ABSTRACT
Saint Petersburg has been marked by a reduction in the efficiency of Mycobacterium tuberculosis (MBT) detection in the past 5 years. This is suggested by negative changes in the ratio of the rate of detected bacterial isolation to the phase of lung decay in new cases of tuberculosis. This is largely due to the fact that before treatment, clinicians do not fulfil in full measure the regulated requirements for the choice of studies and for the frequency of examinations for MBT. Sampling for microbiological studies is made, by infringing the technological specifications. Highly informative methods for MBT detection are not frequently used in the above cases. This all hampers diagnosis and rational treatment in these patients.
Subject(s)
Mycobacterium tuberculosis/isolation & purification , Sputum/microbiology , Tuberculosis, Pulmonary/microbiology , Bronchoscopy , Diagnosis, Differential , Humans , Prevalence , Radiography, Thoracic , Retrospective Studies , Russia/epidemiology , Tuberculosis, Pulmonary/diagnosis , Tuberculosis, Pulmonary/epidemiologyABSTRACT
The paper deals with organizational measures for detection and treatment of homeless persons with tuberculosis in Saint Petersburg. A total of 1653 homeless tuberculosis patients were followed up in 1991-1997. There was high incidence of tuberculosis in homeless persons (30 detected per 1000 examinees. All agencies, facilities, and services should participate in detecting and treating tuberculosis among homeless subjects. Large-scale solution of this problems requires a package of measures by providing additional funds stipulated by a regional goal-oriented tuberculosis control programme.
Subject(s)
Communicable Disease Control/organization & administration , Ill-Housed Persons , Tuberculosis/prevention & control , Communicable Disease Control/trends , Disease Outbreaks/prevention & control , Humans , Retrospective Studies , Russia/epidemiology , Tuberculosis/epidemiology , Urban PopulationABSTRACT
The paper proposes a variant how to solve the problem of complex automation of the work of antituberculous service by using the concept of building up a multilevel automatic informational and analytical system of antituberculous service at the regional level developed at the regional level. The programme product "statistical phthisiologist AMP" for the lower level of the area (urban) antituberculous dispensary which has been developed within this project is given.
