论文部分内容阅读
背景:象牙海岸布瓦凯省监狱的劳改营目的:确定布瓦凯省监狱劳改营中涂片阳性肺结核病的临床、放射学和治疗的特点方法:本研究包括从未经过治疗的108例痰涂片阳性肺结核病人。推荐对所有病人采用为期6个月的三联化学疗法。结果:在所研究的监犯中,痰涂片阳性肺结核发病率非高(5.8％)。大多数病例结核感染还并发有营养不良(75％)。贫血(70％)和皮肤病(64％)。有30％的病例有HIV感染,50％的病例嗜烟酒。70％的病例X线片上可见广泛病损。为期6个月的治疗方案是有效的:108例中有80例(74.1％)治愈,占完成治疗的99.6％。然而,死亡率也是令人吃惊地占了24％,即每4例病人中有1例死亡。坐牢的主要原因是偷窃(73％)。结论:需进行另一些流行病学研究以确认促使结核病在此非常特殊的环境中从感染到发病的因素,并改善监犯的社会-卫生条件。
Background: The camp for labor camps in Bouaké Prison, Ivory Coast Aims: To determine the clinical, radiological and therapeutic characteristics of smear-positive tuberculosis in the prison camp in Bouaké Provincial Methodology: This study included 108 untreated sputum Smear-positive tuberculosis patients. It is recommended that all patients receive triple chemotherapy for 6 months. Results: The incidence of sputum smear-positive tuberculosis was not high among the inmates investigated (5.8%). Tuberculosis infection is also complicated by malnutrition (75%) in most cases. Anemia (70%) and skin disorders (64%). 30% of cases have HIV infection, 50% of cases of alcohol abuse. In 70% of the cases, extensive lesions were seen on the radiographs. A six-month treatment regimen was effective: 80 of 108 (74.1%) were cured, accounting for 99.6% of completed treatment. However, the rate of death was surprisingly 24%, ie 1 in 4 patients died. The main reason for jail time is theft (73%). Conclusion: Other epidemiological studies are needed to confirm the factors that contribute to the onset of TB in this very special environment and to improve the socio-health conditions of prisoners.