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Main arrow Archive of previous Issues arrow ╣1 2015 (41) arrow MODERN APPROACHES TO TB DETECTION AMONG MIGRANTS
MODERN APPROACHES TO TB DETECTION AMONG MIGRANTS Print
Wednesday, 15 April 2015

KornilovÓ Z. H., Khulkhachiev O. B.
¹Central Research Institute of Tuberculosis, Russian Academy of Medical SciencesMoscow
²All-Russia Research Institute of Railway Hygiene, Rospotrebnadzor, Moscow

Abstract. Background. Nowadays, migration plays an important social and economic role in terms of epidemiological well-being. None of the worldĺs countries has resources and institutional mechanisms for effectively handling issues related to population migration: provision of housing, employment, social allowances etc. However, final measures for solving the majority of current conflicts in the trouble regions are yet to be developed together with economic and social projects to effectively handle the existing and potential problems associated with large-scale migration. The article dwells upon pulmonary tuberculosis (TB) as one of the infectious diseases imported by migrants that challenges the infectious safety of the state.

The purpose of the study was to substantiate modern approaches to TB detection among migrants in megalopolis.

Methods: analytical, direct observation, statistical, graphical.

Results. The authors studied possible ways to recruit migrants for complex medical examination.

The main points of active TB detection were temporary accommodation facilities, hotels, dormitories, facilities of primary health care and social support and places of work or education. Another way of active TB detection is individual preventive examination of migrants at work placement or registration at the employment service.

General and specialized health facilities add to early TB detection through health encounters since migrants with pulmonary symptoms seek care at such facilities.

Conclusions. Study results showed that whenever possible all known phthisiology methods for TB detection and diagnostics should be used in migrants with different status. However, fluorography is considered the most effective one. Bacterioscopy at places of mass concentration of migrants is less available and can be implemented only after fluorography.

The conducted treatment resulted in the pronounced positive dynamics: clinical signs of specific intoxication disappeared, cough and expectoration ceased, catarrhal symptoms were not auscultated. Bacillation of Mycobacterium tuberculosis was not detected either by bacterioscopy or cultures. Blood and urine tests, liver function tests were within normal ranges. Predictors of inflammatory complex came to normal.

This example illustrates efficiency of timely detection and early treatment with inexpensive short-term courses of directly observed TB treatment.

Scope of application. The received data can be used both in TB services and in branches of the Directorate of the Federal Migration Service to assess epidemic situation related to TB prevalence in migrants.

Keywords: tuberculosis; TB; detection; ways; migrants; timeliness.

References:

  1. Denisov I.N., Dzhatdoeva F.A. Effektivnost' kommunikativnoy strategii po profilaktike sotsial'no-znachimykh infektsionnykh zabolevaniy u migrantov [Efficiency of communicative strategy on preventing socially significant infectious diseases in migrants]. Problemy upravleniya zdravookhraneniem. 2010; (5): 53-58. (In Russian).
  2. Zav'yalova T.V., Milyaeva Yu.V. Rezul'taty nablyudeniya za bol'nymi tuberkulezom i VICh - infektsiey v Tambovskoy oblasti v 2001-2008 gg [Results of supervision over TB and HIV-infected patients in Tambov region]. Problemy tuberkuleza u bol'nykh VICh-infektsiey 2009; (7): 11-12. (In Russian).
  3. Kornilova Z.Kh., Savin A.A., Vigriyanov V.Yu., Zyuzya Yu.R., Alekseeva L.P., Savin L.A. Osobennosti techeniya tuberkuleznogo menigoentsifalita u bol'nykh s pozdnimi stadiyami VICh-infektsii [Features of the course of tuberculosis meningoenciphalitis in patients with advanced HIV infection]. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakovaá 2013; (12): 13-18. (In Russian).
  4. Nechaeva O.B., Eysmont, N.V., Podymova, A.S. Tuberkulez i VICh-infektsiya v Sverdlovskoy oblasti [Tuberculosis and HIV infection in Sverdlovsk region]. Problemy tuberkuleza 2005; (10): 43-44. (In Russian).
  5. Perel'man M.I., Khomyakov, Yu.N., Kiselev, V.I., et al. Molekulyarnaya meditsina i lechenie tuberkuleza [Molecular medicine and tuberculosis treatment]. Problemy tuberkuleza 2001; (2): 5-7. (In Russian).
  6. Punga V.V. Osobennosti techeniya i effektivnosti lecheniya bol'nykh tuberkulezom v sel'skoy mestnosti [Features of the disease course and treatment efficiency for TB patients in rural regions]. Ftiziatriya i pul'monologi . 2013; (2): 17-20. (In Russian).
  7. Trifonova N.Yu. Kharakteristika epidemicheskoy situatsii po tuberkulezu v Rossii i vyyavlenie razlichnykh form tuberkuleza [Characteristics of tuberculosis epidemic situation in Russia and identification of various forms of tuberculosis]. Zdravookhranenie. 2010; (3): 57-63. (In Russian).
  8. Trifonova N.Yu. Sovremennye aspekty zabolevaemosti i invalidnosti vsledstvie tuberkuleza v krupnom megapolise [The contemporary aspects of morbidity and disability caused by tuberculosis in a metropolis]. Moscow: ID źIkar╗; 2010. 135p. (In Russian).
  9. Trifonova N.Yu. Mediko-organizatsionnye podkhody k povysheniyu kachestva dispansernogo nablyudeniya bol'nykh tuberkulezom v sovremennykh usloviyakh [Health and organization approaches to improving the quality of dispensary monitoring of TB patients in current conditions]. Moscow: ID źIkar╗; 2010. 386p. (In Russian).

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