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背景:Butimba监狱中的病人均被送至湖区的Bugando医学中心的一所中心医院住院治疗。 目的:确定犯人中传染性(涂阳)肺结核病人和其它类型结核病人的传染程度。 设计:本文选取1994年1月至1997年12月间登记的501例犯人结核病痛例进行回顾性队列分析。 结果:本研究中开放性结核病比例高,有204例(40.7％)涂片阳性,多数结核病病人有合并感染;感染HIV/AIDS病的比例占25.9％,确诊时的平均狱龄达19个月。 结论:狱中犯人住院的开放性涂阳肺结核病人的比例高。为防止犯人中发生更多的结核病,急需对这一特殊人群采取干预措施。
Background. All patients in Butimba Prison were admitted to a central hospital in Bugando Medical Center in the Lake District. Purpose: To determine the extent of contagious (smear positive) tuberculosis and other types of TB among prisoners. Design: This retrospective cohort study of 501 cases of tuberculosis reported in prisons between January 1994 and December 1997 was conducted. Results: In our study, there was a high proportion of open TB, 204 (40.7%) were smear positive, and most of TB patients were co-infected. The proportion of HIV / AIDS was 25.9%, and the average age at diagnosis was 19 months . Conclusion: Prisoners are hospitalized with a high percentage of open smear-positive TB cases. To prevent more tuberculosis from occurring in prisoners, there is an urgent need to intervene in this particular population.