Affiliation:
1. Kirov Military Medical Academy
Abstract
Relevance. It is noted that incidence of tuberculosis among population and the military increased with perfect regularity during wars and social upheaval. Therefore the health care system and the medical service of the Armed Forces of Russia should be ready for new challenges.Intention. To assess the characteristics of the course of tuberculosis in female servicemen and female members of military families, the specificity in the organization of specialized medical care for them and of treatment results.Methodology. According to the data of studied and analyzed medical documentation (medical histories, medical service reports), characteristic features of tuberculosis course in female servicemen and female members of military families (who were treated in tuberculosis military medical organization in the period of 2012 to 2021) have been revealed. The 1st group consisted of 62 female servicemen, the 2nd – of 63 female members of military families. Mathematical and statistical data processing was carried out using Statistica 22.0 application software packages.Results and Discussion. New cases of tuberculosis are detected among female military personnel every year. Statistically significant differences have been established in various age groups (p < 0.05), in groups with frequently detected disseminated tuberculosis (p < 0.05). Generalized forms of tuberculosis have been detected only in patients of the 2nd group; these patients were more often prescribed an individual course of treatment (p < 0.05). Tuberculosis pleurisy was significantly more common in 1st group (p < 0.05) due to the younger age of patients. Bacterial excretion was observed in 27.4 % of patients in 1st group and 34.9 % in 2nd group. The proportion of multidrug-resistant tuberculosis reached 9.7 %. As appears from the above, the patients of the 2nd group had clinically more severe forms of tuberculosis and the treatment have required more diagnostic effort and resources.Conclusion. Treatment efficacy in the 1st and 2nd groups was 100 and 93.7 %, respectively. Despite the effective course of treatment, 46.7 % of female servicemen cured of tuberculosis were subject to dismissal from the Russian Armed Forces.
Subject
Psychiatry and Mental health,Public Health, Environmental and Occupational Health,Clinical Psychology,Emergency Medicine,Emergency Medical Services
Reference12 articles.
1. Dantsev V.V., Beznosik R.V., Spitsyn M.G. [et al.]. Gruppovaya zabolevaemost’ tuberkulezom voennosluzhashchikh v sovremennykh usloviyakh (kliniko-epidemiologicheskie osobennosti) [Group TB morbidity among military personnel in modern conditions (clinical and epidemiological features)]. Voenno-meditsinskii zhurnal [Military medical journal]. 2019; 340(11):48–55. (In Russ).
2. Evdokimov V.I., Sivashchenko P.P. Pokazateli zdorov’ya voennosluzhashchikh-zhenshchin Vooruzhennykh sil Rossiiskoi Federatsii (2003–2016 gg.) : monografiya [Health indicators of female servicemen of the Armed Forces of the Russian Federation (2003–2016) : monograph]. St. Petersburg 2018. 82 p. (Seriya «Zabolevaemost’ voennosluzhashchikh; vyp. 3). (In Russ).
3. Ivanova D.A., Borisov S.E., Rodina O.V. [et al.]. Bezopasnost’ rezhimov lecheniya bol’nykh tuberkulezom s mnozhestvennoi lekarstvennoi ustoichivost’yu vozbuditelya soglasno novym rekomendatsiyam VOZ 2019 g. [Safety of treatment regimens in multiple drug resistant tuberculosis patients compiled as per the new WHO recommendations as of 2019]. Tuberkulez i bolezni legkikh [Tuberculosis and Lung Diseases]. 2020; 98(1):5–15. DOI: 10.21292/2075-1230-2020-98-1 -5-15. (In Russ).
4. Moskalenko V.A. Rabota terapevticheskikh podrazdelenii filiala v 2018 godu [Work of therapeutic units of the branch in 2018]. Aktual’nye voprosy voennoi ftiziatrii [Actual issues of military phthisiology] : collection of scientific works. Pushkino. 2019; (IX):123–130. (In Russ).
5. Sivashchenko P.P., Evdokimov V.I., Grigor’ev S.G. Osnovnye pokazateli narushenii zdorov’ya voennosluzhashchikhzhenshchin (2003–2015 gg.) [Main indicators of health disorders in women soldiers (2003–2015)]. Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychainykh situatsiyakh [Medico-Biological and SocioPsychological Problems of Safety in Emergency Situations]. 2017; (1):5–21. DOI: 10.25016/2541 -7487-2017-0-1 -5-21. (In Russ).
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