Punga V V, Khomenko A G, Stoiunin M B, Danilova I D, Kovaleva S I, Zhukova M P, Khudushina T A, Rybka L N, Alekseeva L P, Starikov A N, Grishina T A
Probl Tuberk. 1997(6):15-7.
By analyzing the present-day tuberculosis epidemiological situation in the country and sociomedical characteristics of new cases, the authors present methods for detecting and treating patients, which are of paramount importance for today. 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.
通过分析该国当前的结核病流行病学状况以及新发病例的社会医学特征,作者提出了对当今至关重要的患者检测和治疗方法。最重要的是,当患者因出现症状转诊至综合医院时,需要通过萋尼氏法对痰液进行三次结核分枝杆菌涂片镜检,以便及时识别携带菌株的患者。另一个关键问题是改变化疗方案,因为对于病情更严重的进展型疾病,尤其是在社会适应不良人群中,在发现后的头几个月需要更积极的治疗。