The effectiveness of treatment of TB-patients with multidrugresistant tuberculosis in the penitentiary facilities in Russia

Abstract

Improvement of the epidemiological situation of tuberculosis in the Russian penitentiary system prevents the lack of efficacy of treatment of MDR-TB. Of 664 cases taken for treatment at 20 regions in 2010 was the successful treatment of 258 - 38.9%, failure of treatment 129 - 19.4%, default 115 - 17.3%, transferred 122 - 18.4%, died 22 -3.3%. The high proportion of failures is likely due to defective drug susceptibility testing. The high proportion of default and transferred was due to defective adherence of patients to treatment. Low lethality of patients is associated with early detection and treatment controlled. Prospects for improving the effectiveness of treatment of MDR-TB are associated with increased coverage and quality of drug susceptibility testing, the improvement of psychological work with prisoners.