肺結核初回治療例の入院期間別にみた化学療法の効果と受療状況に関する研究 : 短期入院についての考察

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A study was made on 585 originally treated cases of pulmonary tuberculosis to clarify whether the duration of hospitalization influences the effect of chemotherapy and regularity of drug administration after the discharge from the hospital.<BR>The duration of the stay in hospital was divided into the following 5 groups; i. e., less than 3 months, 4 to 6 months, 7 to 9 months, 10 to 12 months and more than 12 months.<BR>There was no significant difference in the rate of radiological improvement according to these 5 groups, and the bacteriological findings were also quite the same at the end of the first as well as the second year, showing only 1 and 2 positive cases, respectively.<BR>As to the regularity of drug administration, cases were divided into the following 4 categories; those received drugs for more than 150 days or 90% during the period of six months (7th to 12th month or 19th to 24th month after starting treatment) were designated as regular drug taking, those received drugs 118 to 149 days or 70 to 89% as slightly irregular, 84 to 117 days or 50 to 69% as irregular, and less than 84 days or 50% as defaulter.<BR>The rate of defaulters after the discharge was higher in cases with shorter hospitalization period, even if it was compared at the period in which the interval from the discharge was equal. The rate of defaulters was higher in the age groups younger than 29 and over 60 than in the age groups 30 to 59. The rate was also higher in minimal cases. It is an urgent and essential problem to improve the status of drug administration in domiciliary treatment, and if this condition is fulfilled, the shortening of the hospitalization period is considered to be quite reasonable.
日本結核病学会の論文

肺結核初回治療例の入院期間別にみた化学療法の効果と受療状況に関する研究 : 短期入院についての考察

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