初始耐药肺结核调查分析

Survery and Research of Pulmonary Tuberculosis was Tolerated Originally in Xinyi city

目的掌握信宜市肺结核病人初始耐药疫情,分析耐药的原因,制定预防对策。方法以胸片、痰涂片诊断为肺结核的初治患者为对象,进行结核菌培养,阳性者做链霉素(S)、异烟肼(I)、利福平(R)、乙胺丁醇(E)四种药敏试验。结果共检测188例,初始耐药62例,占32.98%。其中耐1种药物51例,占耐药总数的82.26%;耐2种以上药物11例,占耐药总数的17.74%。41～50岁为耐药最高峰,四种耐药次序为I>R>S>E。结论信宜市耐药肺结核疫情相当严峻,应进一步分析耐药原因,探讨预防对策。

Objective Analyze the reason of tolerating for grasping epidemic situation of patients of pulmonary tuberculosis was tolerated originally in Xinyi city ,so we＇re going to work out the ways of preventing. Methods First patients of pulmonary tuberculosis as the target was diagnosed with X - ray and sputum＇ s glass slice, to begin to cultivate tuberculosis bacterium. If it is a masculine patient ,it will be given the test of sensitive medicine ,such as,S,I, R,E of the four kinds of medicine. Results Examine 188 case altogether . The patients was tolerated originally are 62 case,8 include to tolerate one kind of medicine are 51 case,to tolerate two kinds of medicine or even more are 11 case. Conclusions The most peakest of tolerating are from the age of 4 to the age of 50. The four kinds of medicine was tolerated ,in turn is I 〉 R 〉 S 〉 E.