SITUATION WITH THE RELAPSES OF TUBERCULOSIS IN DIFFERENT COUNTRIES OF THE WORLD

V. . elnyk, V. G. atusevych, I. Novozhylova, L. V. Veselovskyi, I. Bushura, N. Prykhodko
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引用次数: 1

Abstract

Pulmonary tuberculosis relapses (RTB) is an actual problem in the different countries of the world. As evidenced by different foreign authors the epidemic situation with tuberculosis (�B) and its relapses at the beginning of the XXI century remains tense in the world. The characteristics of RTB as a mirror reflect the weak links in realization of anti-tuberculosis measures. Doubtlessly, the cohort of RTB patients keeps TB morbidity and mortality indices high. Treatment failure in a result of low compliance is considered the main factor of high prevalence of RTB. Published results of clinical trials aimed on improvement of diagnostics and treatment indirectly demonstrate some reasons of RTB development after completion of chemotherapy and after surgical treatment of patients. Majority of authors offer separate measures for the improvement of diagnosis, detection and treatment of the patients with R�B. Until now there is neither systematized view on the reasons of nor accepted approaches to RTB prevention. Keywords: pulmonary tuberculosis, relapses, detection, treatment, anti-tuberculosis measures
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世界各国结核病复发情况
肺结核复发是世界各国普遍存在的现实问题。国外学者的研究表明,21世纪初,结核病的流行及其复发在世界范围内仍处于紧张状态。以结核病为例,其特点反映了我国抗结核措施实施的薄弱环节。毫无疑问,RTB患者队列使TB发病率和死亡率指数居高不下。低依从性导致的治疗失败被认为是RTB高患病率的主要因素。已发表的旨在提高诊断和治疗水平的临床试验结果间接揭示了患者化疗完成后和手术治疗后发生RTB的一些原因。大多数作者提出了单独的措施,以提高诊断,检测和治疗患者的R ? B。到目前为止,对RTB预防的原因和公认的方法既没有系统的看法。关键词:肺结核,复发,检测,治疗,抗结核措施
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