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[医学教育中对结核病的忽视。医学生如何看待德国的结核病发病率]

[Neglect of tuberculosis in medical education. How medical students perceive the incidence of tuberculosis in Germany].

作者信息

Klewer J, Seelbach H, Kugler J

机构信息

Abteilung für Medizinische Psychologie, Ruhr-Universität Bochum.

出版信息

Med Klin (Munich). 1998 Jan 15;93(1):11-4. doi: 10.1007/BF03045034.

DOI:10.1007/BF03045034
PMID:9505073
Abstract

BACKGROUND

Tuberculosis is still a health problem. Due to an increasing number of immunosuppressed patients the probability of getting infected with tuberculosis in the hospital rises up.

SUBJECTS AND METHODS

For prevention of infections, medical students play a critical role: Firstly, because of bedside-teaching in the hospital, medical students are at risk of getting infected with tuberculosis. Secondly, immediately after university training, it is expected that they are capable to diagnose tuberculosis. The following study analysed the incidence-estimation of medical students (n = 278) of tuberculosis-morbidity and tuberculosis-mortality in Germany.

RESULTS

It becomes obvious, that medical students still have gaps in their knowledge about tuberculosis. They underestimated the incidence of tuberculosis and they overestimated the mortality of tuberculosis.

CONCLUSION

The study indicates a misperception of relevant health problems which may be due to the study situation at German Medical Schools. Medical students need more information and counselling about epidemiology of infectious diseases including tuberculosis.

摘要

背景

结核病仍是一个健康问题。由于免疫抑制患者数量不断增加,医院内感染结核病的几率上升。

对象与方法

对于预防感染,医学生起着关键作用:其一,由于在医院进行床边教学,医学生有感染结核病的风险。其二,大学培训结束后,期望他们能够诊断结核病。以下研究分析了德国医学生(n = 278)结核病发病率和死亡率的发生率估计。

结果

显而易见,医学生在结核病知识方面仍存在差距。他们低估了结核病的发病率,高估了结核病的死亡率。

结论

该研究表明对相关健康问题存在误解,这可能归因于德国医学院校的学习情况。医学生需要更多关于包括结核病在内的传染病流行病学的信息和咨询。

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本文引用的文献

1
[Assessing the risk of HIV infection in the clinic and daily environment by medical students].医学生评估临床及日常环境中的HIV感染风险
Z Arztl Fortbild (Jena). 1996 Jun;90(4):321-4.
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Surveillance of tuberculosis in Europe. Working Group of the World Health Organization (WHO) and the European Region of the International Union Against Tuberculosis and Lung Disease (IUATLD) for uniform reporting on tuberculosis cases.
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Outbreak of tuberculosis among regular patrons of a neighborhood bar.社区酒吧常客中结核病的暴发。
N Engl J Med. 1995 Jul 27;333(4):222-7. doi: 10.1056/NEJM199507273330404.
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