Routing and Logistics of Pulmonary Tuberculosis Patients During Selection for Surgical Treatment in the Republic of Bashkortostan
https://doi.org/10.24060/2076-3093-2023-13-4-4
Abstract
Introduction. Surgical intervention is recognized as an integral part of pulmonary tuberculosis treatment. Optimal routing of pulmonary tuberculosis patients to surgical treatment essentially improves the effectiveness of tuberculosis treatment. The paper is aimed at analyzing the routing of pulmonary tuberculosis patients to surgical treatment in the Republic of Bashkortostan. Materials and methods. The paper presents the structure of Republican Clinical Tuberculosis Dispensary, describes the routing of patients followed by the TB Service of the Republic of Bashkortostan, indicates a significant role of telehealth technologies in providing specialized medical care for patients with pulmonary tuberculosis. In addition, the paper introduces the quantitative data and structure of surgical interventions performed in the TB Surgery Unit of the Republican Clinical Tuberculosis Dispensary. Results and discussion. According to the conducted analysis, the TB Service of the Republic of Bashkortostan complies with the regulatory documents of the Russian Federation, thus ensuring the most complete coverage of pulmonary tuberculosis patients in need of thoracic surgery. Conclusion. Timely routing of patients to a TB surgery unit enables effective treatment, differential diagnosis, and abacillation of patients to be provided, thereby reducing the spread of tuberculosis in the region.
About the Authors
A. R. Sabirova
Bashkir State Medical University
Russian Federation
Russian Federation
Adilya R. Sabirova — Resident, Department of Phthisiology with a Course of Advanced Professional Education
Ufa
R. A. Sharipov
Bashkir State Medical University
Russian Federation
Russian Federation
Raul A. Sharipov — Cand. Sci. (Med.), Assoc. Prof., Department of Phthisiology with a Course of Advanced Professional Education
Ufa
R. K. Tukfatullin
Bashkir State Medical University
Russian Federation
Russian Federation
Ravil K. Tukfatullin — Cand. Sci. (Med.), Assoc. Prof., Department of Phthisiology with a Course of Advanced Professional Education
Ufa
M. M. Azamatova
Republican Clinical Tuberculosis Dispensary
Russian Federation
Russian Federation
Mininur M. Azamatova — Organizational and Methodological Unit
Ufa
References
1. Tsybikova E.B. Treatment failure of newly diagnosed patients with destructive pulmonary tuberculosis. Tuberculosis and Lung Diseases. 2011;88(5):217–8 (In Russ.).
2. Rogozhkin P.V., Kolsanov A.V., Borodulina E.A. Surgical treatment of pulmonary tuberculosis. Pirogov Russian Journal of Surgery = Khirurgiya. Zurnal im. N.I. Pirogova. 2020;6:104–8 (In Russ.). DOI: 10.17116/hirurgia2020061104
3. Zinchenko Yu.S., Basantsova N.Y., Starshinova A.Y., Umutbaeva G.B., Churilov L.P. Tuberculosis today: the main trends of research on prevention, diagnosis and treatment. Russian Biomedical Research. 2018;4:24–34 (In Russ.).
4. Yablonskii P.K., Kudriashov G.G., Avetisyan A.O. Surgical resection in the treatment of pulmonary tuberculosis. Thorac Surg Clin. 2019;29(1):37–46. DOI: 10.1016/j.thorsurg.2018.09.003
5. Kudryashov G., Vasilev I., Ushkov A., Avetisyan A., Shepichev E., Denisova N., et al. Immediate results of minimally invasive lobectomy for localized single-sided pulmonary tuberculosis: comparison of robotassisted and video-assisted approaches. MedAlliance. 2018;1:51–9 (In Russ.).
6. Gubkina M.F., Petrakova I.Yu., Bagirov M.A., Yukhimenko N.V., Khokhlova Yu.Yu., Sterlikova S.S. Differentiated approaches to the choice of timing of surgical treatment for intrathoracic lymph node tuberculosis in children during increasing incidence of multiple drug resistant tuberculosis. Tuberculosis and Lung Diseases. 2022;100(7):14–21 (In Russ.). DOI: 10.21292/2075-1230-2022-100-7-14-21
7. Porkhanov V.A. 20-year history of thoracic surgery in russian federation. Circulation pathology and cardiac surgery. 2017;21(3S):69–78. DOI: 10.21688/1681-3472-2017-3S-69-78
8. Voronchihin T., Avetisyan A., Vasil’ev I., Kudryashov G., Yablonskiy P. Results of complex treatment of limited fibrous-cavernous pulmonary tuberculosis. MedAlliance. 2018;3:56–64 (In Russ.).
9. Sabirov S.Yu., Nematov O.N., Mayusupov Sh.E., Riskiev A.A., Rakhmanov Sh.A., Nasritdinov B.I., et al. Surgical treatment for pulmonary and pleural tuberculosis with drug-resistant pathogens. Molodoj uchenyj. 2018;(10-1):50–2 (In Russ.).
10. Rogozhkin P.V., Borodulina E.A. Radical lung resection in treatment of pulmonary tuberculosis. Science and Innovations in Medicine. 2017;2(6):56–9 (In Russ.).
11. Balasanyants G.S., Bozhkov I.A., Shitov Yu.N. Organization of outpatient treatment of patients with tuberculosis. Current problems of health care and medical statistics. 2023;2:486–503. DOI: 10.24412/2312-2935-2023-2-486-504
12. Clinical guidelines for the use of surgical methods in the treatment of pulmonary tuberculosis. Association of Thoracic Surgeons of Russia. Saint Petersburg; 2014.
13. Rogozhkin P.V., Borodulina E.A. The postponed treatment outcomes in pulmonary tuberculosis patients after radical pulmonary resection. Tuberculosis and Lung Diseases. 2018;96(3):24–8 (In Russ.). DOI: 10.21292/2075-1230-2018-96-3-24-28
14. Reykhrud M.V., Krasnov D.V., Avdienko K.A., Grischenko N.G., Skvortsov D.A., Kononenko V.G. Postpones outcomes of resection and collapse surgical interventions for pulmonary tuberculosis. Tuberculosis and Lung Diseases. 2018;96(12):34–40 (In Russ.). DOI: 10.21292/2075-1230-2018-96-12-34-40
Review
For citations:
Sabirova A.R., Sharipov R.A., Tukfatullin R.K., Azamatova M.M. Routing and Logistics of Pulmonary Tuberculosis Patients During Selection for Surgical Treatment in the Republic of Bashkortostan. Creative surgery and oncology. 2023;13(4):304-310. (In Russ.) https://doi.org/10.24060/2076-3093-2023-13-4-4
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