20世纪90年代的结核病。基层医疗医生面临的问题。
Tuberculosis in the 1990s. Issues for primary care physicians.
作者信息
Fitzgerald J M
机构信息
Department of Medicine, University of British Columbia.
出版信息
Can Fam Physician. 1995 Jun;41:1030-6.
Abstract
After declining for many years, tuberculosis rates have begun to level off in Canada. Groups at particularly high risk include aboriginal Canadians, immigrants from high-prevalence countries, HIV-infected people, and elderly men. If disease is suspected, appropriate investigations, including sputum tests for bacteriology and chest x-ray examinations, should be done. Response to treatment is excellent. Chemoprophylaxis is recommended for certain patients. Vaccination with BCG has a limited but important role, especially for aboriginal Canadians.
摘要
在多年下降之后，加拿大的结核病发病率已开始趋于平稳。高危人群包括加拿大原住民、来自高流行国家的移民、艾滋病毒感染者以及老年男性。如果怀疑患有该病，应进行适当的检查，包括痰细菌学检测和胸部X光检查。治疗反应良好。建议对某些患者进行化学预防。卡介苗接种有一定但重要的作用，特别是对加拿大原住民而言。
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