The comparative analysis of social indicators for epidemics of HIV-associated and multi-resistant tuberculosis in Ukraine

Authors

  • I. O. Fedyak SHHE «Ivano-Frankivsk National Medical University», Ukraine
  • P. I. Fedyak SHHE «Ivano-Frankivsk National Medical University», Ukraine

DOI:

https://doi.org/10.24959/sphhcj.18.103

Keywords:

HIV-associated tuberculosis, multi-resistant tuberculosis, form No. 003/o medical card of a stationary patient, socio-demographic characteristics of the individual, social indicators, the reason for the patient’s discharge, bed-day

Abstract

Aim. To determine and compare the socio-demographic characteristics of patients and other social indicators of the hospital stage of treatment for patients with HIV-associated (TB/HIV) and multi-resistant tuberculosis (MRTB) in Ukraine.

Materials and methods. 2500 medical cards of patients with TB/HIV (n=1.200) and MRTB (n=1.300) obtained by random selection from the archives of 12 regions anti-TB hospitals were used. The methods of scientific analysis (analytical, synthetic, content analysis) and graphical representation of the results were applied.

Results. Comparison of social indicators for epidemics of TB/HIV and MRTB in Ukraine was performed.

Conclusions It has been determined that TB/HIV and MRTB are still male pathologies (72.25% and 75.62% respectively). On average, 94.41% of patients with TB/HIV and 73.38% of MRTB were 22-51 years of age. The proportion of the rural population was by 9.7% higher in the group of patients with MRTB (43.31% versus 33.61%). The group of TB/HIV patients was more socially unfavorable since there were 16% more unemployed people of the working age in it (69.17% vs. 53.08%). Because of improper conduct 25% of patients in both groups interrupted their stay in hospitals; it indicated that indiscipline of TB patients did not depend on the presence of HIV infection. Patients with TB/HIV and MRTB had 116 ± 93 and 158 ± 103 bed-days, respectively.

Author Biographies

I. O. Fedyak, SHHE «Ivano-Frankivsk National Medical University»

Candidate of Pharmacy (PhD), associate professor of the Department of Organization and Economics of Pharmacy and
Drug Technology

P. I. Fedyak, SHHE «Ivano-Frankivsk National Medical University»

3rd year student of the Medical Faculty

References

Zakon Ukrainy vid 16.09.2014 No. 1678-VII “Association Agreement between Ukraine, on the one hand, and the European Union, the European Atomic Energy Community and their Member States, on the other hand”. Available at: http://zakon2.rada. gov.ua/laws/show/984_011/

Todoriko, L. D., Petrenko, V. I., Shevchenko, O. S. (2016). Tuberkuloz, lehenevi khvoroby, VIL-infektsiia, 1, 72–78.

Feshchenko, Yu. I., Cherenko, S. O. (2015). Zdorovia Ukrainy, 3, 36–37.

Feshchenko, Yu. I., Melnyk, V. M., Turchenko, L. V. (2015). Ukrainskyi pulmonolohichnyi zhurnal, 1, 5–9.

Nizova, N. M. (2017). Ukraina. Zdorovia natsii, 3, 331–332.

WHO. (2016). Global Tuberculosis Report 2016. World Health Organization. Available at: http://apps.who.int/medicinedocs/documents/ s23098en/s23098en.pdf

Tsentr hromadskoho zdorov’ia MOZ Ukrainy. Tuberkuloz. Epidnahliad. (2016). Available at: https://phc.org.ua/pages/diseases/tuberculosis/surveillance/statistical-information

Nemchenko, A. S., Kosiachenko K. L., Korzh, Yu. V. (2012). Upravlinnia, ekonomika ta zabezpechennia yakosti v farmatsii, 1, 72–77.

Alians hromadskoho zdorov’ia: “Chorni diry” ta “bili pliamy” epidemii TB v Ukraini. Available at: http://aph.org.ua/uk/novyny/chorni-diry-ta-bili-plyamy-epidemiyi-tuberkulozu-v-ukrayini/

Myroniuk, I. S., Shatylo, V. I. (2014). Visnyk sotsialnoi hihiieny ta orhanizatsii okhorony zdorov’ia Ukrainy, 1 (59), 54–58.

Rynhach, N. O. (2010). Ukraina. Zdorovia natsii, 3, 115–119.

Shevel, I. I., Kii-Kokareva, V. G. (2012). Ukrainskyi medychnyi almanakh, 5, 161–163.

Shevchenko, O. S. (2013). Problemy ekolohichnoi ta medychnoi henetyky i klinichnoi imunolohii. Kyiv; Luhansk, 1, 350–354. Available at: http://nbuv.gov.ua/UJRN/pemgki_2013_1_44

Fediak, I. O. (2016). Farmatsevtychnyi zhurnal, 6, 40–49.

Fediak, I. O., Fediak, P. I. (2017). Farmatsevtychnyi chasopys, 4, 112–122.

Ministerstvo okhorony zdorovia Ukrainy. (2012). Nakaz vid 14.02.2012 No 110 “Pro zatverdzhennia form pervynnoi oblikovoi dokumentatsii ta Instruktsii shchodo yikh zapovnennia, shcho vykorystovuiutsia u zakladakh okhorony zdorovia nezalezhno vid formy vlasnosti ta pidporiadkuvannia”. Instruktsiia shchodo zapovnennia formy pervynnoi oblikovoi dokumentatsii No. 003/o “Medychna karta statsionarnoho khvoroho No. __”. Available at: http://zakon3.rada.gov.ua/laws/show/z0661-12

Dvoretska, H. V. (2013). Sociology: A manual. Kyiv: Kyiv National Economic University named after Vadym Hetman.

Kotvitska, A. A., Karlo, V. V. (2014). Farmatsevtychnyi zhurnal, 6, 18–22.

Published

2018-03-14

Issue

Section

Health organization