doi: 10.25005/2074-0581-2018-20-4-427-430

S.P. Aliev1, O.I. Bobo khodzhaev2, I.S. Makhmudzoda1, F.O. Mirzoeva3, L.Sh. Ukuma tshoeva2, S.R. Mirzoeva4

1Scientific Research Institute of Preventive Medicine of Tajikistan, Dushanbe, Republic of Tajikistan
2Department of Phthisiopulmonology, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
3Institute of Postgraduate Education in Healthcare of the Republic of Tajikistan, Dushanbe, Republic of Tajikistan
4Republican Center for the Protection of the Population against Tuberculosis, Dushanbe, Republic of Tajikistan

Objective: Study of the effectiveness of identifying persons with suspected tuberculosis (TB) and verification of their diagnosis among the population of Dushanbe, the Republic of Tajikistan

Methods: This study includes data from an active screening of 676815 persons who applied for various reasons to primary health care (PHC) facilities in Dushanbe for the period 2011-2015, which underwent a full clinical, x-ray and laboratory examination.

Results: When conducting the active screening of persons who applied to institutions in a PHC facility in Dushanbe, 15645 patients with various clinical forms of TB were identified within 5 years. Of these, 14159 patients with pulmonary TB (90.5%) were identified, 11327 (80.0%) of whom suffered from a pulmonary form with a bacteria excretion, 22832 (20.0%) – a pulmonary form without a bacteria excretion and 1486 (9.5% ) – extrapulmonary TB. At the same time, in 1283 cases (8.2%) of the total number of patients, multidrug resistance was established, and in 92 (0.6%) patients – a combination of active TB with HIV infection.

Conclusion: The findings show that providing access to active screening and rapid diagnostic methods helps to improve the detection rates for new TB cases.

Keywords: Pulmonary tuberculosis, bacteria excretion, HIV infection, screening, verification of the diagnosis.

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Authors' information:

Aliev Samardin Partoevich,
Doctor of Medical Sciences, Director of the Scientific Research Institute of Preventive Medicine of Tajikistan

Bobokhodzhaev Oktam Ikramovich,
Doctor of Medical Sciences, Professor of the Department of Phthisiopulmonology, Avicenna Tajik State Medical University

Makhmudzoda Isfandiyor Safari,
Competitor of the Scientific Research Institute of Preventive Medicine of Tajikistan

Mirzoeva Farangiz Oktamovna,
Master of Public Health, Doctoral PhD, Institute of Postgraduate Education in Healthcare of the Republic of Tajikistan

Ukumatshoeva Lalbegim Shonazarovna,
Assistant of the Department of Phthisiopulmonology, Avicenna Tajik State Medical University

Conflicts of interest: No conflict

Address for correspondence:

Bobokhodzhaev Oktam Ikramovich

Doctor of Medical Sciences, Professor of the Department of Phthisiopulmonology, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (985) 868080


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