[The medical social characteristics of patients with joint tuberculosis and HIV-infection].

The survey of 335 patients with joint tuberculosis and HIV-infection was carried out to establish the main medical social characteristics of the given category of patients. The sample consisted of persons characterized by of able-bodied age, education of not high level, no profession or occupied in entry-level professions, low or unstable level of income and having no family and children. The distinctive characteristic of patients with joint tuberculosis and HIV-infection is high prevalence of alcohol and drugs abuse. The concurrence of both alcohol and drug dependence was established in every one often respondent. The survey revealed very low level of medical activity of respondents. Almost half of the respondents were never examined on the subject of tuberculosis in the AIDS Center Only one third of respondents undergo the preventive fluorography timely.

[Criteria for evaluating the effective work of a tuberculosis hospital, accounting, and software].

The hospital stage is by right basic in the treatment of patients with tuberculosis. Hospitalization meets two challenges: 1) controlled treatment of a patient and 2) his isolation from healthy individuals. However, the analysis of the efficiency of hospital work only by resource characteristics does not reflect the actual volume and rate of delivered antituberculous care. A check of the work of tuberculosis hospitals in the Chelyabinsk Region has shown a number of unsolved questions requiring a detailed analysis and managerial decision making. At present, there is a need for an exact calculation of the number of specialized tuberculosis beds, their conversion, as well as, to make the most use of all available therapeutic and diagnostic capacities of tuberculosis-controlling service of the subject of the Russian Federation, for the development of a regional route for a tuberculosis patient on the basis of the adopted health care standards.

[A sociomedical portrait of tuberculosis control service workers]. / Mediko-sotsial'nyi portret rabotnikov protivotuberkuleznoi sluzhby.

The social and medical causes of occupational tuberculosis were analyzed by using the results of questionnaire surveys in 300 workers of tuberculosis controlling service. Low salaries, high working load, unbalanced nutrition, poor rehabilitation on vacation are the most important risk factors leading to high rates of both somatic and occupational morbidity in the staff of antituberculosis service.