Проблема туберкулеза в Уральском регионе в 2007 году

• Main Authors: Golubev, D. N., Podgaeva, V. A., Chernyayev, I. A., Chernyh, A. U., Kostousova, E. V., Vladimirov, A. V., Голубев, Д. Н., Подгаева, В. А., Черняев, И. А., Черных, А. Ю., Костоусова, Е. В., Владимиров, А. В.
• Format: Article in Journal/Newspaper
• Language: Russian
• Published: ООО «Уральский Центр Медицинской и Фармацевтической Информации» 2008
• Subjects: EPIDEMIOLOGY OF TUBERCULOSIS; ANTI-TUBERCULOSIS ACTIVITIES; MONITORING OF TUBERCULOSIS; ЭПИДЕМИОЛОГИЯ ТУБЕРКУЛЕЗА; ПРОТИВОТУБЕРКУЛЕЗНАЯ РАБОТА; МОНИТОРИНГ ТУБЕРКУЛЕЗА; khanty
• Online Access: http://elib.usma.ru/handle/usma/18645

The aim of that study was to detect the main trends of indicators of tuberculosis (TB) epidemiology and results of the activities of anti-tuberculosis services (ATBS) in the Ural region in 2007. Methods. The traditional methods of descriptional and analytical epidemiology for information gathering and analysis of epidemiological situation were used, due to actual methodical base. The statistical analysis was done for TB epidemiology indicators and the activity results of ATBS in 11 territories that are under supervision of the URIPP, included in the Ural (Kurgan, Sverdlovsk, Tuymen, Chelaybinsk region, Khanty-Mansyisk and Yamalo-Nenetsky autonomic districts) and Privolzhky (Republics of Bashkortostan and Udmurtia, Permskij kraj, Kirov and Orenburg regions) Federal districts. The data from the State statistic report system and the results of own investigation made during supervision visits were used. Summary. The main indicators of TB epidemiology and activity results of ATBS are still at high levels and there are increasing trends detected for them. The clinical structure is outbalanceв by uncared-for, large extended and complicated cases of TB. The fraction of multi — drug resistant cases is increasing in the structure of TB, which related with characteristic of TB epidemiology, permanently improving quality of bacteriological diagnostics and random reaching standard of treatment. The level of TB approved by bacteriology is low, because of quality control system absence, lack of maintenance and suboptimal personnel pre-training. Low effectiveness of TB treatment related insufficient control in directly observed treatment and not keeping the standards of treatment. Increasing level of substantiate use of individualized TB treatment regimens was detected on the background of incomplete coverage the group of new TB cases by standard regimens of chemotherapy. The supervision activities of regional TB research institute has much reserves and have to be aimed for monitoring of TB epidemiology, activities results of ...