[Evaluation criteria of antitubercular drugs from microbiological view].

Advances in clinical pharmacology Pub Date : 1977-01-01
D Stur, W Thiel
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Abstract

In the years from 1954 to 74 sensitivity tests with about 12 000 strains of tubercle bacilli isolated from patients have been performed by the serial dilution method. From the results of the tests shown in the table one can see a remarkable shift in the frequency of strains sensitive against the so-called major drugs Streptomycin and INH, whereas only slight variations have occurred with the recent drugs Ethambutol and Rifampicin. The well known change of clinic and epidemiology of tuberculosis in the past two decades is indeed accompanied by changed results of microbiological tests. In conclusion the present chemotherapeutical situation proves much better than in 1954: to-day a more sensitive and even smaller reservoir of mycobacterium tuberculosis is facing twice as much highly effective drugs than formerly.

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[从微生物学角度看抗结核药物评价标准]。
从1954年到1974年,用连续稀释法对从病人身上分离的约12000株结核杆菌进行了敏感性试验。从表中所示的测试结果可以看出,对所谓的主要药物链霉素和INH敏感的菌株的频率发生了显著变化,而对最近的药物乙胺丁醇和利福平只有轻微的变化。众所周知,近二十年来结核病临床和流行病学的变化确实伴随着微生物检测结果的变化。总之,目前的化疗情况证明比1954年好得多:今天,一个更敏感、甚至更小的结核分枝杆菌库面临着比以前多一倍的高效药物。
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