Mastro T D, Coninx R
Department of Ambulatory Care, Mount Sinai Services, City Hospital Center at Elmhurst, New York.
Tubercle. 1988 Jun;69(2):95-103. doi: 10.1016/0041-3879(88)90071-2.
The treatment of tuberculosis in refugees living in campus along the Thai-Kampuchean border has remained a controversial issue since the beginning of the Khmer relief operation in 1979. During the 1984-85 dry season, war-related disruptions forced the evacuation of the 240,000 residents of 21 camps into evacuation sites in Thailand. Seven tuberculosis treatment programmes, using a fully supervised, daily protocol of isoniazid(H), rifampicin(R), pyrazinamide(Z) and streptomycin(S) 3 HRZS/HR, (6 months for pulmonary and 9 months for extrapulmonary tuberculosis), were able to continue operation, with acceptably low rates of default from therapy. During the 18 month period beginning in July 1984, 984 patients were started on treatment: 755 completed a full course while 86 defaulted. The programme design and organisation are described.
自1979年高棉救援行动开始以来,居住在泰柬边境难民营中的难民结核病治疗一直是一个有争议的问题。在1984 - 1985年旱季,与战争相关的破坏迫使21个难民营的24万居民撤离到泰国的疏散地点。七个结核病治疗项目采用异烟肼(H)、利福平(R)、吡嗪酰胺(Z)和链霉素(S)的每日全程监督方案3 HRZS/HR(肺结核治疗6个月,肺外结核治疗9个月),得以继续运作,治疗中断率低至可接受水平。在1984年7月开始的18个月期间,984名患者开始接受治疗:755名完成了整个疗程,86名中断治疗。文中描述了该项目的设计与组织情况。