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.

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Published

2018-03-14

Issue

Section

Health organization