The results of differentiated formation and rational examination of genitourinary tuberculosis risk groups in Stavropol Territory
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Keywords

ТУБЕРКУЛЕЗ ПОЧКИ, TUBERCULOSIS, ЗАБОЛЕВАЕМОСТЬ, РАННЕЕ ВЫЯВЛЕНИЕ, EARLY DETECTION, KIDNEY DISEASE

Abstract

We studied the principles of risk groups formation and level of their inspection, basic epidemiological trends of tuberculosis of the urinary organs (TMPO) in Stavropol Territory from 2001 to 2012. Assessed the effectiveness of arrangements in general health hospitals, introduced in2006 to ensure timely detection TMPO. 1st (control) group consisted of 245 patients with newly diagnosed TMPO in the period 2001-2006, 2nd (main) group - 348 patients TMPO registrated from 2007 to 2012. It was established that due to lower the overall incidence of tuberculosis with 56,1±1,3 per 100 thousand in the control group to50,9±2,3 per 100 thousand in the main group, there was a significant (p <0,05) increase in the incidence TMPO in the main group when there was conducted the research of his active identification with 1,51±0,11 to 2,14±0,06 per 100 thousand, that reflects the true epidemiological situation in the province. In the TMPO structure of the control group prevailed destructive forms. The average value of the kidneys cavernous tuberculosis index in group 1 ( n =157) 16,8±1,3, in the 2nd group decreased to 9,3±1,28 (p <0,05). As a result of active work on early detection both indicators of small and non-destructive forms TMPO: tuberculosis of the renal parenchyma( n =47) with 1,8±0,47 to 6,0±0,37 and the average value of tuberculous papillita ( n =277 ) with 17,2±1,78 to 29,0±1,03 (p <0,05) grew. Also in the main group was significantly (p<0,05) recorded growth of the indicators of sexual tuberculosis ( n =112) with 5,0±1,3, when the detection of TB reproductive system was relatively low, up to13,7±0,33. This shows the success of mass screening and early detection of disease.

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