Research Article| Volume 50, ISSUE 3, P255, July 1956

Impressions of chemotherapy in the out-patient treatment of pulmonary tuberculosis in Singapore

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      780 sputum-positive cases of pulmonary tuberculosis are described with regard to their broad outcome following a course of streptomycin, combined with either INAH or PAS. All cases completed a course of streptomycin between March 1952 and May 1954. With the exception of a very few cases who received some of their earlier treatment at home, all 780 cases attended the clinic for out-patient treatment.
      Attention is drawn to the number of cases who eventually required some form of collapse treatment (56·3 per cent) and to the fact that only 108 cases (13·8 per cent.) could eventually be extracted for some assessment of the effects of chemotherapy.
      In these 108 cases, the results of chemotherapy are described. The view is expressed that out-patient chemotherapy is remarkably successful in the treatment of pulmonary tuberculosis in the Chinese of this Colony, and that it is fully justified as one method of attack on the existing problem.
      Emphasis is given to the way in which the 4×5 inch photo-fluorograph has been used extensively not only for diagnosis but also for the institution and control of treatment in pulmonary tuberculosis. The belief is expressed that this film has been outstandingly efficient during the five years of its use in this way. A plea is made for its wider application and trial in tuberculosis work.
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