Tuberculosis Immunodiagnosis System: Analysis of Potential Losses of Patients for Registration
The objective: to develop proposals to improve the effectiveness of the tuberculosis immunodiagnosis system in children by analyzing potential losses of patients for registration.Materials: data from primary medical records of 605 children in 5 regions of Russia, results of the survey in 513 legal g...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2022-03-01
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| Series: | Туберкулез и болезни лёгких |
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| Online Access: | https://www.tibl-journal.com/jour/article/view/1611 |
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| author | S. A. Sterlikov T. N. Kаzykinа |
| author_facet | S. A. Sterlikov T. N. Kаzykinа |
| author_sort | S. A. Sterlikov |
| collection | DOAJ |
| description | The objective: to develop proposals to improve the effectiveness of the tuberculosis immunodiagnosis system in children by analyzing potential losses of patients for registration.Materials: data from primary medical records of 605 children in 5 regions of Russia, results of the survey in 513 legal guardians and 27 experts.Results. 13.9% of the children subject for screening were not examined, tests were administered in 1.1% of children who had contraindications to them, errors in the test administration were expected in 1.5% of children, and in 6.2% of children, antihistamine medications were used leading to errors in the detection of tuberculosis infection. In 3.7% of children, results of the test were not assessed, 3.1% of eligible children were not referred to the phthisiologist, and 6.5% were lost to follow-up by the phthisiologist.Conclusions. The cumulative loss during immunodiagnosis of tuberculosis made 68.7%. The main reasons for the losses are medical exceptions and refusals to have immunodiagnosis of tuberculosis by legal guardians, incomplete follow-up by the phthisiologist, and the use of antihistamines.To reduce these losses, it is advisable to consider the following: organizing consultation with the phthisiologist at children's polyclinics and large children's groups; legal guardians should be able to have a paid sick leave on the days when the child has an appointment with the phthisiologist; specifying indications for desensitizing therapy and prohibiting it outside the indications; organizing internal and external quality control system for immunodiagnostics. |
| format | Article |
| id | doaj-art-a724f8351fa94688b89f4cce6fc1826d |
| institution | OA Journals |
| issn | 2075-1230 2542-1506 |
| language | Russian |
| publishDate | 2022-03-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Туберкулез и болезни лёгких |
| spelling | doaj-art-a724f8351fa94688b89f4cce6fc1826d2025-08-20T02:15:59ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062022-03-011002182310.21292/2075-1230-2022-100-2-18-231606Tuberculosis Immunodiagnosis System: Analysis of Potential Losses of Patients for RegistrationS. A. Sterlikov0T. N. Kаzykinа1Russian Research Institute of HealthRussian Research Institute of HealthThe objective: to develop proposals to improve the effectiveness of the tuberculosis immunodiagnosis system in children by analyzing potential losses of patients for registration.Materials: data from primary medical records of 605 children in 5 regions of Russia, results of the survey in 513 legal guardians and 27 experts.Results. 13.9% of the children subject for screening were not examined, tests were administered in 1.1% of children who had contraindications to them, errors in the test administration were expected in 1.5% of children, and in 6.2% of children, antihistamine medications were used leading to errors in the detection of tuberculosis infection. In 3.7% of children, results of the test were not assessed, 3.1% of eligible children were not referred to the phthisiologist, and 6.5% were lost to follow-up by the phthisiologist.Conclusions. The cumulative loss during immunodiagnosis of tuberculosis made 68.7%. The main reasons for the losses are medical exceptions and refusals to have immunodiagnosis of tuberculosis by legal guardians, incomplete follow-up by the phthisiologist, and the use of antihistamines.To reduce these losses, it is advisable to consider the following: organizing consultation with the phthisiologist at children's polyclinics and large children's groups; legal guardians should be able to have a paid sick leave on the days when the child has an appointment with the phthisiologist; specifying indications for desensitizing therapy and prohibiting it outside the indications; organizing internal and external quality control system for immunodiagnostics.https://www.tibl-journal.com/jour/article/view/1611tuberculosis immunodiagnosticstuberculosis immunodiagnostic systemdefects of tuberculosis immunodiagnosticsrecommendations for tuberculosis immunodiagnostics |
| spellingShingle | S. A. Sterlikov T. N. Kаzykinа Tuberculosis Immunodiagnosis System: Analysis of Potential Losses of Patients for Registration Туберкулез и болезни лёгких tuberculosis immunodiagnostics tuberculosis immunodiagnostic system defects of tuberculosis immunodiagnostics recommendations for tuberculosis immunodiagnostics |
| title | Tuberculosis Immunodiagnosis System: Analysis of Potential Losses of Patients for Registration |
| title_full | Tuberculosis Immunodiagnosis System: Analysis of Potential Losses of Patients for Registration |
| title_fullStr | Tuberculosis Immunodiagnosis System: Analysis of Potential Losses of Patients for Registration |
| title_full_unstemmed | Tuberculosis Immunodiagnosis System: Analysis of Potential Losses of Patients for Registration |
| title_short | Tuberculosis Immunodiagnosis System: Analysis of Potential Losses of Patients for Registration |
| title_sort | tuberculosis immunodiagnosis system analysis of potential losses of patients for registration |
| topic | tuberculosis immunodiagnostics tuberculosis immunodiagnostic system defects of tuberculosis immunodiagnostics recommendations for tuberculosis immunodiagnostics |
| url | https://www.tibl-journal.com/jour/article/view/1611 |
| work_keys_str_mv | AT sasterlikov tuberculosisimmunodiagnosissystemanalysisofpotentiallossesofpatientsforregistration AT tnkazykina tuberculosisimmunodiagnosissystemanalysisofpotentiallossesofpatientsforregistration |