Кубанский научный медицинский вестник (Apr 2014)
Cooperation of civil and penitentiary services in tuberculosis management among prison population
Abstract
This articles deals with factors contributing to the spread of tuberculosis in penitentiary institutions received from phthisiatricians (n=92) and doctors of penitentiary service (n=49) filled in anonymous questionnaires in Volgograd. Main factors leading to tuberculosis development and transmission in corrective labour establishments are the following: convicted persons with tuberculosis (85,7%) are unwilling to seek treatment and follow the doctors' advice; convicted persons with neglected tuberculosis (49,0%) are admitted from a civil health service and unfavorable course of tubercular process in convicted persons (34,7%). More than half of phthisiatricians (55.5%) consider the existing level of cooperation of civil and penitentiary antituberculous services is low and ineffective, but physicians in penal settings put forward an opposite view being satisfied with it. The risk of existent tuberculosis infection for civil society in corrective labour establishments is of concern by 61,2% of physicians in penal settings. Obtained data show the necessity to organize close cooperation of different services to prevent the spread of tuberculosis in civil society.
