Kuaban C, Koulla-Shiro S, Lekama Assiene T, Hagbe P
Service de Pneumologie B, Hôpital Jamot, Yaoundé, Cameroun.
Med Trop (Mars). 1996;56(2):156-8.
To achieve early diagnosis in close contacts of tuberculosis patients and determine the most useful screening procedures for this purpose in Cameroon, 336 tuberculosis patients hospitalized in Unit B of the chest clinic of the Jamot Hospital in Yaounde from September 1993 to September 1994 were asked to bring their close contacts in for screening. Each contact underwent thorough clinical examination, standard postero-anterior chest X-ray, and a tuberculin skin test. If respiratory symptoms and/or chest X-ray lesions were present, acid fast bacilli (AFB) detection testing was performed on bronchial secretions. Only 104 of the 336 tuberculosis patients brought in their close contacts for evaluation. A total of 346 people were examined. Tuberculosis was detected in 50 (14.6%). Half of the new cases were under 14 years old. The most useful screening procedures tuberculosis were clinical examination, chest X-ray, and AFB testing if respiratory symptoms were present. The tuberculin skin test was not helpful.
为了在喀麦隆实现对结核病患者密切接触者的早期诊断，并确定为此目的最有用的筛查程序，1993年9月至1994年9月期间在雅温得贾莫特医院胸科诊所B单元住院的336名结核病患者被要求带其密切接触者前来进行筛查。每位接触者都接受了全面的临床检查、标准的后前位胸部X光检查以及结核菌素皮肤试验。如果出现呼吸道症状和/或胸部X光病变，则对支气管分泌物进行抗酸杆菌（AFB）检测。336名结核病患者中只有104人带其密切接触者前来评估。总共检查了346人。检测出50例（14.6%）患有结核病。半数新病例年龄在14岁以下。筛查结核病最有用的程序是临床检查、胸部X光检查，以及出现呼吸道症状时进行的AFB检测。结核菌素皮肤试验并无帮助。
