Capewell S, France A J, Anderson M, Leitch A G
Tubercle. 1986 Jun;67(2):125-31. doi: 10.1016/0041-3879(86)90006-1.
Edinburgh hostel dwellers have been regularly screened for pulmonary tuberculosis since 1957. Sixty-eight cases were notified during the 7 years 1976-1982: 42 (65%) were detected by 4687 hostel survey X-rays, and a further 26 presented with symptoms. Disease was more advanced in the symptomatic hostellers both by radiological and bacteriological criteria with twice as many being sputum smear positive (58% vs. 26%). Full clinical details were available for 65 of the 68. Four were diagnosed at post mortem examination and two had chemotherapy stopped because the disease was considered inactive. Of the remaining 59 eligible for treatment, 47 (80%) received a complete course of adequate chemotherapy; 16 as hospital in-patients, 26 first in hospital and then under out-patient supervision and five simply as supervised out-patients; none relapsed. Twelve (20%) of the 59 defaulted from supervision after a mean follow-up period of 2.4 months.
自1957年以来，爱丁堡旅社居住者一直定期接受肺结核筛查。在1976年至1982年的7年间，共报告了68例病例：42例（65%）通过4687次旅社调查X光检查发现，另有26例出现症状。根据放射学和细菌学标准，有症状的旅社居住者病情更严重，痰涂片阳性的人数是前者的两倍（58%对26%）。68例中有65例有完整的临床详细资料。4例在尸检时被诊断出，2例因疾病被认为不活跃而停止化疗。在其余59例符合治疗条件的患者中，47例（80%）接受了完整疗程的充分化疗；16例住院治疗，26例先住院然后接受门诊监督，5例仅作为受监督的门诊患者；无一例复发。59例中有12例（20%）在平均随访2.4个月后停止接受监督。
