TB Control Unit, Department of Respiratory and Critical Care Medicine, Tan Tock Seng Hospital, Singapore.
Singapore Med J. 2012 Aug;53(8):505-7.
Singapore has experienced a rise in the tuberculosis (TB) incidence rate among her local population since 2008, which we believe, is contributed in no small part to a recent increase in community transmission due to delayed diagnosis of infectious pulmonary TB cases. Data from the TB notification registry showed an increase from 2004 to 2008 in the number and proportion of sputum acid-fast bacilli smear-positive pulmonary TB cases with prolonged cough. Two surveys at the TB Control Unit showed that healthcare system delays exceeded patient delay in seeking medical consultation. There is thus an urgent need to heighten TB awareness among the public and the medical community in order to reduce the time taken to diagnose infectious TB cases in Singapore.
自 2008 年以来，新加坡当地居民的结核病（TB）发病率有所上升，我们认为，这在很大程度上是由于社区传播的近期增加所致，原因是传染性肺结核病例的诊断延迟。结核病报告登记处的数据显示，2004 年至 2008 年间，持续咳嗽的痰涂片抗酸杆菌阳性肺结核病例数量和比例有所增加。结核病控制股的两项调查显示，医疗系统的延误超过了患者寻求医疗咨询的时间。因此，迫切需要提高公众和医疗界对结核病的认识，以缩短新加坡传染性结核病病例的诊断时间。
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