[The epidemiologic situation regarding tuberculosis and the effectiveness of tuberculosis surveillance in Bohemia in 1988].

In the CSR (10 million inhabitants) in 1988 the system of TB surveillance was completed which comprises the national TB programme, the central TB register and the evaluation TB unit. The incidence of respiratory TB in 1988 in the CSR was 15.5/100,000 population. In 71% of the patients the disease was confirmed by bacteriological examination (11.0/100,000 population). The incidence of extrapulmonary TB was 4.2/100,000 population. As compared with previous years, the number of patients declined except patients with already microscopically confirmed acid resistant rods in the sputum; their incidence, 5.5/100,000, remained the same in the CSR since 1986. In this incidence participated in particular middle-aged men. The prevalence of active TB of the respiratory system was 20.0/100,000 population. It was only 1.3 times higher than the incidence, because treatment of TB patients was successful and principles of dispensarization were respected. The number of deaths from TB was 98 (0.9/100,000). In 84 the diagnosis was established only during autopsy. The lethality was high in old people. The course of treatment was evaluated after one year in 1330 patients with respiratory TB diagnosed in 1987. Satisfactory therapeutic results were achieved in 98% of the patients. In the remaining (17) patients bacteriological negativization of the sputum did not occur due to complications of treatment or lack of patient cooperation. 70% of the patients had a therapeutic regime with rifampicin. In-patient treatment was emphasized; the total mean period of administration of antituberculotics was 9.3 months.