Efficiency evaluation of treatment in day hospital as one of tuberculosis control activities in Orel Region

In order to evaluate the efficiency of treatment in day hospital for pulmonary tuberculosis patients the data for 10 years have been analyzed.

Materials and methods: epidemiological rates in Orel Region for the last 10 years have been analyzed. Day hospital has been described as a treatment format substituting the in-patient treatment. Basing of the data of 734 patients registered for treatment in day hospital for 10 years the treatment efficiency has been analyzed.

Results. The tendency towards the increase in the number of TB patients receiving treatment in day hospital (from 9.7 to 14.9%), treatment efficiency in day hospital was high: the average rate made 92.0% (the same rate for Orel Region made – 80.2%, p < 0.001) with the low default rate, on the average it made – 1.2% (for Orel Region it made – 2.4%; p = 0.35).

The analysis of the other hospital substituting treatment forms detected the decrease in the number of patients receiving treatment in TB treatment rooms and feldscher stations (from 13.0% in 2004 to 3.8% in 2013) which is due to the difficulties in the provision of directly observed treatment in these units. The comprehensive use of the hospital substituting forms with the provision of the daily observation of TB drugs in-take assures high treatment efficiency rates, including in socially marginalized patients which provides the positive impact on the epidemic situation in the region. 

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