Some economic aspects of tuberculosis control in Algeria.
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Biomedical subjects
Publications and source records attributed to P Chaulet.
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401 double serum samples from 0 to 14 year old children with acute respiratory diseases (ARD) were analysed in view to establish the viral etiology. 198 (49.4%) out of the 401 were positive. The syncytial respiratory virus (SRV) was the most frequent (29.8%) among the positives, followed by the parainfluenzae virus type 3 (24.7), the influenza A virus (23.7%), the parainfluenzae type 1 (8.5%), the influenza B (7%) and the parainfluenza type 2 (2%). Seven samples out of 109 were positive for adenovirus. The SRV infections were very frequent before one year of age and after six. The parainfluenza virus type 3 was found mostly during the second year of life and was different in this from the types 1 and 2 prevalent after the age of six. The SRV is responsible for subglottic ARD (73%), as well as the parainfluenza virus type 3 (68.5%), the influenza virus types A (69%) and B (61.5%). On the contrary, the parainfluenza viruses types 1 (70%) and 2 (67%) attacked especially the upper respiratory tract. Studies were also worked out on the effects of season, sex, antibiotherapy, as well as on the viruses most incriminated in hospitalization.
A survey concerning the out come of the pulmonary tuberculosis treatment has been carried out in algeria. 11 districts were concerned. Patients received treatment in sanitary centers from January to March 1977. Smears were done before any treatment and after 12 months cure; Ziehl-Neelsen staining was performed at the local laboratory and sputum samples were sent to the central laboratory for fluorescence examination and culture. Positives cultures were tested to antituberculosis drugs. Bacteriological results obtained before and after 12 months treatment are reported.
The preliminary bacteriological results of a survey carried out in the Sahara desert and concerning antituberculosis treatment are reported. Two regimens were compared ; a twelve-months regimen SHE/HE and six months regimen RHEZ/RH. Out of 370 patients admitted in one year, 292 had a positive smear, whereas 40 had not any bacteriological proof. 275 strains were isolated and 205 were tested to antituberculosis drugs; 15% showed a resistance to a least one drug. The 15% rate was in fact very different from one sanitary district to another. The search for INH metabolites in the urines of patients before treatment showed 67 positive cases out of 341. The follow up was carried out at the 5th, 6th, 9th and 12th month after admission, smears and cultures of sputum and detection of INH metabolites in urines were used.
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