Brett W, Harrison A C, Breed M C, Brett A
N Z Med J. 1986 Sep 24;99(810):705-8.
An audit of tuberculosis management at Green Lane Hospital was undertaken by review of the case records of 235 cases of adult tuberculosis. There were 135 men and 100 women (mean age 47 years). Important findings include the large proportion of nonEuropeans (66%) and the frequency of drug resistance. Drug resistance was present in 29% of isolates from nonEuropean immigrants who had resided in New Zealand for a year or less. The adequacy of current medical screening of Pacific Island and South-east Asian visitors and immigrants is discussed in the context of these findings. Treatment regimens used were in accordance with accepted recommendations, although the duration (14 months in uncomplicated disease) was longer than is now thought necessary. Of the 205 patients who completed treatment under our care 186 (91%) were cured, 14 (6.8%) died, 3 (1.5%) relapsed and two defaulted. The median in hospital stay was 32 days and together with the somewhat high relapse rate (1.5%) reflects the absence of facilities for closely supervised outpatient tuberculosis treatment in Auckland.
通过查阅235例成人肺结核病例记录，对格林莱恩医院的结核病管理情况进行了一次审计。其中男性135例，女性100例（平均年龄47岁）。重要发现包括非欧洲人占比很大（66%）以及耐药情况的发生率。在居住在新西兰一年及以下的非欧洲移民中，29%的分离株存在耐药性。结合这些发现，讨论了当前对太平洋岛国和东南亚访客及移民进行医学筛查的充分性。所采用的治疗方案符合公认的建议，尽管疗程（非复杂性疾病为14个月）比现在认为的必要疗程更长。在我们护理下完成治疗的205例患者中，186例（91%）治愈，14例（6.8%）死亡，3例（1.5%）复发，2例失访。住院时间中位数为32天，再加上复发率略高（1.5%），反映出奥克兰缺乏对门诊结核病进行密切监督治疗的设施。
