[Results of introduction of extended WHO program for detection and treatment of patients with tuberculosis of the respiratory organs].
Data on 283 new cases of tuberculosis receiving an intensive course of controlled, short-term, and WHO-standardized chemotherapy were studied. Mycobacteria tuberculosis were detected in 71.4% of patients by bacterioscopy, predominantly in tuberculosis dispensaries. In the general health care facilities, fluorography remains to be the method of choice in detecting tuberculosis. The factors increasing a risk for tuberculosis were established in most (71.7%) patients, social disorientation being most common. After the intensive stage of treatment, sputum smear conversion was achieved in 87.2% of the patients. Before the end of treatment, the majority of patients (72%) subsequently quitted a follow-up for these and those reasons. After completion of maintenance therapy, recovery was achieved in 81% without taking into account the patients with sputum smear conversion but with remaining decay cavity. The poor course and recurrences were encountered mainly in socially disoriented persons or in the presence of other risk factors, in compliance, and preserved caverns after termination of chemotherapy. A number of recommendations are made.
Il'ina
T Ia
TIa
Zhangireev
A A
AA
Perzadaeva
K A
KA
Sidorenko
O A
OA
D000293:Adolescent; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D010349:Patient Compliance; D012307:Risk Factors; D012426:Russia; D012959:Socioeconomic Factors; D014376:Tuberculosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy; D014944:World Health Organization
D000995:Antitubercular Agents