[在俄罗斯引入世界卫生组织结核病控制规划的试验区分析结核分枝杆菌的耐药性]。

Problemy tuberkuleza Pub Date : 2002-01-01
E V Sevast'ianova, M V Shul'gina, V A Puzanov, L P Martynova, V I Golyshevskaia, V V Erokhin
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引用次数: 0

摘要

只有采用标准的实验室程序和统一的标准耐药测定方法,并对该试验的性能进行强制性的外部质量控制,才能获得结核分枝杆菌耐药的真实数据。俄罗斯医学科学院结核病中央研究所(CRIT)的研究人员在俄罗斯一些地区开展的监督活动包括方法标准化及其实施质量控制,使他们能够发现和纠正耐药性测试中的主要错误。在这方面,这使得CRIT研究人员在调查的地区记录了结核分枝杆菌对基本抗结核药物的真实耐药水平。通过对上述地区结核分枝杆菌耐药数据的分析,得出结论:2000年是结核分枝杆菌初级耐药率较高的一年;在对肺结核耐药性进行研究的所有新发和既往病例中,近四分之一是携带至少对一种抗结核药物具有耐药性的结核分枝杆菌。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Analyzing the drug resistance of Mycobacterium tuberculosis in Russia's experimental areas introducing the WHO tuberculosis control programme].

The authentic data on the drug resistance of Mycobacterium tuberculosis can be obtained only provided that standard laboratory procedures and the unified standardized method for determining the resistance are used along with a compulsory outside quality control over the performance of this test. The supervisory activities of the researchers of the Central Research Institute of Tuberculosis (CRIT), Russian Academy of Medical Sciences, made in some regions of Russia included standardization of methods and their implementation quality control allowed them to reveal and to correct main errors in drug resistance testing. In this connection, this made it to record the true level of M. tuberculosis resistance to essential antituberculous agents in the areas investigated by the researchers of CRIT. Analyzing the data on the drug resistance of M. tuberculosis in the above areas leads to the conclusion that 2000 was marked by rather high rates of primary drug resistance; nearly a fourth of all new and prior cases of pulmonary tuberculosis studied for its drug resistance were carriers of a M. tuberculosis resistant to at least one antituberculous agent.

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