著者

山村 淳平 沢田 貴志

出版者

JAPANESE SOCIETY FOR TUBERCULOSIS

雑誌

結核 (ISSN:00229776)

巻号頁・発行日

vol.77, no.10, pp.671-677, 2002-10-15

被引用文献数

4

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最近の3年間に港町診療所で経験した超過滞在外国人の結核症例32例を検討した。対象症例の男女比は2.5: 1で, 各年齢層ではほぼ均等に分布していた。国籍では東アジアおよび東南アジア出身者が全体の87%を占めていた。超過滞在のため健康保険に加入することができず, 医療機関を受診する機会は少なく, 受診の遅れが多くみられた。しかし, 一方では無料結核検診での発見例も22%にみられ, 早期発見には結核検診と医療機関への受診促進の重要性が示唆された。肺外結核は全症例の28%にみられ, 高い比率を示していた。治療成績について, 1990年から1998年までの治療中断率は41%ときわめて高かったが, 今回は12%と減少していた。以下の点を積極的に実施していったことが治療中断率の減少につながったと考える。 (1) 結核予防法の申請による経済負担の軽減, (2) 多言語での対応, (3) 治療開始時の結核についての充分な説明, (4) 厳重な経過観察, (5) 国内外の団体との連携および情報交換。

著者

山村 淳平

出版者

JAPANESE SOCIETY FOR TUBERCULOSIS

雑誌

結核 (ISSN:00229776)

巻号頁・発行日

vol.76, no.1, pp.19-27, 2001-01-15 (Released:2011-05-24)

参考文献数

29

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During the past nine years from 1991 to 1999, Minatomachi Medical Center and other organizations have provided free medical check-ups for foreigners in Kanagawa, Tokyo and Chiba. Eighty-five percent of the total of the 2370 examined were over-staying foreigners who were not covered by national health insurance system. The ratio of male to female was two to one and the most of them were in the twenties and thirties. As for their ethnic origins from forty-three countries, the Filipinos were the largest numbers, followed. by Koreans, Iranians, Bangladeshi, and Chinese/Taiwanese.As a result of chest radiographs, 82 % were normal, 8.3 % mostly normal, 9.6 % tuber culosis shadow (TBS) including active, non active and previous, 0.09 % suspected pneumonia, 0.05 % suspected cardiac disease, and 0.05 % suspected sarcoidosis.The TBS and active tuberculosis (ATB) rates of all examined were 9.6 % and 0.69 % respectively. There was no significant difference in each TBS and ATB rate between the two sexes. Seen from the age group, it was found that the more aged they were, the higher the TBS and the ATB rates were. The TBS and the ATB rates were 24.6 % and 2.73% in the Koreans, 10.7 % and 0 % in the Chinese/Taiwanese, 10.2 % and 0.65 % in the Filipinos, 11.3 % and 1.44 % in the South-East Asians, 6.3 % and 0.25 % in the South Asians, 2.3 % and 0 % in the Iranians, 3.7 % and 0 % in the sub-Saharan Africans, 8.5 % and 0.61 % in the Latin Americans, and 0 % and 0 % in the Europeans/North Americans.Based on a presumed ATB rate of 0.75 %, approximately two thousand cases with ATB could be calculated to exist among the estimated 270000 over-staying foreigners. It is, therefore, important to give them more frequent medical check-ups for early detection of latent cases with ATB.