Harf R, Lechemia D
Centre épidémiologique des Maladies respiratoires, Lyon.
Rev Pneumol Clin. 1987;43(5):229-35.
Four hundred tuberculous patients who had been recorded in the register of the Rhône department during 1982 were retrospectively investigated for treatment procedures (hospital care and drug regimen); 89 had to be excluded: 42 died during treatment, in 30 the initial diagnosis was no longer maintained, 17 were lost to follow up. Hospital admission was required in more than 91% patients and 60% patients were sent to sanatoria. The duration of hospital care varied with the physician (university or not, pneumologist or not), the disease (localization, bacteriology) and the patients: the shortest duration was seen in young North African women, the longest in maghrebian men. Compared with "official recommendation" chemotherapy is usually prescribed for longer than necessary (mean treatment duration: 11 months. Ethambutol prescription for 8 months). These data illustrate the usual gap seen between "scientific" data given by controlled trials and routine practice.
对1982年登记在罗讷省登记簿上的400例结核病患者进行了回顾性调查,以了解其治疗程序(住院治疗和药物治疗方案);89例必须排除:42例在治疗期间死亡,30例最初诊断不再成立,17例失访。超过91%的患者需要住院治疗,60%的患者被送往疗养院。住院治疗时间因医生(是否来自大学、是否为肺病专家)、疾病(病变部位、细菌学)和患者而异:年轻的北非女性住院时间最短,马格里布男性最长。与“官方建议”相比,化疗通常开得比必要时间长(平均治疗时间:11个月。乙胺丁醇开了8个月)。这些数据说明了对照试验给出的“科学”数据与常规实践之间常见的差距。