TUBERCULOSIS AND ALCOHOLISM - PARTIAL SOLUTION THROUGH DETECTION
TUBERCULOSIS AND ALCOHOLISM - PARTIAL SOLUTION THROUGH DETECTION
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DOI：
10.1378/chest.73.2.183
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发表时间：
1978-01-01
期刊：
影响因子：
9.6
通讯作者：
MAETZ, HM
中科院分区：
文献类型：
--
作者：
BAILEY, WC;SELLERS, CA;MAETZ, HM
酒精中毒和肺结核经常并存，这种组合的患者治疗失败的频率最高。现在有几种耐人寻味的替代标准门诊化疗的方法。在美国新奥尔良和阿拉巴马州伯明翰的公共卫生诊所，简短的MAST访谈(密歇根酒精中毒筛查测试的缩写版本)有效地识别了酒精中毒，得分分别表明酒精中毒患者的人数为25%和28%。这项测试可以在不中断诊所常规的情况下进行。酒精性肺结核患者治疗不充分的问题严重而普遍，在大多数地方都没有得到很好的处理。在第一次接触时确定潜在的问题患者将最有助于选择特殊形式的治疗方案，包括在随后的治疗失败之前开始的短期和有监督的治疗。
Alcoholism and tuberculosis often coexist, and patients with this combination have the most frequent therapy failures. Several intriguing alternatives to standard outpatient chemotherapy are now available. The brief MAST interview (a shortened version of the Michigan Alcoholism Screening Test) was effective in identifying alcoholism in public health clinics for tuberculosis in New Orleans and Birmingham, Alabama, USA with scores indicating populations of alcoholic patients of 25 and 28%, respectively. The test could be administered without interrupting the routine of the clinic. The problem of inadequate therapy in the alcoholic patient with tuberculosis is significant and widespread and is not being handled well is most places. Identification of the potential problem patient at first contact would be most helpful in choosing candidates for specialized forms of therapy, including short-term and supervised treatment, begun before failure of therapy ensues.