[The efficacy of the ambulatory treatment of patients with newly detected pulmonary tuberculosis].
Scientific rationale has been provided for the fact that new cases of pulmonary tuberculosis can be successfully treated in the outpatient setting. The paper suggests that the pattern of a tuberculous process and the patient's socioeconomic status and education level should be taken into account while choosing a treatment regimen. Indications, contraindications, necessary conditions for outpatient treatment are defined. General recommendations how to use an antibacterial treatment regimen and its methods are given. The efficiency of outpatient and inpatient treatment regimens is compared in the matched groups of patients and the advantages of treatment in the outpatient setting are noted. Treatment in the outpatient setting shows a 2-fold decrease in the likelihood of preschedule discontinuation of the basic course of antibacterial therapy as compared to that in a 24-o'clock hospital, a 2.4-fold reduction in the length of temporary disability and it can also decrease the basic course of antibacterial therapy by 1.5-2.5 months. With this, its therapeutical efficiency does not drop.
Bogadel'nikova
I V
IV
Sagalovich
V Ia
VIa
Perel'man
M I
MI
D000041:Absenteeism; D000553:Ambulatory Care / Q000706:statistics & numerical data; D000995:Antitubercular Agents / Q000009:adverse effects / Q000627:therapeutic use*; D000075202:Contraindications; D003631:Day Care, Medical / Q000706:statistics & numerical data; D004359:Drug Therapy, Combination; D006801:Humans; D012426:Russia; D013997:Time Factors; D014375:Tuberculoma / Q000188:drug therapy / Q000382:microbiology; D014391:Tuberculosis, Miliary / Q000188:drug therapy / Q000382:microbiology; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy* / Q000382:microbiology; D014505:Urban Population
D000995:Antitubercular Agents