Punga V V, Kovaleva S I, Zhukova M P, Khudushina T A, Rybka L N, Starikov A N, Alekseeva L P, Stoiunin M B, Danilova I D
Central NII of Tuberculosis, Moscow.
Probl Tuberk. 1997(5):7-9.
The problems of detection and treatment of patients with tuberculosis, which are of paramount importance for today, are presented through the analysis of the tuberculosis epidemic situation in the country and of the sociomedical characteristics of new cases (49% of socially disadapted persons). Of the most significance is the need to promptly identify patients with strains on their referral to the general somatic hospitals for complaints by using 3-multiple sputum bacterioscopy for Mycobacterium tuberculosis by the Ziehl-Neelsen method. The vital problem is also to change chemotherapeutical regimens as more severe progressive types of the disease require more active treatment in the first months after detection especially in the cohort of socially disadapted persons.
通过对该国结核病疫情以及新发病例的社会医学特征(49%为社会适应不良者)进行分析,阐述了当今对结核病患者进行检测和治疗的极为重要的问题。最重要的是,有必要通过采用萋尼氏法对结核分枝杆菌进行3次痰涂片细菌学检查,在患者因出现症状转诊至综合医院时迅速识别出感染菌株的患者。一个至关重要的问题还在于改变化疗方案,因为病情更严重的进展型疾病在发现后的头几个月需要更积极的治疗,尤其是在社会适应不良者群体中。