About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow ╣3 2014 (37) arrow Historical and organizational aspects of treatment efficacy of tuberculosis patients in the Russian Federation
Historical and organizational aspects of treatment efficacy of tuberculosis patients in the Russian Federation Print
Tuesday, 15 July 2014

S.A. Sterlikov
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow

Abstract. Low efficacy of treatment of tuberculosis patients in the Russian Federation prevents the rapid decline in tuberculosis incidence rates. To find ways for improving treatment efficacy it is necessary to examine organizational problems that lead to low efficacy and identify ways for improvement.

The aim of the study is to assess dynamics in TB treatment outcomes and reasons for low efficacy based on the use of new international definitions and to identify regions with best organizational models for TB treatment.

Materials and data. Analysis of TB Form #8 ôData on outcomes of courses of chemotherapy for pulmonary TBö for 2010-2013. Standard methods of statistical data processing were used.

Results. Efficacy of treatment of both all new pulmonary tuberculosis cases and the cohort of smear-positive cases with preserved sensitivity to isoniazid and rifampicin in 2010-2013 remained almost unchanged. In 2013 the treatment efficacy added up to 72.0 and 64.2% respectively. Percent of treatment failures remained stable (7.8 and 10.8% respectively). Decreased share of patients with chemotherapy default is balanced by increased share of transferred patients. The structure of mortality is marked by an increasing share of patients who died not from tuberculosis. Best organizational practices implemented in the regions of the Russian Federation can be effective (79.2%) to treat new smear-positive cases.

Conclusion. During the past four years no significant progress was made in control over chemotherapy and laboratory diagnosis of tuberculosis. Increased share of patients who died not from tuberculosis, can lead to the situation when decrease in mortality due to improved measures aimed at early TB detection cannot offset the increase in mortality of those patients from other causes. 16 regions that can serve as the organizational model for TB treatment were identified.

Keywords: tuberculosis; efficacy of sanatorium treatment; efficacy of collapsotherapy; efficacy of chemotherapy of tuberculosis; new definitions and tuberculosis reporting; organization of treatment of TB patients.


  1. Analytical review on tuberculosis in the RF for 2004: characteristics of epidemic process and TB control service. Moscow. 2006. 55 p. (In Russia).
  2. Kibrik B.S., Khayutina E.S. Management of pulmonary tuberculosis patients. Moscow: the Ministry of Health of the USSR; 1981. 94 p. (In Russia).
  3. Magnitskiy V.A. Epidemiology of tuberculosis and provision for increasing the efficiency of TB care to the population of the RSFSR at the present stage. Specific features of epidemiology and organization of TB control in recent times. Moscow: Moscow Research Institute for Tuberculosis; 1984. P. 10-15. (In Russia).
  4. On enactment of record and report documentation on TB monitoring: the Order of the Ministry of Health of the Russian Federation of 2004 February 13, ╣ 50. Tver': Triada; 2004. 48 p. (In Russia).
  5. Mikhaylova L.A., Bogorodskaya E.M., Punga V.V., Son I.M., Skachkova E.I., Belilovskiy E.M., et al. Certain explanations on completing record and report documentation approved by the Order of the Ministry of Health of 2004 February 13, ╣ 50 ôOn enactment of record and report documentation on TB monitoringö: Information Letter of 2008 December 19. Moscow. 2008. 10 p. (In Russia).
  6. Branch indicators of TB control in 2011-2012.[Internet] [cited 2014 Mar 13]. Available from: http://www.mednet.ru/images/stories/files/CMT/tb_otr_pok_2011_2012.pdf (in Russia).
  7. Program on TB eradication in the RSFSR as an essential health care problem in 1977-1990. Moscow: Ministry of Health of the USSR; 1977. 67 p. (In Russia).
  8. Statistical data on TB control in the RSFSR. Moscow: Moscow Research Institute for Tuberculosis; 1972. 240 p. (In Russia).
  9. Sterlikov S.A., Bogorodskaya E.M. Gordina A.V. The risk of errors with application of GenexpertSystem for a patient indicated for MDR TB department and chemotherapy treatment on regime 4. In:öModern organization technologies in providing TB care to populationö: Inter-regional Scientific and Practical Conference with international participation, Conference Proceedings, Belgorod, 13-14 September 2012. Belgorod: ź Belgorod ╗ Ltd; 2012. P. 49-50. (In Russia).
  10. Sterlikov S.A., Son I.M., Nechaeva O.B. Methodic for calculating branch indicators of registration, diagnosis and efficiency of TB patients management. Menedzher zdravookhraneniya 2013(11):23-33. (In Russia).
  11. Taran D.V. Experience in realization of the program of health and social care to TB patients from the viewpoint of non-profit humanitarian organization. Meditsinskiy al'yans 2013 (3): 69-72. (In Russia).
  12. Shestopal A. Nutrition, climate and pharmaceutical management of pulmonary TB patients. Moscow: Tipografiya Pridvornogo Postavshchika I.G. Chuksina. 1899. 179 p. (In Russia).
  13. Eynis V.L. Treatment of patients with pulmonary tuberculosis. Moscow: Medgiz; 1949. 150 p.
  14. Guidelines for the programmatic management of drug-resistant tuberculosis. Geneva: WHO. 2006. 186 p.
  15. Definitions and reporting framework for tuberculosis ľ 2013 revision. WHO/HTM/TB/2013.2 [Internet] [cited 2014 Mar 13]. Available from: apps.who.int/iris/bitstream/10665/79199/1/9789241505345_eng.pdf‎
  16. Styblo K, Bumgarner R. Tuberculosis can be controlled with existing technologies. Intern Un against Tuberc Lung Dis 1991; 2: 60-72.
  17. Weber H. Vorträge über die hygienische und klimatische Behandlung der chronischen Lungenphthise. Leipzig: F.C.W. Vogel; 1886. 109 p.

Views: 10985

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.

Code:* Code

Last Updated ( Wednesday, 16 July 2014 )
< Prev   Next >
home contact search contact search