結核患者の家族検診 (第3報) : 患者登録後3年目の実態と患者発生

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As mentioned in the authors previous reports, the detection rate of new tuberculosis patients was high among family contacts of newly registered pulmonary tuberculosis patients. The survey on the family contacts examination was repeated in the third year after the registration of index cases in the same way as in the first and second years. Out of 815 patients newly registered at 12 health centres of Osaka Prefecture during the period from January to June, 1976, 179 were omitted from the registry up to the end of October, 1977. The family members of the remaining 636 patients, 1568 in number, were subjected to the study. During the third year, 289 were examined by the contacts examination, and the attendance rate was 18.4%. Among family members, 377 or 24.0% have not been examined at all during three years after the discovery of index cases. The attendance rate of contacts examination showed marked dif ference according to health centeres (Tables 1 and 2). Two new cases were found during the third year, and among them 1 was found by the contacts examination and another one by symptomatic visit to a clinic. The detection rate of contacts exami nation was 0.3% and the overall detection rate to the total family members was 0.13%. During past three years, altogether 45 cases were found. Comparing the detection rate by the bacteriological status of index case, it was higher among contacts of bacilli positive cases. The detec tion rate was higher during the first and second years, and it fell down in the third year (Table 3). The reasonable way of carrying out family contacts examination will be established after making further follow-up for another one or two years.
日本結核病学会の論文

結核患者の家族検診 (第3報) : 患者登録後3年目の実態と患者発生

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