Trnka L, Danková D
Research Institute for Tuberculosis and Respiratory Diseases, Prague.
Czech Med. 1991;14(2):87-96.
The authors report on tuberculosis situation in the Czech Republic (CR) in 1989 and compare the data with 1988. The incidence of all cases of respiratory TB was 15.5 and that of bacteriologically confirmed cases 11.1/100,000. The mortality from TB was also low (1/100,000). Two-thirds of the patients were detected because of the patients' complaints. This passive case - finding was, however, inadequate in subjects with a poor health consciousness. Active screening was restricted to subjects with a high risk of TB (in contact with tuberculosis, with different diseases, with socio-economic factors, migrating subjects, non-cooperating subjects). In 1989 for the first time in the CR stagnation of the incidence of bacteriologically confirmed TB of the respiratory organs was recorded. The number of patients (5.7/100,000) with TB with a microscopically positive bacteriological finding in sputum was also the same. A slowing down of the hitherto recorded favourable trend of TB must be foreseen. It will be important to maintain the contemporary system of TB surveillance.
作者报告了1989年捷克共和国（CR）的结核病情况，并将数据与1988年进行了比较。所有呼吸道结核病病例的发病率为15.5，细菌学确诊病例的发病率为11.1/10万。结核病死亡率也很低（1/10万）。三分之二的患者是因患者自身主诉而被发现的。然而，这种被动病例发现方式对于健康意识较差的人群并不充分。主动筛查仅限于结核病高危人群（与结核病患者接触者、患有其他疾病者、受社会经济因素影响者、移民人群、不配合者）。1989年，CR首次记录到呼吸道器官细菌学确诊结核病发病率停滞。痰涂片镜检细菌学阳性的结核病患者数量（5.7/10万）也相同。必须预见到迄今记录的结核病良好趋势将会放缓。维持当前的结核病监测系统将很重要。
