Schwank A, Perruchoud A, Klüppelberg J, Herzog H, Reber H
Schweiz Med Wochenschr. 1983 Jan 22;113(3):117-9.
A retrospective analysis over three years in the Cantonal Hospital of Basel favours the continued use of acid-fast smears in suspected tuberculosis. 54% of pulmonary tuberculosis cases can already be diagnosed with acid-fast smears. Smears of gastric aspirates and urine specimens can usually be dispensed with, as the false-positive quotation is much too high (18% for gastric aspirates and 89% for urine specimens). Where there are sputum specimens available, no additional cultures of gastric aspirates are necessary. If pulmonary tuberculosis is diagnosed, cultures of urine specimens are recommended as a means of searching for (probable) urogenital infection.
巴塞尔州立医院对三年来的情况进行的回顾性分析支持在疑似结核病中继续使用抗酸涂片检查。54%的肺结核病例可通过抗酸涂片检查确诊。通常可以不做胃抽吸物和尿液标本涂片检查，因为假阳性率过高（胃抽吸物为18%，尿液标本为89%）。如有痰液标本，无需额外进行胃抽吸物培养。如果诊断为肺结核，建议进行尿液标本培养，以查找（可能的）泌尿生殖系统感染。
