Werner E
Z Gesamte Inn Med. 1985 Jul 1;40(13):403-7.
At present every case of tuberculosis recognized in time is curable. The antituberculotic remedies have a causal effect, since they achieve a destruction of the germs. Decisive for the success are the observing of the treatment instructions and the cooperation with the patient in a period of 6-9 months. The action mode of the basic pharmaceutic agents, the dynamics of bacterial populations and the newest therapy recommendations are listed in tables. In the case of leprosy we look forward to similar results. Here the chemotherapy must, however, be performed for 2 years and longer. In the Buruli-ulcer (mycobacterial skin ulcer) after additional surgical interventions are still to be recommended. Mycobacterioses caused by other human-pathogenic atypical mycobacteria are also cured by a specific treatment of 1-2 years. In particular cases resection are still necessary.
目前,每一例及时确诊的结核病病例都是可以治愈的。抗结核药物具有病因学作用,因为它们能杀灭病菌。治疗成功的关键在于遵守治疗指南并在6至9个月的时间内与患者密切配合。基本药物的作用方式、细菌群体的动态变化以及最新的治疗建议列于表格中。对于麻风病,我们期待能取得类似的结果。然而,麻风病的化疗必须持续2年及更长时间。对于布鲁里溃疡(分枝杆菌性皮肤溃疡),在进行额外的手术干预后仍建议进行化疗。由其他人类致病性非典型分枝杆菌引起的分枝杆菌病也可通过1至2年的特异性治疗治愈。在某些特殊情况下,仍有必要进行切除手术。