[Organization of tuberculosis-controlling work and its efficiency in the penitentiaries of the Ivanovo Region].

The incidence rate of tuberculosis is high in the penitentiaries of the Ivanovo Region and in 2000 it was 32 times greater than that in the Region (3122 versus 96.7 per 100,000). Fluorography remains to be the main method of detection of pulmonary tuberculosis. It is performed on day 3 of admission of jail, then every 6 months. Fluorography allows one to identify 85-90% of the patients with pulmonary tuberculosis. In the fluorgraphic interval, the sputum from patients with symptoms of suspected tuberculosis is tested by the Ziehl-Neelsen procedure, which makes it possible to detect more than 15% of the tuberculosis patients who isolate bacteria. The patients are treated with the routine regimens including 4 first-line drugs. In 1997-2000, the rates of bacterial isolation session and decay cavity closure were in the range of 82.1-93 and 66.7-87.5%, respectively. Integration with civil tuberculosis service, the social security administration of the region, and the regional branch of the red-cross society has proved to be highly effective. The proportion of patients with tuberculosis who continued their treatment in tuberculosis facilities after release increased from 51.1% in 2000 to 80% in 2001.