Ovsiankina E S, Kufakova G A
Central NII of Tuberculosis RAMN, Moscow.
Probl Tuberk. 1996(6):36-7.
Under the conditions of society's socioeconomic instability and increased migratory processes, ever increasing numbers of children and adolescents are being brought up in socially disadapted families. The social status of a family largely determines the infection and morbidity rates of tuberculosis and affects the diagnosis, course and prognosis of the disease in children and adolescents. The infection rates in this group of children are 2-5 times higher than those of children in Russia, the risk of primary infection is 10.9%. In children and adolescents from the socially disadapted families, there was a torpid and undulating course in 50% of cases, 25% being found to have primary resistance to antituberculous drugs, which corresponds to that in the source of infection. To enhance the efficiency of antituberculous diagnostic and therapeutic measures among children and adolescents from socially disadapted population groups, the Ministry of Internal Affairs, public educational institutions, and the general therapeutical network should jointly make a complex of measures within the framework of a goal-oriented sponsored programme.
在社会经济不稳定和移民进程增加的情况下，越来越多的儿童和青少年在社会适应不良的家庭中成长。家庭的社会地位在很大程度上决定了结核病的感染率和发病率，并影响儿童和青少年疾病的诊断、病程和预后。这组儿童的感染率比俄罗斯儿童高2至5倍，原发感染风险为10.9%。在社会适应不良家庭的儿童和青少年中，50%的病例病程隐匿且呈波浪式，25%被发现对抗结核药物有原发耐药性，这与传染源中的情况相当。为提高社会适应不良人群中儿童和青少年抗结核诊断和治疗措施的效率，内政部、公共教育机构和普通治疗网络应在目标导向的赞助计划框架内共同制定一系列综合措施。
