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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/8955
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dc.contributor.authorSain, D.
dc.contributor.authorHaidarli, I.
dc.contributor.authorPalihovici, C.
dc.contributor.authorRăvneac, L.
dc.contributor.authorCrivenco, G.
dc.contributor.authorDonica, A.
dc.contributor.authorNepoliuc, L.
dc.contributor.authorTimbalari, T.
dc.date.accessioned2020-04-30T19:52:45Z
dc.date.available2020-04-30T19:52:45Z
dc.date.issued2012
dc.identifier.citationSAIN, Dumitru; HAIDARLÎ, Ion; PALIHOVICI, Constantin; RÎVNEAC, Lidia; CRIVENCO, Galina; DONICA, Ala; NEPOLIUC, Liubovi; ŢÎMBALARI, Tatiana. Probleme de management al controlului tuberculozei în Republica Moldova. In: Curierul Medical. 2012, nr. 3(327), pp. 295-297. ISSN 1875-0666.en_US
dc.identifier.issn1875-0666
dc.identifier.urihttp://moldmedjournal.md/wp-content/uploads/2016/09/18.pdf
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/8955
dc.descriptionChiril Draganiuc Institute of Phtysiopulmonology, Congresul III al Medicilor de Familie din Republica Moldova, 17–18 mai, 2012, Chişinău, Republica Moldova, Conferinţa Naţională „Maladii bronhoobstructive la copii”, consacrată profesorului universitar, doctor habilitat Victor Gheţeul, 27 aprilie, Chişinău, Republica Moldovaen_US
dc.description.abstractTuberculosis became an epidemic in the Republic of Moldova in the last century as a result of the socio-economic crisis, insufficient financing of healthcare, and the lack of anti-TB drugs. Due to the continuing deterioration of the epidemiological situation; the Government approved the National Tuberculosis Program (NTP) based on the DOTS strategy. The successful implementation of the NTP is only possible if all the sections of the strategy are performed, attaching special importance to the identification of patients with tuberculosis (TB) and their treatment on an outpatient basis. Since most of the TB patients first apply for medical assistance at institutions of general healthcare these have a good opportunity to establish a constructive relationship with the patient. The final outcome of TB treatment depends on the early detection and treatment of patients under the direct supervision (DOT). Unfortunately, the family doctor’s identification of TB patients with the bronchopulmonary pathology is not more than 60% of actual cases. Meanwhile, because of the duration of the chemotherapy (especially with MDR-TB) it is difficult to maintain the patient’s desire to comply with the potentially successful treatment. However, the health worker to whom the patient first applies at may be instrumental in creating a proper attitude toward his the therapy program. Frequent interruptions in treatment result in resistance to the drug. Healthcare workers should also pay close attention to the development of the patient’s psychiatric symptoms. Psychological support is often very effective, in the form of both individual psychiatric consultation and group therapy. The patient’s intake of alcohol and drugs needs to be assessed. Such patients require early detection of the effects of alcohol and drugs and direction to the specialized hospitals for joint treatment with psychiatrists and narcologists as they develop encephalopathy and suffer mental decline, often not only violating the regime to abuse alcohol, even in the hospital, but also to stop treatment completely. However, even with DOT some patients do not comply with treatment regimen. To ensure adherence, the healthcare professional must use the tactic of providing patients “means” and “incentives”: additional tickets for transportation, food parcels, etc., which contribute to the treatment’s efficacy. Should the patient want to discontinue treatment it is necessary to assess the severity of depression and the extent of drug or alcohol abuse and consider the use of means and incentives to foster patient compliance. This is the objective of the collaboration between family physicians and phthisiopneumologists in implementing the National Program for the early diagnosis and effective treatment of tuberculosis.en_US
dc.description.abstractЭволюция туберкулеза в Республике Молдова приобрела эпидемический характер в 90-х годах прошлого века и в связи с продолжающимся ухудшением эпидемиологической ситуации, начиная с 2001г. Правительство утверждает каждые 5 лет Национальную Программу по контролю над туберкулёзом. Национальные Противотуберкулезные Программы (НТП), основаны на стратегии DOTS. Успешная реализация НТП возможна только при условии выполнения всех разделов стратегии. Особое значение мы придаем участию Первичной медицинской сети (ПМС) в выявлении больных туберкулезом (ТБ) и их лечению в амбулаторных условиях под непосредственным контролем (ДОТ). К большому сожалению, выявление больных ТБ из числа обратившихся к семейному врачу с патологией бронхолегочного аппарата осуществляется не более чем, в 60% случаев. Необходимо уделить пристальное внимание развитию у пациента психиатрических симптомов. Психологическая поддержка часто оказывается очень действенной в виде посещения врача психиатра. Однако даже при применении DОТ часть пациентов не соблюдает режим лечения и не является для приема препаратов. У пациента, желающего прекратить лечение, необходимо оценить тяжесть депрессивного состояния и степень злоупотребления алкоголем или наркотиками. Следует обдумать возможность использования средств и стимулов, которые способны обеспечить соблюдение пациентом режима лечения. Такие больные требуют своевременного выявления последствий алкоголя и наркотиков, определения в специализированные стационары для совместного лечения с психиатрами или наркологами. Приведены конкретные задачи для совместной работы семейных врачей и фтизиопульмонологов в реализации Национальной Программы по ранней диагностике и эффективному лечению туберкулеза.
dc.language.isoroen_US
dc.publisherMinisterul Sănătăţii al Republicii Moldova, Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”en_US
dc.relation.ispartofCurierul Medical: Congresul III al Medicilor de Familie din Republica Moldova, 17–18 mai, 2012, Chişinău, Republica Moldova, Conferinţa Naţională „Maladii bronhoobstructive la copii”, consacrată profesorului universitar, doctor habilitat Victor Gheţeul, 27 aprilie, Chişinău, Republica Moldova
dc.subjecttuberculosisen_US
dc.subjecttreatmenten_US
dc.subjecthealth national programsen_US
dc.titleProbleme de management al controlului tuberculozei în Republica Moldovaen_US
dc.title.alternativeOrganizational problems of tuberculosis control in the Republic of Moldovaen_US
dc.title.alternativeОрганизационные проблемы контроля туберкулеза в Республике Молдоваen_US
dc.typeArticleen_US
Appears in Collections:Curierul Medical, 2012, Vol. 327, Nr. 3

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