[Present-day clinical and social characteristics of newly diagnosed patients with pulmonary tuberculosis].
The present clinical and social characteristics of new cases with pulmonary tuberculosis show some features. The clinical characteristics of patients in 1995 to 1997 indicate an increased number of patients with disseminated, frequently bilateral processes and acute tuberculosis which is largely associated with the decline in preventive fluorographic surveys of the population including those who have contacted bacteria-isolating patients. There were 61.3% with pulmonary symptoms among those who visit physicians and 62.1% among those from the foci of tuberculous infection. Social aspects of the study demonstrate that there is a great number of young patients (56.4% of those under 39-49 years) and a high proportion (81.1%) of able-bodied patients among both males and females. There was an increase in the proportion of patients having higher education (43.7%) and a decrease in laboring patients (21.4%). This is most likely to be associated with the fact that many patients did not work by the profession they had been trained. There was a higher proportion (43.0%) of the patients having different poor working conditions and patterns. In these years, the patients' financial position deteriorated. It was slightly better in the employed than in the unemployed. However, in both groups the bulk of the patients had income per head in the family at the subsistence level or lower (56.2 and 21.6% in the unemployed and employed, respectively. These data were assessed by the guidelines made by the State Statistics Committee of the Russian Federation and the RF Ministry of Labour. It should be noted that the nutritional quality did not correspond to the optimal composition ratio of dietary foods and it was characterized by the high content of less valuable foods, carbohydrates, low levels of protein and vitamins. Poor social aspects in characteristics of patients were undoubtedly to be associated with a greater number of patients with severe, frequently progressive forms of tuberculosis although they had received specific chemotherapy.
T A
TA
Khudushina
M G
MG
Maslakova
E P
EP
Voloshina
E F
EF
Serebrov
D000328:Adult; D000367:Age Factors; D004032:Diet; D005260:Female; D006801:Humans; D007182:Income; D008297:Male; D008875:Middle Aged; D009031:Moscow / Q000453:epidemiology; D012737:Sex Factors; D012959:Socioeconomic Factors; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology*
Sovremennaia kliniko-sotsial'naia kharakteristika vpervye vyiavlennykh bol'nykh tuberkulezom legkikh.