Organization of work with children and adolescents in the outbreaks of tuberculosis infection
https://doi.org/10.34215/1609-1175-2021-2-80-83
Abstract
Objective: Highlighting main tendencies of organization of works with children and adolescents in the outbreaks of tuberculosis infection.
Methods: Retrospective analysis of the federal and industrial statistical reports (Forms 33 and 8) in Leningrad region from 2017 to 2019 was conducted.
Results: The majority of children (85.7 %) having tuberculosis got infected inside the outbreaks formed by people who had already been infected – smear-positive. In 50 % of cases in smear-positive outbreaks multiple and broad drug resistance of the pathogen was detected. In every 5th case tuberculosis was accompanied with HIVinfection, also there was a registered death of tuberculosis patient. Tuberculosis affected children 7.7 years old on average in case the average length of the contact was 2.8 years before the moment of diagnosing the disease.
Conclusions: Such negative factors as HIV coinfection and pathogen drug resistance worsen epidemiological process in case of tuberculosis and change clinical structure of the disease among children and adolescents. These factors influence the effectiveness of the treatment and tuberculosis prognosis for infection source. It is important to take them into consideration when conducting a range of prevention activities in the outbreaks of the disease.
About the Author
N. A. BarminaRussian Federation
MD, PhD
20 Lenina St., Slanchi, 188650, Russian Federation
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Review
For citations:
Barmina N.A. Organization of work with children and adolescents in the outbreaks of tuberculosis infection. Pacific Medical Journal. 2021;(2):80-83. (In Russ.) https://doi.org/10.34215/1609-1175-2021-2-80-83