Sturm W, Wattky I M
Z Erkr Atmungsorgane. 1976 Apr;145(1):75-82.
In some countries extensive research is carried out on preventing tuberculous disease by administration of INH. In GDR since about 1960 chemopreventive measures were taken in cases of silicosis and silicotuberculosis too. More than 2000 patients of the Magdeburg Pneumoconiosis Center were followed-up from 1960 to 1969. The high risk of tuberculous disease of 21% in the group of silicosis patients without administration of INH could be reduced to 14% after preventive administration of INH. However, such clear effects were observed only under optimal conditions, that is sufficient dosage, duration and reliability of treatment. On the base of these results and other publications patients with silicosis with and without tuberculous residues should be included into the programmes of preventive chemotherapy of the chest clinics.
在一些国家,人们对通过服用异烟肼预防结核病进行了广泛研究。在民主德国,自1960年左右起,针对矽肺和矽肺结核病例也采取了化学预防措施。1960年至1969年期间,马格德堡尘肺病中心对2000多名患者进行了随访。未服用异烟肼的矽肺患者患结核病的高风险率为21%,预防性服用异烟肼后可降至14%。然而,只有在最佳条件下,即足够的剂量、疗程和治疗可靠性,才能观察到如此明显的效果。基于这些结果和其他出版物,有或无结核残留的矽肺患者都应纳入胸科诊所的预防性化疗计划。