May get tuberculosis too after hitting vaccine Diagnose that there are more difficulties in early days

May get tuberculosis too after hitting vaccine Diagnose that there are more difficulties in early days
Have already been ignored tuberculosis for nearly 20 years by the mankind and nowadays already become the first leading killer in all infectious diseases. According to statistical data of Ministry of Public Health of June of 2006: Number of the infected and death toll of pulmonary tuberculosis all occupy the first place of A class-B infectious disease of our country. 550 million people have been infected with the tuberculosis fungus in our country, tuberculosis will happen to 10% people among them.
There are 5 million pulmonary tuberculosis patients in the whole country, accounts for 1/4 of the global patient's total number, rank the second in the world, the infective pulmonary tuberculosis patient 2 million among them, able to bear medicine rate 28.1% initially, it is 41.1% to continue and take place and is able to bear medicine rate, the production able to bear tuberculosis of nature has already become the greatest difficult problem of tuberculosis treatment at present.

According to the introduction of expert, inoculate vaccine of tuberculosis - -Bacillus Calmette-Guerin is not immune all the life. Main function of Bacillus Calmette-Guerin lie in its reduce children suffer from the intersection of millet and grains of the intersection of sex and pulmonary tuberculosis, tuberculosis meningitis serious the intersection of crux and nuclear probability greatly, but the persons who can't guarantee to inoculate do not suffer from tuberculosis all the life. Bacillus Calmette-Guerin can play a role in protecting to person who inoculate in the intersection of children and issue, protect ability to be much weaker to adult, some people can not absolutely guarantee to have no chance with the tuberculosis fungus to infect from then on after inoculating, so tuberculosis is still comparatively prevailing so far, even there is tendency of resuming.
In case of not having valid vaccine, find that becomes more important to infect the source. The wide way of clinical centre ginger of tuberculosis of chest hospital of Beijing has been calculated than the account for everybody: The discovery rate of tuberculosis of our country is 70%, the cure rate can be more than 85%, if has found 100 new patients, 15 people among them are not cured, everybody will infect 15 people, 225 people are infected like this, 10% people among them will have illness coming on, will increase 23 patients newly in this way. So, find the tuberculosis patient, it is very important to block and spread again.
Tuberculosis is diagnosed actually still there are a great deal of difficult problems at present. China Center for Disease Prevention and Control country joins thinking more than chief of the office Dr. Zhao YanLin of the experiment mainly three reasons cause. First of all, tuberculosis get up disease to be slow, a lot of people cough odd can go to the hospital at once, less people will go to the tuberculosis dispensary directly; Second, tuberculosis have specific clinical manifestation, even if it is one old expert that find the intersection of patient and the intersection of chest and block while having shade, do not dare to make a definite diagnosis of it tuberculosis at once either; In addition, of our country tuberculosis diagnose technology to be relatively relatively backward, the way in which the slide trained has been continued to use for many years, has scarcely progressed more or less over the past 50 years, advanced technology either too expensive, or need training professional personnel, it is very difficult to popularize opening, it is relatively difficult to cause the discovery of the tuberculosis patient of our country.
As to this, Tianjin expert of Center for Disease Prevention and Control propose, must improve tuberculosis of general hospital, diagnose ability, could guarantee the diagnosis in early days of tuberculosis. Patient seek medical advice, will choose general hospital first usually, but because tuberculosis of general hospital diagnose experience to be less, doctor draw, check in the form can include for the intersection of breathing problem and patient tuberculosis check seldomming, and the doctors of a lot of large hospitals connect with the ordinary slide and is trained and can not all do well, so has delayed the patient's definite diagnosis.
Other, the diagnostic standard of our tuberculosis is based on slide, have expert think standard need, upgrade, until advanced diagnostic method popularize and apply.
It is low to well paid, bear countries and regions recommend, adopt the intersection of cultivation and technology and the intersection of medicine and sensitive test method of liquid carry on the intersection of branch and bacillus examine for World Health Organization to begin 2007 Examine, will put out it about the quick policy guide that tests of Line two medicine medicine of branch bacillus of tuberculosis again in 2008, in order to make more tuberculosis patients diagnosed in time and treated.
|