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頁籤選單縮合
題 名 | Antituberculosis Drug Resistance in Keelung Area--1993 to 1994=基隆地區結核治療藥物的抗藥性--1993至1994 |
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作 者 | 花仲涇; 張良慈; 游騰仁; 李寧; 謝文斌; | 書刊名 | 長庚醫學 |
卷 期 | 19:2 1996.06[民85.06] |
頁 次 | 頁107-114 |
分類號 | 418.2219 |
關鍵詞 | 結核桿菌; 抗藥性; 多重抗藥結核桿菌; Mycobacterium tuberculosis; Drug resistance; Multidrug-resistant tuberculosis; |
語 文 | 英文(English) |
中文摘要 | 從1993至1994,176個結核桿菌(Mycobacterium tuberculosis)分離株的抗藥性型態被回溯性地研究。對isoniazid (INH),rifampicin (RIF),ethambutol (EMB)和streptomycin有抗藥性的比例分別是84.1%、17.6%、23.3%和11.9%,而多重抗藥結核桿菌的發生率為17.0%。比較1993和1994年,對RIF有抗藥性的比例從25%下降至7.5%,對EMB有刺藥性的比例從36.5%下降至7.5%,多重抗藥結核桿菌的發生率則從25%下降至7.5%。相反地,對INH有抗藥性的比例從79.2%上昇至84.1%。由於我們醫院歐分離的結核桿菌有多重抗藥性的比例很高,現行使用的三合一抗結核桿菌處方(INH+RIF+EMB)可能對四分之一來本院求診的病人無效。以前有治療過的病人被發弄有較高比例的抗藥性。另外胸部X光的分期較嚴重者被發現得到多重抗藥結核桿菌的感染有較高比例。本研究所提供的資料可以幫助我們了解基隆地區結核病的流行情況和修正對病人的治療。 |
英文摘要 | Patterns of drug resistance of 176 isolates of Mycobacterium tuberculosis collected from 1993 to 1994 were revivewed retrospectively. The rates of resistance to isoniazid, rifampicin, ethambutol and streptomycin were 84.1%, 17.6% 23.3% and 11.9% respectively and the incidence of multidrug-resistant M. tuercuosis was 17.0%. Comparisons between 1993 and 1994 showed decrease in rates of resistance of isoniazid increased from 79.2% to 84.1%. Due to the high frequency of resistance to multiple drugs in tuberculosis isolates at Chang Gung Memorial Hospital, Keelung, three-combined (isoniazid+rifampicin+eithambutol) regimen of antituberculosis drugs may be ineffective as initial therapy for one-fourth of patients in our hospital. Of epidemiological factors, previous treatment was found to influence the rates of drug resistance. Of roentgenographic features, stage of chest roentgenoraphy was found to be a positive predictor of infection with multidrug-resistant tuberculosis. The information provided in this study may help us understanding the epidemiology of M. tuberculosis is Keelung and refining antituberculosis treatment for our patients. |
本系統中英文摘要資訊取自各篇刊載內容。