Schütt-Gerowitt H
Institut f. Med. Mikrobiologie und Hygiene der Univ., Köln.
Fortschr Med. 1995 Mar 30;113(9):115-9.
While the number of active cases of tuberculosis in the USA and in some European countries has increased over the last few years, the incidence in Germany is (as yet) a relatively constant 17.5/100,000 (figure for 1993). For foreign citizens, however, the case rate was considerably higher at 64.9/100,000. Among persons infected with HIV, the prevalence of active tuberculosis is also comparatively low in Germany. Especially in the USA an increase in multi-resistant strains has been observed which led to outbreaks particularly among AIDS-patients. Modern diagnostic and therapeutic possibilities are outlined. Particular importance should be attached to vigorous initial treatment, which is associated with a high success rate (approx. 98%), and which prevents the development of multi-resistance.
虽然美国和一些欧洲国家的结核病现患病例数在过去几年有所增加，但德国的发病率（截至目前）相对稳定，为17.5/10万（1993年数据）。然而，外国公民的患病率则高得多，为64.9/10万。在德国，感染艾滋病毒者中活动性结核病的患病率也相对较低。特别是在美国，已观察到多重耐药菌株有所增加，这尤其导致艾滋病患者中出现疫情。文中概述了现代诊断和治疗方法。应特别重视积极的初始治疗，这种治疗成功率很高（约98%），并可防止多重耐药的发生。
