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目的:评价土耳其Afyon地区医师诊断及治疗结核病的方法。材料及方法:由208名医师(46名专科医师和162名全科执业医师)填写有关结核病的调查表。结果:医师中以细菌学检查为首选诊断方法者占75％(n=156)。对于新诊断的患者,64.4％的医师采用三药联用方案,30.8％采用四药联用。联合用药最常选用的是HRE(36.5％)。首选疗程为9个月(38.5％)和6个月(34.6％)。对于治疗失败患者的处理,20.2％的医师是在原有方案上增加一种新药, 而65.4％的医师则建议将患者转诊到结核病专科单位处理。对于儿童结核病的治疗,38.5％的医师认为两药方案就足够了。对于孕期结核病,9.7％的医师认为应该在产后治疗,而11.5％的医师则认为应该在终止妊娠后进行治疗。结论:医师关于结核病诊断和治疗的知识不足。为医师提供额外的教育资源可以为促进结核病控制工作做出贡献。
Objective: To evaluate physicians’ diagnosis and treatment of tuberculosis in Afyon, Turkey. Materials and Methods: A questionnaire on TB was completed by 208 physicians (46 specialists and 162 general practitioners). Results: Among the physicians, 75% were diagnosed by bacteriological examination (n = 156). For newly diagnosed patients, 64.4% of the physicians used the triple-drug regimen and 30.8% used the four drugs. The most commonly used combination is HRE (36.5%). The preferred course of treatment was 9 months (38.5%) and 6 months (34.6%). For treatment failure patients, 20.2% of the physicians added a new drug to the original plan, while 65.4% of the physicians recommended referral to the TB unit for treatment. For the treatment of childhood tuberculosis, 38.5% of physicians considered the two-drug regimen sufficient. For TB during pregnancy, 9.7% of physicians believe it should be treated postnatal and 11.5% think it should be done after termination of pregnancy. CONCLUSIONS: Physicians lack knowledge about the diagnosis and treatment of tuberculosis. Providing physicians with additional educational resources can contribute to tuberculosis control efforts.