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Treatment of respiratory tuberculosis in patients with psychiatric disorders

DOI: https://doi.org/10.29296/25879979-2023-02-01
Issue: 
2
Year: 
2023

О.V. Litvinova, E.A. Borodulina
Federal State Budgetary Institution of Higher Education «Samara State Medical University» Ministry of Health Care of the Russian Federation, 89 Chapaevskaya str.
e-mail: [email protected]

The incidence of mental disorders is increasing, including addiction diseases. HIV infections and tuberculosis are also common in this group of patients. Such combination of diseases creates difficulties for effective tuberculosis treatment and influence on its prevalence. Purpose of the study: to estimate the effectiveness of treatment of respiratory tuberculosis patients with psychiatric disorders, to study the incidence of adverse reactions when using antituberculosis drugs in this group of patients. The study was based on a retrospective cohort study of 390 patients with combined pathology - respiratory tuberculosis and mental disorders. All patients received antituberculosis drugs in a psychiatric hospital. Therapy efficacy depended on the quality of nursing staff, their careful observation of drugs intake and timely registration of adverse reactions (ADRs). An individualized approach to the treatment of TBI in patients with mental disorders, in which the nursing staff actively participates, makes it possible to increase the effectiveness of therapy, timely identify NDAs and stop them.
Keywords: 
tuberculosis
mental disorders
treatment
adverse reactions (ADRs)
tuberculosis dispensary
psychiatric hospital.

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