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481例肺结核患者原始耐药监测 被引量:17

Surveillance of primary resistance in 481 cases of pulmonary tuberculosis
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摘要 目的了解河南省结核分支杆菌原始耐药情况,制定科学的防治对策。方法采用WHO制定的结核分支杆菌耐药监测方案开展河南省结核分支杆菌耐药监测,使用比例法对481例新发现无抗结核用药史的菌阳肺结核患者的耐药性进行测定。结果各药的原始耐药率分别为:H22.7%,R15.8%,522.7%,E7.7%;原始耐多药率分别为:HR2.3%,HRS5.0%,HRE0.4%,HRS5.4%。结论河南省结核分支杆菌原始耐药现状严重,实施抗结核药统一管理、全程督导化疗(DOTs)势在必行。 To understand the primary resistance of Mycobacterium tuberculosis in Henan province,and to make scientific prophylactic and treatment strategies Methods Drug resistance surveillance (DRS) was implemented in Henan province according to WHO/IUATLD Guidelines for Surveillance of Drug Resistance in Tuberculosis (1994), and proportional method was used to detect primary resistance in 481 new cases ofbacillus-positive pulmonary tuberculosis without history of anti-tuberculosis drug use.Results The primary drugresistance(PDR) rates were 22.7% , 15.8%, 22.7% and 7.7% for INH, RFP, SM and EMB,respectively.The primaxy multi-drug resistance (MDR) rates were 2.3%, 5.0%, 0.4% and 5.4% for HR, HRS, HRE and HRSE, respectively,Conclusions The resuits show that the problem of primary resistance of Mycobacterium tuberculosis is serious in Henan province,and uniform management of anti-tuberculosis drugs and implementation of DOTs are needed.
出处 《中华结核和呼吸杂志》 CAS CSCD 北大核心 1999年第6期362-363,共2页 Chinese Journal of Tuberculosis and Respiratory Diseases
关键词 肺结核 药物疗法 抗药性 监测 Mycobacterium tuberculosis Drug resistance Surveillance
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