García Rodríguez J F, Vázquez Castro J, De Juan Prego J, Rodríguez Mayo M, Sesma Sánchez P, González Moraleja J
Servicio de Medicina Interna, Hospital A. Marcide-Novoa Santos, El Ferrol, La Coruña.
Med Clin (Barc). 1995 Mar 18;104(10):365-8.
This study was undertaken to know the frequency of tuberculosis in El Ferrol and to contribute to the knowledge of the situation in Spain.
A retrospective study of all the cases of tuberculosis diagnosed in the Hospital A. Marcide-Novoa Santos (El Ferrol, Spain) from 1990 to 1993 was performed.
Seven hundred twenty-four patients were diagnosed, with a mean annual prevalence of 83.3/100,000 inhabitants. Six hundred sixty-four cases (430 males [64.8%]) were evaluated. The mean age was 35.5 +/- 19 years with 58.9% under the age of 35. 98.7% of the patients lived in the health care area and 73.2% were admitted, with 13.7% having previous history of tuberculosis. Sixty-one cases (11.1%; Cl: 8.25-13.7) had HIV infection. Diagnosis was microbiological in 505 cases (76%), anatomopathological in 60 (9%) and in 99 (14.9%) diagnosis was achieved by clinical and radiological criteria. Pulmonary localization (67.2%) was the most frequent form and was predominant in males, while lymph node and osteoarticular localizations were more frequent in women. The incidence of bacilliferous patients was 30.7/100,000 inhabitants. A delay of more than one month took place in the diagnosis of 66.4% of the bacilliferous patients.
The incidence of tuberculosis in El Ferrol is very high with an important delay in the diagnosis of bacilliferous patients. The high percentage of patients admitted to hospital carries considerable costs in the treatment of the disease.
开展本研究旨在了解费罗尔市结核病的发病频率，并为西班牙的结核病状况研究提供参考。
对1990年至1993年期间在西班牙费罗尔市A. 马尔西德 - 诺沃亚·桑托斯医院确诊的所有结核病病例进行回顾性研究。
共诊断出724例患者，年平均患病率为83.3/10万居民。对664例病例（430例男性[64.8%]）进行了评估。平均年龄为35.5±19岁，58.9%的患者年龄在35岁以下。98.7%的患者居住在医疗保健区域，73.2%的患者住院治疗，13.7%的患者有结核病既往史。61例（11.1%；置信区间：8.25 - 13.7）患者感染了艾滋病毒。505例（76%）通过微生物学诊断，60例（9%）通过解剖病理学诊断，99例（14.9%）通过临床和放射学标准诊断。肺部定位（67.2%）是最常见的类型，在男性中占主导地位，而淋巴结和骨关节定位在女性中更为常见。痰菌阳性患者的发病率为30.7/10万居民。66.4%的痰菌阳性患者诊断延迟超过一个月。
费罗尔市结核病发病率非常高，痰菌阳性患者诊断存在重要延迟。住院患者比例高给疾病治疗带来了相当大的成本。
