Features of the medico-social help to adolescents in the conditions of tuberculosis sanatorium

Autor: M. E. Losovskaya, Vasiliy I. Orel, G. G. Karasev, V. V. Bykova
Rok vydání: 2019
Předmět:
Zdroj: Russian Pediatric Journal. 19:92-96
ISSN: 2413-2918
1560-9561
DOI: 10.18821/1560-9561-2016-19-2-92-96
Popis: Introduction. One of the most important problems of modern health care is the problem ofprevalence of tuberculosis, especially among children and adolescents. Despite of the improvement of an epidemic situation on tuberculosis in Russia, indices in our country are still significantly worse, than in countries of the Western Europe. Materials and methods. There are presented data of the analysis of official reports concerning the activity of the tuberculosis sanatorium for 24 years (1991-2014), retrospective data of following up teenagers aged from 15 to 18 years in various years, results of sociological survey of teenagers and their families. Results. During mentioned period the portion of patients with tuberculosis of intrathoracic lymph nodes and primary tuberculosis complex decreased by 1,7 times and 2,5 times correspondingly, but at that, the share of an infiltrative form sharply increased by 6,6 times. The number ofpatients from foci of a tuberculosis infection increased. As a result of the differentiated approach to each patient in combination with specific and senatorial methods of management, educational and pedagogical work in the sanatorium, in most of cases there was succeeded to achieve of clinical recovery as a result of the accomplishment of a basic course of management. Conclusion. Development of medical and organizational measures on optimization of therapeutic and rehabilitation processes in a tuberculosis sanatorium should be implemented on the basis of a comprehensive approach with taking into account not only the course of the disease, but also in dependence on the social and epidemiological characteristics.
Databáze: OpenAIRE
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