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Towards Understanding Tuberculosis-Related Issues in North Korea: A Narrative Review of North Korean Literature

Authors
 Chang Jun Lee  ;  Sungwhan Lee  ;  Hee Jin Kim  ;  Young Ae Kang 
Citation
 TUBERCULOSIS AND RESPIRATORY DISEASES, Vol.83(3) : 201-210, 2020-07 
Journal Title
TUBERCULOSIS AND RESPIRATORY DISEASES
ISSN
 1738-3536 
Issue Date
2020-07
Keywords
Democratic People's Republic of Korea ; Review ; Tuberculosis
Abstract
Background: North Korea is one of the 30 countries with the highest tuberculosis (TB) and drug-resistant TB burdened. To understand the medical issues and research trends associated with TB in North Korea, we performed a comprehensive review of articles related to clinical and laboratory research on TB published in North Korean medical journals.

Methods: We reviewed all types of TB-related articles published in nine North Korean medical journals (Yebang ŭihak: Preventive medicine; Koryo ŭihak: Korea Medicine; Choson ŭihak: Chosun Medicine; Naekwa: Internal Medicine; Soa, sanbuinkwa: Pediatrics, Obstetrics, and Gynecology, Surgery; Ŭihak: Medicine; Kich'o ŭihak: Basic Medicine; and Choson yakhak: Chosun Pharmacy). We classified the articles according to the type and field of study and analyzed the data qualitatively to gain insights.

Results: We reviewed 106 articles (one- or two-page length) written in Korean, including reviews (n=43), original articles (n=52), and case reports (n=8). They were classified as follows: articles on diagnosis (n=52, 49%) and treatment (n=39, 37%). None of the studies investigated the commercialized molecular diagnosis systems such as Xpert MTB/RIF. Directly Observed Treatment, Short-course was reported as the basic treatment approach. Furthermore, six studies used Korean traditional medicines for treating TB, with one of them containing snake venom.

Conclusion: The articles were not sufficiently detailed. Original articles on the treatment of multi-drug resistant TB were not found, and those on latent tuberculosis infection and nontuberculous mycobacteria were limited. To understand the current medical issues associated with TB in North Korea, articles from these nine journals were not sufficient.
Files in This Item:
T202002628.pdf Download
DOI
10.4046/trd.2019.0070
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Young Ae(강영애) ORCID logo https://orcid.org/0000-0002-7783-5271
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/179544
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