| Popis: |
The results of the detection and treatment of new pulmonary tuberculosis cases in 2006 were assessed in 15 subjects of the Russian Federation, supervised by the Central Research Institute of Tuberculosis, Russian Academy of Medical Sciences. As compared with 2005, in 2006 the proportion of bacteria-discharging individuals increased among the new cases of pulmonary tuberculosis and ranged from 77.1% in the Oryol Region to 35.2% in the Astrakhan Region. The frequency of multidrug-resistant MBT among the new cases of pulmonary tuberculosis (the expected frequency was 5%) showed a wide scatter and varied from 0.7% in the Republic of Ingushetia to 14.7% in that of Mariy El. The higher and lower percentages of patients receiving an effective course of chemotherapy, as shown by microscopy, were noted in 8 and 7 regions, respectively. Their scatter was 42.4% in the Nizhni Novgorod Region to 81.1% in the Republic of Mordovia. The efficiency of treatment, as evidenced by sputum culture, varied from 46.3% in the Nizhni Novgorod Region to 79.0% in the Republic of Mordovia. More than 3% of those who died from tuberculosis were recorded in 10 regions and more than 5% of those who discontinued a course of chemotherapy before the appointed time were notified in 8 regions. The cavity decay closure rate ranged from 36.3% in the Nizhni Novgorod Region to 52.2% in the Vladimir Region. Quarterly monitoring of the detection and treatment allows a precise registration of identified tuberculosis patients, objective assessment of the results of treatment, elucidation of reasons for ineffective chemotherapy, and corrections of a treatment process. |
