Mildmay Centre, PO Box 24985, Kampala, Uganda.
AIDS Res Ther. 2012 Apr 23;9(1):12. doi: 10.1186/1742-6405-9-12.
This case report describes an HIV-positive patient with recurrent tuberculosis in Uganda. After several failed courses of treatment, the patient was diagnosed with multi-drug resistant tuberculosis (MDR-TB). As adequate in-patient facilities were unavailable, we advised the patient to remain at home, and he received treatment at home via his family and a community nurse. The patient had a successful clearance of tuberculosis. This strategy of home-based care represents an important opportunity for treatment of patients in East Africa, where human resource constraints and inadequate hospital facilities exist for complex patients at high risk of infection to others.
本病例报告描述了一位在乌干达的 HIV 阳性、复发性结核病患者。在几次治疗失败后,该患者被诊断为耐多药结核病(MDR-TB)。由于缺乏足够的住院设施,我们建议该患者留在家里,并通过他的家人和社区护士在家中接受治疗。该患者成功清除了结核病。这种基于家庭的护理策略为东非的患者治疗提供了一个重要机会,在那里,人力资源短缺和医院设施不足,使得高感染风险的复杂患者难以得到治疗。