ABSTRACT
Presents analysis of cases when pulmonary tuberculosis was diagnosed during autopsy by forensic medical experts. Before death the patients were not registered at tuberculosis control centres and were administered no treatment for tuberculosis.
Subject(s)
Tuberculosis, Pulmonary/pathology , Age Factors , Autopsy/statistics & numerical data , Cause of Death , Contact Tracing/statistics & numerical data , Forensic Medicine , Humans , Residence Characteristics , Retrospective Studies , Sex Factors , Siberia/epidemiology , Tuberculosis, Pulmonary/epidemiology , Tuberculosis, Pulmonary/mortalityABSTRACT
Data from an antitubercular hospital in Krasnoyarsk Territory indicate that of 184 autopsy cases with pulmonary tuberculosis in 99 cases no official registration for tuberculosis has been noted and the patients were not treated for this disease. Four of these patients suffered of active forms of tuberculosis.
Subject(s)
Disease Reservoirs , Tuberculosis, Pulmonary/epidemiology , Autopsy/statistics & numerical data , Contact Tracing , Humans , Siberia/epidemiology , Tuberculosis, Pulmonary/mortality , Tuberculosis, Pulmonary/transmissionABSTRACT
The preventive aspect of work aimed at early detection of infected subjects and pulmonary tuberculosis patients comprises fuller and earlier awareness of antituberculosis dispensaries for all cases of active pulmonary tuberculosis detected at autopsy during a forensic medical examination. Detection of this contingent of patients requires constant contact of forensic medical experts, phthisiologists + and physicians of the sanitary-epidemiologic service and general therapeutic establishments, which will enable a reduction of tuberculosis infection spread and risk of pulmonary tuberculosis contamination.
Subject(s)
Community Health Centers/organization & administration , Forensic Medicine , Hospitals, Special/organization & administration , Interinstitutional Relations , Tuberculosis, Pulmonary/prevention & control , Humans , Siberia , Tuberculosis, Pulmonary/pathology , Tuberculosis, Pulmonary/therapyABSTRACT
The problem of diagnosis and course of disseminated tuberculosis was studied in 209 patients at the age from 18 to 29 years. The terms of planned prophylactic fluorographic screening were not observed and as a sequel extensive involvement of the lungs was found more that in 50% of the patients. Young patients show an inadequate towards the severity of the disease, use their own discretion in ceasing treatment. This in the cause of low efficacy.
Subject(s)
Tuberculosis, Pulmonary/diagnostic imaging , Adolescent , Adult , Female , Fluoroscopy , Humans , Lung/diagnostic imaging , Male , Tuberculosis, Pulmonary/epidemiology , Ukraine/epidemiologyABSTRACT
Active pulmonary tuberculosis was revealed in 1.55% of the cases registered in 11042 postmortem certificates representing forensic medical examination material accumulated at the archives for a period of 4 years. 66.35% of the cases had not been registered in a dispensary. Pulmonary tuberculosis was stated as a cause of death in 72.7% and as a concurrent condition in 27.3%. The basic activities of the antituberculosis service is to detect tuberculous infection and to rapidly eradicate its transmission. In addition, a close association and coordinated activities of forensic medical experts, phthisiologists and sanitary-and-epidemiologists will ensure an improvement of the epidemiological situation.
