Strelis A K, Sharaburova O E, Ianova G V, Golubchikova V T, Polivakho V V, Petrova E V, Chukova N V, Bess K, Moer K, Ignatenko N, Liagoshina T
Region Union "Phthisiology", Tomsk.
Probl Tuberk. 1996(5):5-8.
The priorities of the international concept of organization of antituberculous care to the population of the Tomsk Region are as follows: detection of bacillar patients and their short-term intensive chemotherapy by the WHO categories; formation of a 6-month reserve of tuberculostatics and complete control over patients' drug use; diagnosis of diseases by the general medical network for patients' referrals by introducing indications for clinical examinations for tuberculosis and sputum tests for Mycobacterium tuberculosis, fluorographic studies of only risk group populations; tuberculin diagnosis among children aged 1-14 years from risk groups; BCG vaccination of the newborn and revaccination at the age of 6-7 years. Resource mobilization is essential. This includes: strengthening of basic service institutions and centralization of its structures; fund saving by reasonably reducing the beds in sanatoria and hospitals; extension of therapeutical and diagnostic services at the outpatient stage of a follow-up; decrease in the length of patients' medical examinations and in the number of groups registered at a tuberculous dispensary; intensification the work of a phtx11p4trist and a nurse with their salary increases.
按照世界卫生组织的类别对菌阳患者进行检测并给予短期强化化疗；建立6个月的抗结核药物储备并全面监控患者的用药情况；通过引入结核病临床检查指征和结核分枝杆菌痰检，利用普通医疗网络对患者进行转诊诊断，仅对高危人群进行荧光摄影研究；对1至14岁高危儿童进行结核菌素诊断；对新生儿进行卡介苗接种，并在6至7岁时进行复种。资源调动至关重要。这包括：加强基层服务机构并使其结构集中化；通过合理减少疗养院和医院的床位来节省资金；在随访的门诊阶段扩大治疗和诊断服务；减少患者的医学检查时间和结核病防治所登记的组数；加强药剂师和护士的工作并提高他们的工资。
