Kirsch M, Schilling W, Scharkoff H
Bezirkskrankenhaus für Lungenkrankheiten und Tuberkulose Coswig, DDR.
Z Erkr Atmungsorgane. 1989;173(1):81-6.
The early detection of new cases of tuberculosis, especially such with positive sputum, and the application of potent chemotherapy aiming at an early and lasting elimination of potential infection sources are urgent requirements of the basic strategy to combat the disease. The case finding must mainly aim at patients with bronchopulmonary complaints lasting over 3 to 4 weeks. X-ray testing of the whole population is no longer necessary. It should be abandoned in favour of careful screening of well defined high-risk-groups. Bacteriological diagnostics and tuberculin testing are now of greater importance within the changing case-finding-strategy. Major changes of therapeutical principles are not to be expected. Generalized protection and isolation measures should be critically scrutinized and reduced to the strictly necessary. Until the final eradication of tuberculosis a generally acceptable strategy related to the dynamic is required.
结核病新病例的早期发现，尤其是痰菌阳性的病例，以及应用强效化疗以尽早并持久地消除潜在传染源，是抗击该疾病基本策略的迫切要求。病例发现必须主要针对有持续3至4周以上支气管肺部症状的患者。对全体人群进行X线检查已不再必要。应放弃这种做法，转而对明确界定的高危人群进行仔细筛查。在不断变化的病例发现策略中，细菌学诊断和结核菌素检测现在变得更加重要。治疗原则预计不会有重大变化。应严格审查并将普遍的防护和隔离措施减少到绝对必要的程度。在结核病最终根除之前，需要一种与动态情况相关的普遍可接受的策略。
