EFFICIENCY OF ANNUAL FLUOROGRAPHY SCREENING OF THE POPULATION IN VORONEZH REGION

Abstract

Goal of the study: to justify the need for annual fluorography screening of the population.Materials and methods. Nosologic structure of chest pathologies detected by fluorography screening in 2007-2015 has been studied. The changes in the estimated number of undetected active tuberculosis cases have been calculated, provided that there was no 100% coverage by preventive fluorography screening. The obtained data were compared with the rates in the Russian Federation.Results. Nosologic structure of chest pathologies has been analyzed. It has been found out that respiratory tuberculosis patients made 4.8-10.8% out of those screened in 2007-2015, non-specific pulmonary diseases made – 16.6-36.2%, cancer cases made – 4.9-7.0% and other disorders made – 49.3-72.0%. Due to annual fluorography screening conducted in Voronezh Region from 2007 to 2015 the hidden reservoir of tuberculous infection significantly reduced and thus the number of detected patients decreased every year. In 2007-2015 the number of detected tuberculosis cases decreased by 2.2 fold in Voronezh Region, and by 1.4 fold in the Russian Federation. Tuberculosis incidence in Voronezh Region decreased from 69.3 (2007) down to 31.4 (2015) per 100,000 population (reduction by 54.69%), in the Russian Federation from 83.3 down to 57.7 (by 30.73%) respectively.

Keywords

• туберкулез
• флюорографическое обследование
• заболеваемость туберкулезом