ABSTRACT
The article deals with the analysis of 94 cases of tuberculosis among students of Krasnoyarsk state medical university in 1987-2010. The characteristics of disease structure and the outcomes of treatment are established The importance of mandatoty annual fluorography of students as a group with higher risk of tuberculosis infection is proved The tuberculin sensitivity and tuberculosis mycobacteria contamination of students of curative and pediatric faculties are examined. It is demonstrated that teaching in medical university is to be considered as a risk factor of primary tuberculosis infection with consequent development of disease. The proposal was made to organize a specific prevention (BCG revaccination) for medical universities students especially during the period of epidemiologic troubles.
Subject(s)
Mycobacterium tuberculosis/isolation & purification , Students, Medical/statistics & numerical data , Tuberculosis/prevention & control , Adult , BCG Vaccine/therapeutic use , Female , Humans , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Male , Russia/epidemiology , Treatment Outcome , Tuberculosis/therapy , Universities/statistics & numerical dataABSTRACT
The occupational pattern and clinical characteristics of 587 medical workers detected as having tuberculosis over 13 years in the Krasnoyarsk Territory are analyzed. The distinctive features of the pattern of clinical forms of a tuberculous process and its characteristics have been identified in the medical workers as compared with nonmedical workers and regional differences have been also revealed. The reasons are shown for higher tuberculosis morbidity in physicians. There is evidence for the leading role of exogenous superinfection and its nosocomial pattern in the development of tuberculosis in medical workers. Pitfalls associated with the fact that the administrators of therapeutic-and-prophylactic and medical facilities exercise lax control over regular fluorographic studies of medical workers have been established in the organization of active tuberculosis detection. The findings are as a basis for developing a new guideline for the detection and prevention of tuberculosis in medical workers under the established epidemic situation.
Subject(s)
Tuberculosis, Pulmonary/diagnosis , Tuberculosis, Pulmonary/physiopathology , Adolescent , Adult , Age of Onset , Catchment Area, Health , Demography , Female , Health Personnel/statistics & numerical data , Humans , Male , Middle Aged , Occupational Diseases/epidemiology , Prevalence , Russia/epidemiology , Tuberculosis, Pulmonary/epidemiologyABSTRACT
A total of 199 cases of tuberculosis were analyzed in medical workers. The age-sex-specific, professional and clinical structure of patients is presented. The predictors of the disease are revealed. In the present poor tuberculosis epidemiological situation, all those engaged in the public health care are noted to be at risk for this disease. A scheme of preventive measures is proposed.
Subject(s)
Health Personnel/statistics & numerical data , Students, Medical/statistics & numerical data , Tuberculosis, Pulmonary/epidemiology , Adult , Catchment Area, Health , Female , Humans , Male , Middle Aged , Russia/epidemiologySubject(s)
Tuberculosis, Pulmonary/epidemiology , Adolescent , Adult , Age Factors , Aged , Female , Fluoroscopy/statistics & numerical data , Humans , Male , Mass Chest X-Ray/statistics & numerical data , Middle Aged , Rural Population , Sex Factors , Siberia/epidemiology , Socioeconomic Factors , Tuberculosis, Pulmonary/diagnosis , Tuberculosis, Pulmonary/prevention & control , Urban Population/statistics & numerical dataABSTRACT
The majority of the in-patients with respiratory tuberculosis were men aged 50 or younger. Those of working age, in particular, mainly had an adverse clinical pattern of tuberculosis. Underlying diseases were also observed more frequently among the male inpatients. The course of tuberculous process much depends on the family well-being and atmosphere working and everyday life conditions as well as lifestyle.