ABSTRACT
The paper presents a model of laboratory service in implementing a complex program aimed at detecting and treating patients with tuberculosis in the Tomsk Region. Organizational, methodological, and managerial measures to set up bacteriological stations and a main (reference) laboratory for microbiological sputum study in Tomsk, intensification of this work at all clinical-and-diagnostic laboratories of general health care facilities have improved the quality of the whole system detecting bacterial isolators and ensured a close organizational and methodological interaction between the therapeutic-and-diagnostic institutions of the general medical system and tuberculosis-controlling service.
Subject(s)
Health Services , Laboratories/organization & administration , Sputum/microbiology , Tuberculosis, Pulmonary/epidemiology , Algorithms , Bacteriological Techniques , Communicable Disease Control/organization & administration , Drug Resistance, Bacterial , Humans , Mass Screening/organization & administration , Quality of Health Care/organization & administration , Siberia/epidemiology , Tuberculosis, Pulmonary/diagnosis , Tuberculosis, Pulmonary/drug therapyABSTRACT
A new procedure has been developed for prevention of early postresectional complications and for clinical rehabilitation of patients with tuberculosis after surgical interventions. The procedure is based on a 13-14-day course of regional and systemic physiotherapy applied to a patient's respiratory organs and chest after surgery in a certain order with the use of tuberculostatic agents. Regional physiotherapy includes local massage of the root of the contralateral operated lung with a light vibromassage apparatus; systemic physiotherapy involves electric vibroacupressure of the whole circumference of the chest with a special device. Early postresection complications were significantly less frequently observed in the study group (n = 60) than in the control group (n = 50) (p < 0.01). The procedure reduces the likelihood of development of a number of pleuropulmonary events (atelectasis, non-specific pneumonia, residual postresection pleural cavity, bronchial fistulas) and promotes functional rehabilitation in patients.
