[Preliminary results of testing The WHO Guidelines for Tuberculosis Control in the Republic of Chuvashia]

The authors describe the first results of introduction of the WHO recommendations for tuberculosis control in the Republic of Chuvashia. The total number of studies performed in the general therapeutic network and in tuberculosis facilities has increased by 1.3 and 1.5 times, respectively. The microscopic diagnosis of Mycobacterium tuberculosis in the sputum has improved, increasing the detection rate of tuberculosis from the smear, particularly in the general network, from 2.2% to 24.2%, but at the same time leading to higher morbidity in the republic. There has been improvement of the efficiency of treatment in patients by the generally accepted statistical indicators: abacillation by 19.7%, decay cavity closure by 11.3%, and being taken off the book of bacterial isolates by 15%. On completion of intensive-phase treatment of patients with pulmonary tuberculosis, negative sputum tests have been 84.7% in the tuberculosis facilities and 91.7% in the Federal Services penitentiaries. The interaction has become better between the penitentiary system and the tuberculosis-controlling service.