Fluorography as a way to control the spread of tuberculosis infection
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Keywords

ФЛЮОРОГРАФИЯ, ВПЕРВЫЕ ВЫЯВЛЕННЫЕ БОЛЬНЫЕ ТУБЕРКУЛЕЗОМ, ГРУППЫ РИСКА ПО ТУБЕРКУЛЕЗУ, RISK GROUPS FOR TB, FLUOROSCOPY, NEW TB CASES

Abstract

During analysis of medical records of 1362 patients with newly diagnosed tuberculosis it was found that by passing the annual fluorography the highest frequen- cy of bacterial isolation (41,1%) and destruction (408%) is registred among patients with medical and biological risk factors for tuberculosis (I monitoring group). Among the population with social risk factors for tuberculosis (II group) share of the identified infectious tuberculosis if the annual fluorography is 35.2%, destructive forms -35.6% (p>0.05). Among new TB cases, non-risk groups (III study group), with an annual examination, bacterial ex- cretion and decay recorded in 25.0 and 22.9%, respective- ly (p<0.05 compared with I group).The incidence of newly diagnosed cases of tuberculo- sis smear and decay phase steadily increased among all population groups in proportion to the reduction in the multiplicity of fluorography examination. If the last term of fluoroscopy over 3 years ago, their share in group I was62.5 and 59.3%; in group II - 59.3 and 53.1%; group III -55.6 and 48.1% respectively, that was significantly more compared with the annual passage of x-rays (p<0.05). The findings confirm the need for a thorough enforcement of existing regulations controlling fluorography examina- tion «at-risk» and a healthy population.

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