[Experience in preventing early treatment discontinuance in patients with tuberculosis in the Kemerovo Region].
By taking into account the revealed reasons for early chemotherapy discontinuance, a package of measures to prevent this phenomenon has been worked out. The package includes improvement of hospital conditions; meticulous monitoring of the consumption of antituberculous drugs; social support of the destitute; creation of motivation for rather prolonged, and continuous chemotherapy via preparation at a tuberculosis patient school; provision of continuity in the treatment between the in- and outpatient stages, a penitentiary medical and civil health care tuberculosis facilities; the use of hospital-replacement technologies, judicial practice of attraction of the bacteria-discharging persons who deliberately avoid treating; and interdepartmental interaction. Introduction of a package of measures to prevent early treatment discontinuance could reduce the proportion of such patients among the first detected ones from 30 to 7% and from 51.9 to 32.8% among the ineffectively treated patients.
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D006801:Humans; D009017:Morbidity / Q000639:trends; D012189:Retrospective Studies; D012307:Risk Factors; D012800:Siberia / Q000453:epidemiology; D016312:Treatment Refusal / Q000706:statistics & numerical data*; D014376:Tuberculosis / Q000453:epidemiology / Q000517:prevention & control*