Byrd R B, Horn B R, Solomon D A, Griggs G A, Wilder N J
Ann Intern Med. 1977 Jun;86(6):799-802. doi: 10.7326/0003-4819-86-6-799.
Because tuberculosis is currently being treated in many instances by the nonpulmonary physician, an evaluation of the skill with which he performs in this capacity was made. A group of 130 patients who had been treated by such physicians was analyzed, using generally accepted criteria for appropriate therapy. Seventy-three of the group were found to have been treated inappropriately. The use of isoniazid in those likely to be resistant to that drug, the use of a single drug in bacteriologically positive disease, and inadequate or excessive drug dosages were among the more common errors. Two thirds of the physicians caring for these patients were internal medicine specialists, half of them board certified. Increased education efforts in regard to this disease at all levels of training must be made.
由于目前许多肺结核病例是由非肺部疾病专科医生治疗的，因此对他们在这方面的治疗技能进行了评估。分析了一组由这类医生治疗的130名患者，采用普遍认可的适当治疗标准。结果发现，该组中有73人的治疗不当。在可能对异烟肼耐药的患者中使用异烟肼、在细菌学呈阳性的疾病中使用单一药物以及药物剂量不足或过量是较为常见的错误。照料这些患者的医生中有三分之二是内科专科医生，其中一半获得了委员会认证。必须在各级培训中加大对这种疾病的教育力度。
