Segregation of tuberculosis patients by social, demografic and economic features on the model of Chsinau city and the role of community support
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616.24-002.5(478-21) (1)
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LESNIK, Evelina, PALADI, Carmina, NIGULYANU, Adriana, CIUBOTARU, Viorica, SÎRBU, Petru, KUROCHKIN, G. S.. Segregation of tuberculosis patients by social, demografic and economic features on the model of Chsinau city and the role of community support. In: Curierul Medical, 2016, nr. 4(59), pp. 11-17. ISSN 1875-0666.
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Curierul Medical
Numărul 4(59) / 2016 / ISSN 1875-0666

Segregation of tuberculosis patients by social, demografic and economic features on the model of Chsinau city and the role of community support
CZU: 616.24-002.5(478-21)

Pag. 11-17

Lesnik Evelina1, Paladi Carmina2, Nigulyanu Adriana1, Ciubotaru Viorica3, Sîrbu Petru4, Kurochkin G. S.1
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 PMSI Municipal Clinical Hospital of Phthisiopneumology,
3 Territorial Medical Association Botanica,
4 MTA Buiucani Public Health Medical Institution
 
Proiecte:
 
Disponibil în IBN: 8 noiembrie 2016


Rezumat

Background: One of the most important actions in tuberculosis control represents the improvement of social and economic conditions, as well as nutrition, hygiene, housing and working state of the population. Commission on Social determinants of Health suggests to all tuberculosis burden countries, especially targeting research sector, governments and academia institutions to implement health-oriented interventions, as being the most powerful potential efforts in tuberculosis control. The aim of the study was the segregation of tuberculosis patients according to the social, demographic and economic characteristics revealed at the regional level in Chisinau city for identifying target groups for improving the earlier case-detection. Material and methods: 185 pulmonary tuberculosis patients diagnosed in the period 01.01.2015-31.12.2015 in Chisinau city were investigated. Results: While segregating new cases of pulmonary tuberculosis there were identified several high risk groups for active disease: social risk groups with specific features – uninsured, unemployed, living in poor conditions; groups with suppressing medical conditions; epidemiologically endangered groups – homeless, migrants and contacts with tuberculosis patients; persons with harmful habits (alcohol abusers, injection drug users). Due to enumerated risk factors it was identified that one half of patients were late detected as being microscopic positive for acid-fast-bacilli that presented the highest epidemiological danger. Conclusions: Social and community support must take into account the segregation of TB patients method for improving awareness, education and information of high risk groups and specific groups for tuberculosis.

Cuvinte-cheie
tuberculosis, social determinants,

risk groups