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[1995年结核病状况]

[1995 status of tuberculosis].

作者信息

Schütt-Gerowitt H

机构信息

Institut f. Med. Mikrobiologie und Hygiene der Univ., Köln.

出版信息

Fortschr Med. 1995 Mar 30;113(9):115-9.

PMID:7759041
Abstract

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.

摘要

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。

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