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Articolul urmator |
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SM ISO690:2012 SHAJI, Sruthi Anisha. Povara tuberculozei în contextul politicilor de sănătate în India. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 100. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Rezumat | ||||||
Background. Despite newer modalities for diagnosis and treatment of tuberculosis (TB), eliminating its burden remains a distant goal globally. TB represents a major public health problem in India with the largest number of TB cases in the world. Objective of the study. To analyse the epidemiological aspect of TB in India and its risk factors in the context of the current public health policies aimed at reducing its burden in the country. Material and Methods. A systematic review of the published articles was done with criteria as: 1) English language; 2) the 2001–2019 period of the publication; 3) 10 and more citations of article. Various biomedical databases such as PubMed, NCBI to assess risk factors were used. Incidence and mortality rates were analyzed using official data of IndiaStat and MOSPI. Results. Incidence rate of TB has come down from 288 in 2001 to 199 per 100.000 in 2018. The mortality rate has decreased from 80 in 2001 to 32 per 100.000 in 2018. Along with well-established risk factors (such as human immunodeficiency virus, malnutrition), emerging variables such as diabetes, indoor air pollution, alcohol, immunosuppressive drugs also play a significant role. Socioeconomic and behavioral factors increase the susceptibility to infection. The large-scale implementation of the Indian government’s programmes provide free laboratory services and has introduced all six oral LfxREZ regimen for H mono/poly patients. Conclusion. A collaborative effort is in progress to improve primary health care (PHC) in rural areas. Major challenges are poor PHC infrastructure, irrational use of antiTB drugs, multidrug-resistant TB and above all, corruption. |
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Cuvinte-cheie India, tuberculosis, incidence, mortality, ndia, tuberculoza, incidenţă, mortalitatea |
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