Pulmonary tuberculosis in the group of former prisoners

Abstract

Background. Distribution of tuberculosis (TB) in prison population (PP) is nearly 100 times higher, than among the civilian population according to WHO data. Aim: to estimate TB at ex-prisoners. Material and methods. 1045 protocols of autopsies of persons with a pulmonary tuberculosis (2000-2010 yrs.) are analysed. The analysis was carried out with use of nonparametric methods of statistics. The comorbid status was described by the Charlson's comorbidity index. Results. In the group of exprisoners larger distribution of chronic forms of the TB was revealed. Conversely, the group of honest citizens was characterized with the augmentation of a part of the acute progressing forms. As a comorbid diseases alcohol abuse and drug addiction prevailed. Conclusions. Tuberculosis of the ex-prisoners patients had not any age features. Longer course of TB, prevalence of chronic forms are, in our opinion, a positive effect of the increased attention in the relation infection with tuberculosis and well-timed treatment in this group of persons. The prevalence of acute progressing forms among died honest citizens demonstrates overdue diagnostics and the tardive beginning of specific therapy of TB in a cohort of law-abiding citizens of the Russian Federation.