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題名 | 北部某結核病專責防治醫院結核菌檢驗技術及抗菌性結核菌分析=Evaluation of Laboratory Diagnosis of Tuberculosis in Taipei Municipal Chronic Prevention Hospital |
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作者 | 杜鴻運; 周若嬋; 李惠中; 郭金龍; 陶煥龍; 林春嬋; 林碧芬; 林武雄; | 書刊名 | 胸腔醫學 |
卷期 | 14:3 1999.09[民88.09] |
頁次 | 頁104-108 |
分類號 | 415.2773 |
關鍵詞 | 結核病; 抗菌性結核菌; 分枝桿菌; 抗藥性結核菌; Mycobacteria; Culture; Drug resistance; |
語文 | 中文(Chinese) |
中文摘要 | 本院為調查本巿分枝桿菌(Mycobacteria)以及抗藥性結核菌感染情形 進行分析,分析自民國八十七年一月至十二月止,共計有11285件檢體在本院進 行結核菌培養,其中有1050件培養陽性,總陽性率為9.3%,污染率為1.6%。 培養陽性檢體中有729件進行菌種鑑定,其中結核桿菌(Mycobacteria tuberculosis)有671件,佔92%。非典型分枝桿菌有58件,佔8%。而抗藥性 結核菌中具有多重抗藥性者佔12.5%。綜合上述結果,可以發現結核病在本巿感 染情況中抗藥性的情況仍相當嚴重,醫界仍應加強結核病患的管理與治療以提高 完治率 。 |
英文摘要 | In order to evaluate the prevalence of drug resistant Mycobacterium tuberculosis ( M. tuberculosis ) in the Taipei area, we screen the isolate of M.tuberculosis, a total of 1,050 isolate from 11,285 specimens were collected between January, 1998 to December. The percentages of positive culture rate and contamination rate were 9.3% and 1.6%. A total of 1,050 specimens of which 729 were further identified by biochemical test. Out of 729 cultures, 92% were M. tuberculosis and 8% were mycobacterium other than tuberculosis (MOTT). Among the patients, the proportion with resistance to isoniazid and rifampin ( multiple drug resistance, MDR) were relative high, 12.5% in 1998. In this case, we should put an effort to find every TB patient and to provide suitable patient management so that complete chemo-therapy can be ensured. |
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