Cilt 11 / No: 9 - 10 / Eylül - Ekim 1998

PREFACE
Günseli Kılınç Yılmaz

TÜBERKÜLOZ EPİDEMİYOLOJİSİ
Tuncay Çağlar, Muzaffer Eskiocak

TÜBERKÜLOZ PATOGENEZİ
Mustafa Yaman

TÜBERKÜLOZ İMMÜNOLOJİSİ
Müjdat Başaran

TÜBERKÜLOZDA MİKROBİYOLOJİK TANI
Aykut Köroğlu

TANI VE TEDAVİ KRİTERLERİ
Benan Çağlayan

BCG AŞISI
Sema Umut

TÜBERKÜLİN TESTİ
Bilun Gemicioğlu

ÇOCUKLARDA PRİMER TÜBERKÜLOZ
Haluk Çokuğraş

ERİŞKİN TİPİ AKCİĞER TÜBERKÜLOZU (POST PRİMER TÜBERKÜLOZ)
Veysel Yılmaz

ERİŞKİN TÜBERKÜLOZUNDA RADYOLOJİK BULGULAR
Mehmet Sait Albayram, Canan Akman

EKSTRAPULMONER TÜBERKÜLOZ
Özlen Tümer

TEDAVİ
Günseli Kılınç Yılmaz

TÜBERKÜLOZ İLAÇLARININ FARMAKOLOJİ ÖZELLİKLERİ
Günseli Kılınç Yılmaz

ÇOK İLACA DİRENÇLİ TÜBERKÜLOZ
Serdar Erturan

TÜBERKÜLOZDA İLAÇLA KORUNMA
Günay Aydın Tosun

TÜBERKÜLOZDA DİREKT GÖZETİM ALTINDA TEDAVİ
Bülent Tutluoğlu

PLÖROPULMONER TÜBERKÜLOZDA CERRAHİ
Muharrem Çelik

MİLİYER TÜBERKÜLOZ
Tunçalp Demir

ATİPİK MİKOBAKTERİ İNFEKSİYONLARI
Tülin Yılmaz Kuyucu



PREFACE
Günseli Kılınç Yılmaz

Tuberculosis (TB)is an ancient disease that has long been a major public health problem. Although a highly effective treatment exists, TB still kills nearly two to three million people each year. The main reason for this paradox seems to be the low political priority in TBcontrol especially in poor countries. The World Health Organization-recommended TBtreatment strategy-DOTS(Directly Observed Treatment, Short-Course)-has proven successful in every part of the world and is considered to be a cost-effective intervention. The elements of DOTS strategy are political will, reliable diagnosis using microscopes, an adequate drug supply, health and community workers or trained volunteers observing patients swallowing their medicines, and a system of recording and reporting patients’ progress.
The following TBfacts reported by WHO put into forth how alarming the situation is:
* TB kills more youth and adults than any other infectious disease.
* This year, two to three million people will die of TB.
* At least one person is newly infected with TBevery second.
* Someone dies of TB every 10 second.
* One perfect of the world’s population is infected with TBeach year.
* One-third of the world’s population is infected with the TBbacillus.
* Left untreated, a person with active TBcan infect between 10 and 15 people in one year.
* Like the common cold, TB spreads though the air when infectious people cough, talk or sneeze.
* Up to 50 million people may be infected with drug-resistant TB.
* There is no cure affordable to developing countries for some multidrug-resistant strains.
This issue of “Klinik Gelişim” has been dedicated to this very important health problem and I hope the topics chosen will draw the attention of not only the pulmonary physicians but all the specialties.