Studies on the Short Term Hospitalization of Patients with Pulmonary Tuberculosis.
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概要
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A total of 443 patients with pulmonary tuberculosis who were detected by the mass surveyand had had no previous treatment were subjected to the study. The majority of patientswere male and aged between 20 to 40. Of thesepatients, 292 were hospitalized for various period, and they were divided into 3 groups according to the term of hospitalization; namely, 82were hospitalized for 3 months (short term), 108 for 6-8 months (semi-long term) and 102for 9 months or over (long term). Remaining151 cases were treated at out-patient clinic andcontinued to work. Among them, 111 receivedregular treatment and 40 received irregulartreatment. Types of pulmonary lesions at thebeginning of treatment in each group werepresented in Table 5.<BR>Approximately 70% of the hospitalized patients were treated by the triple combinationwith INH, SM and PAS, and on the contrary, 70-80% of the cases treated at out-patientclinic from the beginning or after dischargefrom the hospital were administered INH andPAS. After discharge from the hospital, 25were followed up for 8-12 months, and 267 for1-2 years.<BR>As shown in Fig. 2, at 1 and half year afterstarting chemotherapy, the rate of radiologicalimprovement was 97.1% in long term hospitalization group, 90.7% in semi-long term hospitalization group, 85.4% in short term hospitalizationgroup, 70.3% in regular ambulatory group and42.5% in irregular ambulatory group. Difference in the results obtained in these 5 groups issupposed to be explained by the difference inchemotherapy regimen in these groups. Althoughthe rate of radiological improvement in shortterm hospitalization group was lower than thatin long term hospitalization group during hospitalization, the rate of deterioration after dischargefrom the hospital was nearly equal in bothgroups. The result of treatment in short termhospitalization group seemed to be superior tothat in ambulatory group, and moreover, thenumber of cases dropped on the way of treatmentwas less in short term hospitalization groupfollowed by chemotherapy conducted at outpatient clinic than in cases treated at out-patientclinic from the beginning of treatment.<BR>From the above mentioned results, it can beconcluded as follows: As it is difficult to administer triple combination therapy using INH, SM and PAS for patients treated at out-patientclinic and continued to work, it is advisable totreat all cases newly detected by the masssurvey under long term hospitalization, and ifit is impossible, short term hospitalizationfollowed by chemotherapy at out-patient clinicis recommended to improve the results oftreatment.
- 一般社団法人 日本結核病学会の論文
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関連論文
- Studies on the Short Term Hospitalization of Patients with Pulmonary Tuberculosis. (The Second Report).
- Studies on the Short Term Hospitalization of Patients with Pulmonary Tuberculosis.