SELECTIVE PREVENTIVE FLUOROGRAPHIC EXAMINATION OF THE SOCIALLY MALADJUSTED POPULATION GROUP IN YAKUTSK
https://doi.org/10.25587/SVFU.2022.28.3.001
Abstract
The article analyzes the effectiveness of a selective preventive fluorographic examination of a socially maladjusted group of the population, conducted in Yakutsk in 2018-2021. The socially maladjusted groups of the population include persons without a fixed place of residence and work (homeless), suffering from alcohol addiction, persons released from places of the penitentiary system. The analysis of data from field fluorographic examinations of 667 persons from a socially maladjusted group who found themselves in difficult life situations was carried out. The examination revealed 114 fluoropositive individuals with various radiographic changes in the chest organs. As a result of additional examination of fluoropositive persons in the anti-tuberculosis dispensary, active tuberculosis of the chest organs was detected in 7 persons, metatuberculous changes in the lungs - in 28, oncological and non-specific inflammatory diseases, as well as post-inflammatory changes in the lungs - in 41. The group of the population amounted to 10.5 per 1,000 examinations, which is significantly higher than the similar indicator of mass continuous examination of the entire population of the republic for 2012-2019, which amounted to 0.57 per 1,000 examinations.
Thus, persons from the socially maladjusted group of the population remain one of the main risk groups for tuberculosis. Tuberculosis remains largely a social disease and requires special attention not only from healthcare organizations, but also from social protection authorities, administrations of municipal institutions, public organizations, law enforcement and justice agencies.
About the Authors
E. D. AprosimovRussian Federation
APROSIMOV Eremey Dmitrievich – Radiologist
677013 Sakha Republic (Yakutia), Yakutsk, ul. Kalandarishvili, 32, kv. 33.
L. P. Shepeleva
Russian Federation
SHEPELEVA Larisa Petrovna – Doctor of Medical Sciences, Head of Diagnostic Radiology Department
677013 Sakha Republic (Yakutia), Yakutsk, ul. Kalandarishvili, 27, kv. 17.
A. M. Lukina
Russian Federation
LUKINA Anna Mikhailovna – Candidate of Sciences (Medicine), Head of the Yakutsk City Tuberculosis Treatment Center
677015 Sakha Republic (Yakutia), Yakutsk, ul. Petra Alekseeva, 95/2, kv. 35.
References
1. Tyrylgin, M. A. Sovremennye social’no-epidemiologicheskie i organizacionnye osnovy aktivnogo vyyavleniya tuberkuleza v regione Yakutii: avtoref.dis….d-ra med.nauk: 14.00.26 / Tyrylgin Mihail Afanas’evich; [Novosibirskij med.in-t]. – SPb., 1994. – 32 s. – Bibliogr. : S. 42-46.
2. Parolina, L. E. Osobennosti techeniya tuberkuleza u bol’nyh s social’noj dezadaptaciej v sovremennyh usloviyah: avtoref.dis….d-ra med.nauk: 14.01.16 / Parolina L. E.; [CNIIT]. – M., 2002. – 24 s. – Bibliogr.: S. 21-24.
3. Yаkovleva, L. P. Situaciya po tuberkulezu s mnozhestvennoj lekarstvennoj ustojchivost’yu vozbuditelya v Respublike Saha (Yakutiya) / L. P. Yakovleva, A. U. Burnasheva, M. N. Kondrat’eva // Tuberkulez i bolezni legkih. – 2005. – № 7. – S. 168-169.
4. Lukina, A. M. Organizaciya dispansernogo nablyudeniya i lecheniya social’no-dezadaptirovannyh bol’nyh tuberkulezom organov dyhaniya: avtoref.dis….kand. med.nauk: 14.00.26 / Lukina Anna Mihailovna; [MMA im. I.M.Sechenova]. – M., 2007. – 21 s. – Bibliogr.: S. 19-21.
5. Nechaeva, O. B. Social’no-ekonomicheskie aspekty tuberkuleza / O. B. Nechaeva, G. Yu. SHestakov, E. I. Skachkova, S. N. Fursenko // Problemy upravleniya zdravoohraneniem. – 2010. – № 55. – S. 16-22.
6. Bogorodskaya, E. M. Zabolevaemost’ tuberkulezom migriruyushchego naseleniya i lic BOMZH v gorode Moskve / E. M. Bogorodskaya, E. M. Belilovskij, S. E. Borisov, L. N. Rybka, V. A. Petrov, M. V. Matveeva // Tuberkulez i social’no-znachimye zabolevaniya. – 2014. – № 4. – S. 3-17.
7. Il’chenko, A. D. Profilaktika «zavoznogo» tuberkuleza kak mera obespecheniya infekcionnoj bezopasnosti po tuberkulezu v megapolise / A. D. Il’chenko: tez.dokl. IV Kongress nacional’noj associacii ftiziatrov, g. Sankt-Peterburg, 19–21 noyab. 2015 g. – SPb, 2015. – S. 66-68.
8. Zubova, N. A. Organizacionnye problemy vyyavleniya bol’nyh tuberkulezom organov dyhaniya metodom flyuorografii / N. A. Zubova, E. B. Cybikova // Medicinskij al’yans. – 2015. – № 1. – S. 40.
Review
For citations:
Aprosimov E.D., Shepeleva L.P., Lukina A.M. SELECTIVE PREVENTIVE FLUOROGRAPHIC EXAMINATION OF THE SOCIALLY MALADJUSTED POPULATION GROUP IN YAKUTSK. Vestnik of North-Eastern Federal University. Medical Sciences. 2022;(3):13-21. (In Russ.) https://doi.org/10.25587/SVFU.2022.28.3.001