Trnka L, Danková D
Cas Lek Cesk. 1995 Dec 6;134(23):743-5.
Comparison of the position as regards tuberculosis in the Czech Republic (CR) and in the Federal German Republic (FRG), two neighbouring countries of the Central European region was made possible by an approximation of systems of health services in the two countries and by the common effort to standardize definitions of indicators of the epidemiological situation as regards tuberculosis according to international recommendations. The relative number of newly assessed diseases of all forms and at all sites was equal in the two countries in 1993 and did not differ significantly during the past three years. No significant differences were found on comparison of indicators of incidence classified by bacteriological confirmation, site and age distribution. In the GRF the position as regards TB during the past three years is considered stabilized without apparent changes; the same applies also to the CR. In the GRF TB in the domestic population (German population) and foreigners is evaluated separately, as foreigners account for 7.3% of the prevalence. Tuberculosis of foreigners influences in a significant way the general incidence in the GRF, in particular in younger age groups. It is due to the adverse situation as regards TB in countries from which immigrants come. Logistic comparison of indicators of the incidence revealed that the traditional stabilized system of health services in the GRF as well as the newly introduced system in the CR are biased by the same error as regards mandatory notification of all new cases of TB. The findings make it possible to assess priorities specific for the Central European area in the amended system of surveillance of TB in the CR.
通过使两国卫生服务体系更为接近，并共同努力按照国际建议对结核病流行病学情况指标的定义进行标准化，得以对捷克共和国（CR）和德意志联邦共和国（FRG）这两个中欧地区邻国的结核病情况进行比较。1993年，两国所有形式和所有部位新确诊疾病的相对数量相等，在过去三年中也没有显著差异。在按细菌学确诊、发病部位和年龄分布分类的发病率指标比较中，未发现显著差异。在德意志联邦共和国，过去三年结核病情况被认为已稳定，没有明显变化；捷克共和国也是如此。在德意志联邦共和国，国内人口（德国人口）和外国人的结核病情况是分别评估的，因为外国人占患病率的7.3%。外国人的结核病对德意志联邦共和国的总体发病率有重大影响，尤其是在较年轻年龄组。这是由于移民来源国结核病的不利状况所致。发病率指标的逻辑比较显示，德意志联邦共和国传统的稳定卫生服务体系以及捷克共和国新引入的体系在结核病所有新病例的强制通报方面存在相同的偏差。这些发现使得能够在捷克共和国经修订的结核病监测体系中评估中欧地区特有的优先事项。
