当センターにおける外国人結核症患者の臨床的特徴の変遷―８年前との比較ならびに今後の対策に向けて―

• 鈴木 学

  国立国際医療センター呼吸器科

• 放生 雅章

  国立国際医療センター呼吸器科

• 小林 信之

  国立国際医療センター呼吸器科

• 篠原 有香

  国立国際医療センター呼吸器科

• 高崎 仁

  国立国際医療センター呼吸器科

• 吉澤 篤人

  国立国際医療センター呼吸器科

• 杉山 温人

  国立国際医療センター呼吸器科

• 工藤 宏一郎

  国立国際医療センター呼吸器科

• 豊田 恵美子

  独立行政法人国立病院機構 東京病院呼吸器科

書誌事項

タイトル別名

• CLINICAL ANALYSIS ON TUBERCULOSIS CASES AMONG FOREIGNERS IN OUR HOSPITAL
• トウ センター コクリツ コクサイ イリョウ センター ニ オケル ガイコクジン ケッカクショウ カンジャ ノ リンショウテキ トクチョウ ノ ヘンセン 8ネンマエ トノ ヒカク ナラビニ コンゴ ノ タイサク ニ ムケテ
• 8年前との比較ならびに今後の対策に向けて

抄録

[Background] Although the incidence rate in Japan has been decreasing since the declaration of tuberculosis emergency in 1999, the reported tuberculosis cases among foreigners have been increasing year by year (from 5.1% in 2000 to 6% in 2003). As the number of foreign residents in Japan has been increasing every year, tuberculosis cases among them are also expected to increase.<BR>[Purpose] The aim of this s tudy is to investigate and clarify clinical features of recent tuberculosis patients among foreigners.<BR>[Object] Fifty-two cases were analyzed, who were admitted to our hospital because of active tuberculosis from January 2004 to April 2007.<BR>[Results] A mong total 52 cases, male was 29, female 23, and the mean age (SD) of the patients was 31.8 (± 8.8) years old. Their mother countries were China, Republic of Korea and so on. The cavitary lesions were found on chest X-ray in 54%, the drug resistant rate was 8.2%, and the treatment completion rate was 92%.<BR>[Discussion & con clusion] Comparing with reports in the past, almost parameters about tuberculosis control have improved, for example the drug resistant rate was decreased and the treatment completion rate was increased. The promotion of DOTS strategy in Japan might be attributed to the improvement of these parameters. Because more immigrants from the developing countries are expected in near future, not only strengthening current DOTS strategy but also new countermeasures such as QFT-2G and Electronic-Nose Technology should be introduced into tuberculosis control of foreigners living in Japan to decrease tuberculosis incidence and improve treatment outcome by early detection and adherence to treatment.

収録刊行物

• 結核

  結核 83 (10), 661-666, 2008

  一般社団法人 日本結核病学会

キーワード

• 外国人結核
• 発症年齢
• 空洞率
• 薬剤耐性率
• 治療完遂率

詳細情報

• CRID: 1390282679978345472
• NII論文ID: 10025689084
• NII書誌ID: AN00073442
• DOI: 10.11400/kekkaku1923.83.661
• ISSN: 18842410
• ISSN: 00229776
• NDL書誌ID: 9683181
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I9683181
• Web Site: https://search.jamas.or.jp/link/ui/2009005209
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可