Creation of a regional register of children with latent tuberculosis infection

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Abstract

Background. In the context of the stabilization of the tuberculosis situation in Russia, including the Tyumen region, work with children at risk (with a latent tuberculosis infection) is of particular importance. In the course of previous studies, a number of problematic issues in the field of organizing phthisiatric care for this contingent were identified.

Aim. To substantiate and develop the structure of the regional register of children with latent tuberculosis infection, as well as the algorithm for collecting and registering information included in it.

Material and methods. The analysis of domestic and foreign publications, the current regulatory framework in the field of creation and use of registers in medicine and healthcare has been carried out. The study used content analysis, legal, historical and descriptive-analytical methods.

Results. The analysis of the literature showed that currently the practice of creating registers in medicine is particularly relevant, but there is no unified definition, classification, tasks and approaches to their management, therefore, the structure of the regional register of children with latent tuberculosis infection, the procedure for collecting and registering information were developed by the authors based on the functions inherent in it. The register is necessary for recording and monitoring of children with latent tuberculosis infection, optimization of medical processes, solving organizational and scientific issues in providing anti-tuberculosis care to this category of patients. The register consists of 8 blocks: identification, follow-up medical care, anamnesis vitae, epidemiological anamnesis, vaccination against tuberculosis, immunodiagnostics, radiation diagnostics, preventive treatment. The functions of filling in the blocks are distributed between the primary health care institutions and the phthisiological service, as well as assigned to certain specialists.

Conclusion. The developed data registration algorithm and the structure of the regional register of children with latent tuberculosis infection contain the data necessary for the implementation of the tasks set, operational and retrospective monitoring of the effectiveness of ongoing activities, as well as management decision-making at all levels of providing phthisiatric care to the children's population of the region.

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About the authors

Daria M. Slashcheva

Tyumen State Medical University

Author for correspondence.
Email: dms312@mail.ru
ORCID iD: 0000-0002-9975-5635

Assistant, Depart. of public health and health care

Russian Federation, Tyumen, Russia

Natalya S. Brynza

Tyumen State Medical University

Email: brynzans@yandex.ru
ORCID iD: 0000-0001-5985-1780

M.D., D. Sci. (Med.), Assoc. Prof., Head of Depart., Depart. of public health and health care

Russian Federation, Tyumen, Russia

Dmitry I. Kicha

Peoples' Friendship University of Russia

Email: d_kicha@mail.ru
ORCID iD: 0000-0001-6529-372X

M.D., D. Sci. (Med.), Prof., Depart. of public health, healthcare and hygiene, Institute of Medicine

Russian Federation, Moscow, Russia

Yuliya S. Reshetnikova

Tyumen State Medical University

Email: reshetnikovayul@mail.ru
ORCID iD: 0000-0001-6726-7103

M.D., D. Sci. (Med.), Assoc. Prof., Depart. of public health and health care

Russian Federation, Tyumen, Russia

Antonina D. Petrushina

Tyumen State Medical University

Email: adpet@yandex.ru
ORCID iD: 0000-0003-1567-3710

M.D., D. Sci. (Med.), Assoc. Prof., Head of Depart., Depart. of pediatrics

Russian Federation, Tyumen, Russia

Natalia D. Pirogova

Regional Clinical Phthisiopulmonological Center

Email: pirogova-ishim@yandex.ru
ORCID iD: 0000-0002-8415-9961

chief doctor, Regional clinical phthisiopulmonological center

Russian Federation, Tyumen, Russia

Andrey I. Tsvetkov

Ural State Medical University

Email: cp-gendir@mail.ru
ORCID iD: 0000-0002-8751-6872

M.D., Cand. Sci. (Med.), Head of Depart., Depart. of public health and health care

Russian Federation, Yekaterinburg, Russia

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2. Рис. 1. Заболеваемость туберкулёзом детей и взрослых в Тюменской области в 2009–2019 гг. (на 100 тыс. соответствующего населения) [9]

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