全入院初回治療肺結核患者の2カ年間の追跡成績
国療化研第14次研究
1977 年 52 巻 8 号 p. 377-383
詳細
1977 年 52 巻 8 号 p. 377-383
This report is concerned with two year's follow up of all the originally treated cases, 848 in number, admitted to 70 national sanatoria during the period from Sep. to Dec., 1970.
The background factors of patients were as follows: Sex; male 71%, female 29%, Age; under 40 59%, from 41 to 60 24%, over 61 17%, NTA classification ; far adv. 27%, mod. adv. 56%, minimal 17%, and Culture positivity 64%.
At the end of 12 months, 23% of patients were discharged after improvement, 21% were discharged against doctor's advice, 1.2% were dead, 5.0% were operated and 50% were stayed in sanatoria without operation; and at the end of 24 months, the proportion was 47%, 31%, 1.7%, 6.1% and 14%, respectively. 32% of patients classified as far advanced at the time of admission were stayed in sanatoria at the end of 24 months.
Average length of stay from the time of reaching to the target point to discharge were 7 months. The period of hospitalization was unnecessarily long and the tendency of long-term hospitalization was more marked in smaller sanatoria than larger sanatoria.
Many sanatoria can carry out surgical operation, but operations were performed frequently only in a few sanatoria.
There were many cases who received inadequate chemotherapy such as excessive drug combination for minimal cases or the continuous use of drugs which were became resistant.
