Giobbi A
Minerva Med. 1984 Mar 17;75(11):609-11.
The actual epidemiological aspects of tuberculosis suggest some changes in interventions once considered as essential. Then, at level of prevention, today antitubercular action must purpose to efface every extensive programme and the BCG-vaccination obliged; to definitively stop the isoniazid prophylaxis; to give up the usual sanitary practices against tubercular contagion. At diagnostic and therapeutic level, the old antitubercular structures are still indispensable to correctly tackle a problem that, though reshuffled, yet it still subsists. At last, we think that the socio-economic measures, taken when tuberculosis caused heavy consequences in patients activity, need a radical review. Antitubercular action, if we take away the out of time and out of need parts, can still contribute to qualify the interventions in defending or restoring health.
结核病的实际流行病学情况表明,一些曾被视为必不可少的干预措施需要做出一些改变。那么,在预防层面,如今抗结核行动必须旨在摒弃所有广泛的项目以及强制进行的卡介苗接种;彻底停止异烟肼预防;放弃针对结核传染的常规卫生措施。在诊断和治疗层面,旧有的抗结核结构对于正确解决一个虽已重新调整但仍然存在的问题而言仍是不可或缺的。最后,我们认为,在结核病给患者活动造成严重后果时所采取的社会经济措施需要进行彻底审查。如果去除过时和不必要的部分,抗结核行动仍可有助于优化在维护或恢复健康方面的干预措施。