Viskum K, Kok-Jensen A
Lungemedicinsk klinik, Rigshospitalet, København.
Ugeskr Laeger. 1998 May 18;160(21):3066-9.
Infections with multiresistant tubercle bacilli have also become a problem in the rich part of the world. The reasons are lack of compliance in patients with life style problems and ineffectiveness of the health system due to lack of fundings. During a four year period, 1993-1996 ten patients were seen in Denmark with tuberculosis due to multiresistant Mycobacterium tuberculosis. Nine were infected abroad, one developed MDR-TB during treatment in Denmark. It is possible to cure these patients, but it is expensive and takes a long time. In the future more cases created within Denmark are likely to be seen due to lack of funding for the tuberculosis programme and, depending on immigration, further cases created abroad are expected.
多重耐药结核杆菌感染在世界富裕地区也已成为一个问题。原因在于存在生活方式问题的患者依从性差,以及卫生系统因缺乏资金而效率低下。在1993年至1996年的四年期间,丹麦有10名患者因多重耐药结核分枝杆菌感染患结核病。其中9人在国外感染,1人在丹麦接受治疗期间患上耐多药结核病。治愈这些患者是有可能的,但费用高昂且耗时长久。未来,由于结核病防治项目缺乏资金,丹麦国内可能会出现更多此类病例,而且根据移民情况,预计还会有更多在国外感染的病例。