title: [Mortality due to recurrent tuberculosis in the Sverdlovsk Region].
abstract: In 2004 to 2005, recurrent tuberculosis in the structure of tuberculosis mortality averaged 21.6% in the Sverdlovsk Region. Predominantly males (84.0%) aged 45 years or more (62.0%) living in small towns and rural areas (56.9%), mainly the unemployed (97.7%), and ex-prisoners (30.3%) die from recurrent tuberculosis. The bulk of the patients (64.7%) survived less than 1 year after notification of recurrent tuberculosis or a recurrence was revealed only after death. Those who died from recurrent tuberculosis had not asked for a medical aid before its detection (23.1%) or had asked three months or more after the occurrence of significant clinical signs of the disease (34.0%). Refusals to be admitted (16.2%) and treated in the outpatient setting (28.7%) and multiple hospital discharges due to incompliance (20.7%) should be regarded as the main causes of progressive tuberculosis among the contingents of a tuberculosis-controlling service contingents dying from recurrent tuberculosis.
authors.forename: O B
authors.initials: OB
authors.lastname: Nechaeva
authors.forename: E V
authors.initials: EV
authors.lastname: Aref'eva
authors.forename: N V
authors.initials: NV
authors.lastname: Kozhekina
mesh_terms: D002391:Catchment Area, Health; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D015995:Prevalence; D012008:Recurrence; D012426:Russia / Q000453:epidemiology; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology / Q000401:mortality*