Situation with pulmonary tuberculosis relapses: look of the Ukrainian scientists

V. Melnyk, V. Matusevych, I. Novozhylova, L. Veselovsky, O. Tarasenko, I. Bushura, A. Prykhodko
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Abstract

BACKGROUND. Despite the decline of incidence and mortality from tuberculosis (ТB) in Ukraine, the incidence of the pulmonary TB relapses (RTB) remains high. Description of them is an original mirror that represents weak links in realization of antituberculosis measures (ATBM). OBJECTIVE. To summarize an achievement and define complicated questions in relation to the estimation of the real state with RTB in Ukraine, determination of reasons of their origin with the aim of overcoming of TB. MATERIALS AND METHODS. Generalization, analysis and synthesis of scientific publications of the Ukrainian scientists in the last few years. RESULTS AND DISCUSSION. The following problems were detected: a lack of funding of ATBM; a concealment of frequency of RTB from the wide circle of public; absence of near-term in realization of ATBM depending on their profitability and efficiency. Clinical researches in relation to RTB, that is mainly touch upon to diagnosis and development of charts of treatment of patients with RTB, are certain especially, some reasons of RTB are side considered. CONCLUSIONS. Basic directions of scientific researches it is been determination of features of clinical flow of RTB, study of especially clinical reasons of their origin. Presently there is not an integral picture in relation to reasons of origin and organization of warning of RTB. It is however not revealed the all-embracing, systematized reasons of origin of RTB, without that it is impossible to develop organizational measures in relation to their warning with the aim of liquidation of TB according to strategy of WHO – End TB.
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肺结核复发的情况:乌克兰科学家的看法
背景。尽管乌克兰结核病的发病率和死亡率有所下降(ТB),但肺结核复发(RTB)的发病率仍然很高。它们的描述是反映抗结核措施(ATBM)实现中的薄弱环节的原始镜像。目标。总结一项成就并定义与乌克兰RTB实际状态估计有关的复杂问题,确定其起源的原因,目的是克服结核病。材料和方法。概括、分析和综合过去几年乌克兰科学家的科学出版物。结果和讨论。发现了下列问题:ATBM缺乏资金;向广大公众隐瞒RTB的发病频率;短期内无法实现ATBM,这取决于他们的盈利能力和效率。临床对RTB的研究主要集中在RTB的诊断和治疗图表的制定上,特别是对RTB的一些原因进行了侧面的思考。结论。科学研究的基本方向是确定RTB的临床血流特征,特别是其发病的临床原因的研究。目前,对RTB的发病原因和预警组织还没有一个完整的认识。然而,它没有揭示包罗万象的、系统化的结核起源原因,没有这些原因,就不可能根据世卫组织-终止结核战略制定与结核警告有关的组织措施,以消灭结核。
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