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Анализ результатов эмпирической терапии амбулаторных больных урогенитальными инфекциями в условиях высокой заболеваемости туберкулезом

Анализ результатов эмпирической терапии амбулаторных больных урогенитальными инфекциями в условиях высокой заболеваемости туберкулезом

Abstract

For the purpose of the analysis of results of empirical therapy of patients with urogenital infections at an out-patient stage the following researches were performed: retrospective analysis of out-patient cards and data of statistical coupons of 6753 patients for 15 months on the basis of the City clinical hospital № 26; open comparative retrospective research of assessment of efficiency of treatment of patients with acute and chronic cystitis at optimum and non-optimal regimens of therapy (n = 85); population research of definition of the prescribed antibacterial preparations at empirical therapy of UTI. Interns and interns of NSMU, Novosibirsk and Irkutsk urologists and gynecologists, total 181 persons were questioned. In out-patient urological practice inflammatory diseases of genitourinary system takes 47,3 %. Optimum therapy increases efficiency of treatment of acute cystitis on 6 %, and chronic cystitis on 17 %. The conducted survey showed that the level of knowledge of interns and hospital physicians of optimum therapy of urogenital infections is insufficient. Up to 25 % of medical prescriptions concerning acute and chronic cystitis isn’t optimum and can potentially promote late identification of urotuberculosis tuberculosis.

С целью анализа результатов эмпирической терапии больных урогенитальными инфекциями на амбулаторном этапе были выполнены исследования: ретроспективный анализ амбулаторных карт и данных стат. талонов 6753-х больных за 15 месяцев на базе Городской поликлиники № 26; открытое сравнительное ретроспективное исследование оценки эффективности лечения больных острым и хроническим циститом при оптимальном и неоптимальном режимах терапии (n = 85); популяционное исследование определения спектра назначаемых антибактериальных препаратов при эмпирической терапии ИМВП. Были опрошены интерны и ординаторы НГМУ, а также врачи-урологи и гинекологи Новосибирска и Иркутска, всего 181 человек. В амбулаторной урологической практике воспалительные заболевания мочеполовой системы занимают 47,3 %. Оптимальная терапия повышает эффективность лечения острого цистита на 6 %, а хронического цистита - на 17 %. Проведенный опрос показал, что уровень знаний интернов и ординаторов по оптимальной терапии урогенитальных инфекций недостаточен. До 25 % врачебных назначений по поводу острого и хронического цистита не является оптимальными и потенциально могут способствовать позднему выявлению уротуберкулеза.

Keywords

ТУБЕРКУЛЕЗ МОЧЕПОЛОВОЙ СИСТЕМЫ, ИНФЕКЦИЯ МОЧЕВЫВОДЯЩИХ ПУТЕЙ, ЭМПИРИЧЕСКАЯ ТЕРАПИЯ, ЦИСТИТ, АМБУЛАТОРНЫЙ ПРИЕМ

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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