Causes of Uncertain Chemotherapy Outcomes in Patients with Pulmonary Tuberculosis Treated in Penitentiary Institutions of the Russian Federation
https://doi.org/10.21292/2075-1230-2022-100-9-11-15
Abstract
Reporting of the «transferred out» outcome leads to significantly worse treatment results of tuberculosis patients treated in the institutions of the Federal Penitentiary Service of Russia.
The objective: to investigate the patients’ routes that led to reporting of the «transferred out» outcome, and propose measures to reduce the risk of this outcome.
Subjects and Methods. We studied the places of registration and routes of 1,496 pulmonary tuberculosis patients registered for treatment in 2019 (new cases and relapses) with the outcome of «transfered out».
Results. In the structure of transferred out patients, in 631/1,496 (42.2%) patients, the «transferred out» outcome was associated with their transfer between institutions within the penitentiary system. Additionally 462/1,496 (30.9%) patients were released in the region where they continued their treatment, 85/1,496 (5.7%) were released and moved to a different region, 301/1,496 (20.6%) were released from pre-trial detention , and 10/1,496 (0.6%) left Russia and moved abroad.
Conclusion: the procedure should be developed to transfer the information about patients moving within the penitentiary system and beyond it. To motivate the patient immediately after the detection of tuberculosis, it is necessary to conduct individual conversations explaining the nature of the disease, importance and necessity of treatment. Tuberculosis patients in pre-trial detention centers should be provided with leaflets containing information about medical organization where patients can continue treatment, patients released from penitentiary units should be informed about the system of social adaptation and services available for tuberculosis patients.
About the Authors
S. N. Lisovskiy
Russian Research Institute of Health
Russian Federation
Russian Federation
Stanislav N. Lisovskiy, Chief Specialist
SPIN-code 5105-1329
11, Dobrolyubova St., Moscow, 127254
M. E. Vostroknutov
Research Institute of the Federal Penitentiary System
Russian Federation
Russian Federation
Mikhail E. Vostroknutov Candidate of Medical Sciences, Senior Researcher
SPIN-code 8375-8998
14, Zhitnaya St., GSP-1, Moscow, 119991
Yu. V. Mikhaylova
Russian Research Institute of Health
Russian Federation
Russian Federation
Yulia V. Mikhaylova, Doctor of Medical Sciences, Professor, First Deputy Director
11, Dobrolyubova St., Moscow, 127254
S. A. Sterlikov
Russian Research Institute of Health
Russian Federation
Russian Federation
Sergey A. Sterlikov, Doctor of Medical Sciences, Deputy Head of Federal Monitoring Center for Prevention of Tuberculosis Transmission and Program Monitoring in the Russian Federation
11, Dobrolyubova St., Moscow, 127254
Phone/Fax: +7 (495) 618-22-10
S. B. Ponomarev
Russian Research Institute of Health; Research Institute of the Federal Penitentiary System
Russian Federation
Russian Federation
Sergey B. Ponomarev, Doctor of Medical Sciences, Professor, Senior Researcher
SPIN-code 4646-6870
11, Dobrolyubova St., Moscow, 127254;
14, Zhitnaya St., GSP-1, Moscow, 119991
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Review
For citations:
Lisovskiy S.N., Vostroknutov M.E., Mikhaylova Yu.V., Sterlikov S.A., Ponomarev S.B. Causes of Uncertain Chemotherapy Outcomes in Patients with Pulmonary Tuberculosis Treated in Penitentiary Institutions of the Russian Federation. Tuberculosis and Lung Diseases. 2022;100(9):11-15. (In Russ.) https://doi.org/10.21292/2075-1230-2022-100-9-11-15
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