Evaluation of the Tuberculosis Infection Control Training Center, Tajikistan, 2014-2015.

SETTING: Training center on tuberculosis (TB) infection control (IC) for health care workers in the Central Asian Republics region. OBJECTIVE: To assess the effects of TB IC training courses conducted at the Tuberculosis Infection Control Training Center in Machiton, Tajikistan. DESIGN: Participants who participated in training (n = 89) during the first year of operation (April 2014-February 2015) were invited to participate in a post-training interview. RESULTS: Of the 89 participants, 84 (94%) completed the interview and expressed satisfaction with the training. Eighty (95%) participants reported meeting with workplace leadership to discuss the training. Of these, 69 (85%) reported discussing changes required to meet TB IC standards. Self-reported changes in TB IC practices at work facilities post training included the creation of TB IC committees, designation of a TB IC focal person, TB IC planning, policies to separate infectious patients in waiting rooms, provision of masks for infectious patients, development of cough etiquette policies, improved glove availability, hand hygiene programs, and TB IC posters in waiting rooms. CONCLUSIONS: Participant satisfaction and reported changes in TB IC activities illustrate the potential of these training courses to improve TB IC in the region. Future training courses may be tailored to specific audiences using a structured conceptual framework to impact administration, budgeting, and facilities management of TB IC practices.

[Basocellular carcinoma--experience with surgical therapy]. / Bazocelulární karcinom--zkusenosti s chirurgickou lécbou.

The authors present a characteristic of the most frequent skin tumour-basilioma and discuss its problems from the aspect of surgical treatment. They evaluate a group of 181 patients with basioliomas. For treatment in all instances surgical excision was used which is preferred because it is a one-stage procedure and makes histological classification of the tumour possible. Alternative therapeutic methods such as cryodestruction, actinotherapy and local cytostatics were not used in the described group of patients. Treatment of basiliomas by surgical excision proved reliable and leads in the majority to permanent cure. The percentage of relapses among patients in the described group is comparable with data in the literature. In the conclusion the authors reflect on the probable increased importance of this tumour, which does not threaten life, in conjunction with Czechoslovak demographic data which confirm the "ageing of the population". They emphasize also the necessity of interdisciplinary collaboration in the differential diagnosis of some other skin tumours before a planned surgical operation.