci, Gurdal Yilmaz, Ekrem Guler, Levent Sahin, Abdullah Dagli, Nurhan Koksal
Department of Pulmonology, Faculty of Medicine, Sutcu Imam University, Kahramanmaras, Turkey.
J Infect Dev Ctries. 2009 Jun 1;3(5):357-64. doi: 10.3855/jidc.243.
Inappropriate anti-tuberculosis (TB) treatment, particularly at the beginning of the disease, is a major cause of drug resistance. This survey was performed to evaluate doctors' approaches to the diagnosis and treatment of TB.
The study was conducted in 12 cities, each from a different geographical region of Turkey. A prepared questionnaire about their academic careers and experience in TB and its treatment was distributed to the doctors.
The research group consisted of 1,112 doctors. The mean age was 32.7 +/- 6.6 years. The results showed that 75.9% of the doctors had insufficient knowledge about TB. The results of the study further showed that chest specialists, female doctors, physicians who work in a first stage hospital, doctors who had previously diagnosed TB and those who had access to a microbiology laboratory had a better level of knowledge about tuberculosis and its treatment than other doctors.
A great diversity was seen between daily practice of doctors and national guidelines about TB. Educational programmes conducted by specialists in TB control may help to standardize and increase the knowledge of TB.
不恰当的抗结核治疗，尤其是在疾病初期，是耐药性的主要原因。本次调查旨在评估医生对结核病的诊断和治疗方法。
该研究在土耳其不同地理区域的12个城市进行。向医生发放了一份关于他们的学术生涯以及结核病诊断和治疗经验的问卷。
研究组由1112名医生组成。平均年龄为32.7±6.6岁。结果显示，75.9%的医生对结核病的了解不足。研究结果还表明，胸部专科医生、女医生、在一级医院工作的医生、曾诊断过结核病的医生以及能够使用微生物实验室的医生，对结核病及其治疗的了解程度高于其他医生。
医生的日常实践与国家结核病指南之间存在很大差异。结核病控制专家开展的教育项目可能有助于规范并增加对结核病的了解。
