RECURRENCE OF PULMONARY TUBERCULOSIS ASSOCIATED WITH COMORBIDITIES - CURRENT INTERDISCIPLINARY PROBLEM

Introduction. The recurrence of pulmonary tuberculosis remains a significant public health problem in many countries of the world, despite the remarkable progress in the treatment and rehabilitation of patients with new cases of tuberculosis. It is demonstrated that the high incidence of recurrence...

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Main Authors: Elena TUDOR, Constantin IAVORSCHI, Albina BRUMARU, Stela KULCITSKAIA, Lidia RIVNAC, Valentina BOLOTNICOVA, Andrei CORLOTEANU, Ecaterina AXENTII, Anna MOSCOVCIUC, Svetlana MATVYEYEVA, Olga SHEVCHENKO, Irina PIRLOG, Corina ROTARU-LUNGU, Zinaida CIOBANU
Format: Article
Language:English
Published: Academy of Sciences of Moldova 2024-01-01
Series:Buletinul Academiei de Ştiinţe a Moldovei: Ştiinţe Medicale
Subjects:
Online Access:https://bulmed.md/bulmed/article/view/3546
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author Elena TUDOR
Constantin IAVORSCHI
Albina BRUMARU
Stela KULCITSKAIA
Lidia RIVNAC
Valentina BOLOTNICOVA
Andrei CORLOTEANU
Ecaterina AXENTII
Anna MOSCOVCIUC
Svetlana MATVYEYEVA
Olga SHEVCHENKO
Irina PIRLOG
Corina ROTARU-LUNGU
Zinaida CIOBANU
author_facet Elena TUDOR
Constantin IAVORSCHI
Albina BRUMARU
Stela KULCITSKAIA
Lidia RIVNAC
Valentina BOLOTNICOVA
Andrei CORLOTEANU
Ecaterina AXENTII
Anna MOSCOVCIUC
Svetlana MATVYEYEVA
Olga SHEVCHENKO
Irina PIRLOG
Corina ROTARU-LUNGU
Zinaida CIOBANU
author_sort Elena TUDOR
collection DOAJ
description Introduction. The recurrence of pulmonary tuberculosis remains a significant public health problem in many countries of the world, despite the remarkable progress in the treatment and rehabilitation of patients with new cases of tuberculosis. It is demonstrated that the high incidence of recurrence of pulmonary tuberculosis is conditioned by the influence of some factors combination. Currently, the comorbidities, which impose the risk of disease recurrence directly or indirectly, are of a major importance. Thus, it is important to study the clinical and epidemiological characteristics of pulmonary tuberculosis recurrence associated with the comorbidities. Materials and methods. There were studied 715 patients with pulmonary tuberculosis recurrence, including 503 patients with comorbidities, as well as statistical reporting data for the Right Bank region of the Dniester River and ATU (Autonomous Territorial Unit) of Gagauzia, Republic of Moldova during 2019-2021. Results. The obtained results demonstrate that in phthisiopulmonology the presence of comorbidities constitutes a significant and important medico-social problem. In the structure of relapses associated with comorbidities, it was noted the predominance of extensive infiltrative processes, high frequency of cases with destruction in the lung tissue and bacillary cases. The need to review and improve the general antituberculosis measures accepted both in the work of phthisiopneumologists and primary care specialists is argued in order to improve the prognosis of TB treatment associated with comorbidities. Conclusion. The recurrence of pulmonary tuberculosis associated with comorbidities requires an integrated multidisciplinary approach.
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spelling doaj.art-3282017b897442f18d076b393ba4bca72024-02-01T09:03:41ZengAcademy of Sciences of MoldovaBuletinul Academiei de Ştiinţe a Moldovei: Ştiinţe Medicale1857-00112024-01-01773697310.52692/1857-0011.2023.3-77.103546RECURRENCE OF PULMONARY TUBERCULOSIS ASSOCIATED WITH COMORBIDITIES - CURRENT INTERDISCIPLINARY PROBLEMElena TUDOR0Constantin IAVORSCHI1Albina BRUMARU2Stela KULCITSKAIA3Lidia RIVNAC4Valentina BOLOTNICOVA5Andrei CORLOTEANU6Ecaterina AXENTII7Anna MOSCOVCIUC8Svetlana MATVYEYEVA9Olga SHEVCHENKO10Irina PIRLOG11Corina ROTARU-LUNGU12Zinaida CIOBANU13Institute of Phthisiopulmonology IMSP "Chiril Draganiuc"Институт фтизиопульмонологии IMSP “Кирилл Драганюк”; Государственный университет медицины и фармации имени Николае ТестемицануIMSP Institute of Phthisiopulmonology “Chiril Draganiuc”Nicolae Testemitanu State University of Medicine and PharmacyIMSP Institute of Phthisiopulmonology “Chiril Draganiuc”IMSP Institute of Phthisiopulmonology “Chiril Draganiuc”IMSP Institute of Phthisiopulmonology “Chiril Draganiuc”IMSP Institute of Phthisiopulmonology “Chiril Draganiuc”IMSP Institute of Phthisiopulmonology “Chiril Draganiuc”Kharkiv National Medical UniversityKharkiv National Medical UniversityIMSP Institute of Phthisiopulmonology “Chiril Draganiuc”IMSP Institute of Phthisiopulmonology “Chiril Draganiuc”IMSP Institute of Phthisiopulmonology “Chiril Draganiuc”Introduction. The recurrence of pulmonary tuberculosis remains a significant public health problem in many countries of the world, despite the remarkable progress in the treatment and rehabilitation of patients with new cases of tuberculosis. It is demonstrated that the high incidence of recurrence of pulmonary tuberculosis is conditioned by the influence of some factors combination. Currently, the comorbidities, which impose the risk of disease recurrence directly or indirectly, are of a major importance. Thus, it is important to study the clinical and epidemiological characteristics of pulmonary tuberculosis recurrence associated with the comorbidities. Materials and methods. There were studied 715 patients with pulmonary tuberculosis recurrence, including 503 patients with comorbidities, as well as statistical reporting data for the Right Bank region of the Dniester River and ATU (Autonomous Territorial Unit) of Gagauzia, Republic of Moldova during 2019-2021. Results. The obtained results demonstrate that in phthisiopulmonology the presence of comorbidities constitutes a significant and important medico-social problem. In the structure of relapses associated with comorbidities, it was noted the predominance of extensive infiltrative processes, high frequency of cases with destruction in the lung tissue and bacillary cases. The need to review and improve the general antituberculosis measures accepted both in the work of phthisiopneumologists and primary care specialists is argued in order to improve the prognosis of TB treatment associated with comorbidities. Conclusion. The recurrence of pulmonary tuberculosis associated with comorbidities requires an integrated multidisciplinary approach.https://bulmed.md/bulmed/article/view/3546pulmonary tuberculosisrelapserehabilitationcomorbiditymultidisciplinary approachmedical care
spellingShingle Elena TUDOR
Constantin IAVORSCHI
Albina BRUMARU
Stela KULCITSKAIA
Lidia RIVNAC
Valentina BOLOTNICOVA
Andrei CORLOTEANU
Ecaterina AXENTII
Anna MOSCOVCIUC
Svetlana MATVYEYEVA
Olga SHEVCHENKO
Irina PIRLOG
Corina ROTARU-LUNGU
Zinaida CIOBANU
RECURRENCE OF PULMONARY TUBERCULOSIS ASSOCIATED WITH COMORBIDITIES - CURRENT INTERDISCIPLINARY PROBLEM
Buletinul Academiei de Ştiinţe a Moldovei: Ştiinţe Medicale
pulmonary tuberculosis
relapse
rehabilitation
comorbidity
multidisciplinary approach
medical care
title RECURRENCE OF PULMONARY TUBERCULOSIS ASSOCIATED WITH COMORBIDITIES - CURRENT INTERDISCIPLINARY PROBLEM
title_full RECURRENCE OF PULMONARY TUBERCULOSIS ASSOCIATED WITH COMORBIDITIES - CURRENT INTERDISCIPLINARY PROBLEM
title_fullStr RECURRENCE OF PULMONARY TUBERCULOSIS ASSOCIATED WITH COMORBIDITIES - CURRENT INTERDISCIPLINARY PROBLEM
title_full_unstemmed RECURRENCE OF PULMONARY TUBERCULOSIS ASSOCIATED WITH COMORBIDITIES - CURRENT INTERDISCIPLINARY PROBLEM
title_short RECURRENCE OF PULMONARY TUBERCULOSIS ASSOCIATED WITH COMORBIDITIES - CURRENT INTERDISCIPLINARY PROBLEM
title_sort recurrence of pulmonary tuberculosis associated with comorbidities current interdisciplinary problem
topic pulmonary tuberculosis
relapse
rehabilitation
comorbidity
multidisciplinary approach
medical care
url https://bulmed.md/bulmed/article/view/3546
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