Efficiency evaluation of treatment in day hospital as one of tuberculosis control activities in Orel Region
In order to evaluate the efficiency of treatment in day hospital for pulmonary tuberculosis patients the data for 10 years have been analyzed.Materials and methods: epidemiological rates in Orel Region for the last 10 years have been analyzed. Day hospital has been described as a treatment format su...
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2016-04-01
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doaj-dac1877b666b4e3c96cd0dacd583b6a92021-07-28T20:57:43ZrusNEW TERRA Publishing HouseTuberkulez i Bolezni Lëgkih2075-12302542-15062016-04-01944364210.21292/2075-1230-2016-94-4-36-42878Efficiency evaluation of treatment in day hospital as one of tuberculosis control activities in Orel RegionA. V. Belostotskiy0T. Ch. Kasaeva1B. Ya. Kazenny2E. V. Kirianova3I. M. Sechenov First Moscow State Medical UniversityI. M. Sechenov First Moscow State Medical UniversityOrel TB DispensaryOrel TB DispensaryIn order to evaluate the efficiency of treatment in day hospital for pulmonary tuberculosis patients the data for 10 years have been analyzed.Materials and methods: epidemiological rates in Orel Region for the last 10 years have been analyzed. Day hospital has been described as a treatment format substituting the in-patient treatment. Basing of the data of 734 patients registered for treatment in day hospital for 10 years the treatment efficiency has been analyzed.Results. The tendency towards the increase in the number of TB patients receiving treatment in day hospital (from 9.7 to 14.9%), treatment efficiency in day hospital was high: the average rate made 92.0% (the same rate for Orel Region made – 80.2%, p < 0.001) with the low default rate, on the average it made – 1.2% (for Orel Region it made – 2.4%; p = 0.35).The analysis of the other hospital substituting treatment forms detected the decrease in the number of patients receiving treatment in TB treatment rooms and feldscher stations (from 13.0% in 2004 to 3.8% in 2013) which is due to the difficulties in the provision of directly observed treatment in these units. The comprehensive use of the hospital substituting forms with the provision of the daily observation of TB drugs in-take assures high treatment efficiency rates, including in socially marginalized patients which provides the positive impact on the epidemic situation in the region.https://www.tibl-journal.com/jour/article/view/878uberculosisday hospitaltreatment efficiencytreatment organisationdirect observation of tb drugs intakeepidemic situation |
collection |
DOAJ |
language |
Russian |
format |
Article |
sources |
DOAJ |
author |
A. V. Belostotskiy T. Ch. Kasaeva B. Ya. Kazenny E. V. Kirianova |
spellingShingle |
A. V. Belostotskiy T. Ch. Kasaeva B. Ya. Kazenny E. V. Kirianova Efficiency evaluation of treatment in day hospital as one of tuberculosis control activities in Orel Region Tuberkulez i Bolezni Lëgkih uberculosis day hospital treatment efficiency treatment organisation direct observation of tb drugs intake epidemic situation |
author_facet |
A. V. Belostotskiy T. Ch. Kasaeva B. Ya. Kazenny E. V. Kirianova |
author_sort |
A. V. Belostotskiy |
title |
Efficiency evaluation of treatment in day hospital as one of tuberculosis control activities in Orel Region |
title_short |
Efficiency evaluation of treatment in day hospital as one of tuberculosis control activities in Orel Region |
title_full |
Efficiency evaluation of treatment in day hospital as one of tuberculosis control activities in Orel Region |
title_fullStr |
Efficiency evaluation of treatment in day hospital as one of tuberculosis control activities in Orel Region |
title_full_unstemmed |
Efficiency evaluation of treatment in day hospital as one of tuberculosis control activities in Orel Region |
title_sort |
efficiency evaluation of treatment in day hospital as one of tuberculosis control activities in orel region |
publisher |
NEW TERRA Publishing House |
series |
Tuberkulez i Bolezni Lëgkih |
issn |
2075-1230 2542-1506 |
publishDate |
2016-04-01 |
description |
In order to evaluate the efficiency of treatment in day hospital for pulmonary tuberculosis patients the data for 10 years have been analyzed.Materials and methods: epidemiological rates in Orel Region for the last 10 years have been analyzed. Day hospital has been described as a treatment format substituting the in-patient treatment. Basing of the data of 734 patients registered for treatment in day hospital for 10 years the treatment efficiency has been analyzed.Results. The tendency towards the increase in the number of TB patients receiving treatment in day hospital (from 9.7 to 14.9%), treatment efficiency in day hospital was high: the average rate made 92.0% (the same rate for Orel Region made – 80.2%, p < 0.001) with the low default rate, on the average it made – 1.2% (for Orel Region it made – 2.4%; p = 0.35).The analysis of the other hospital substituting treatment forms detected the decrease in the number of patients receiving treatment in TB treatment rooms and feldscher stations (from 13.0% in 2004 to 3.8% in 2013) which is due to the difficulties in the provision of directly observed treatment in these units. The comprehensive use of the hospital substituting forms with the provision of the daily observation of TB drugs in-take assures high treatment efficiency rates, including in socially marginalized patients which provides the positive impact on the epidemic situation in the region. |
topic |
uberculosis day hospital treatment efficiency treatment organisation direct observation of tb drugs intake epidemic situation |
url |
https://www.tibl-journal.com/jour/article/view/878 |
work_keys_str_mv |
AT avbelostotskiy efficiencyevaluationoftreatmentindayhospitalasoneoftuberculosiscontrolactivitiesinorelregion AT tchkasaeva efficiencyevaluationoftreatmentindayhospitalasoneoftuberculosiscontrolactivitiesinorelregion AT byakazenny efficiencyevaluationoftreatmentindayhospitalasoneoftuberculosiscontrolactivitiesinorelregion AT evkirianova efficiencyevaluationoftreatmentindayhospitalasoneoftuberculosiscontrolactivitiesinorelregion |
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1721264220054487040 |