Journal article Open Access
Background: Tuberculosis represents a social-related disease and for identifying the priority interventions for reducing its impact must be identified themain disparity features of patients.
Material and methods: Global Competitiveness Report and Report of the National Centre for Health Management were used. The clinical study wasretrospective, randomized, selective, and included 263 new pulmonary TB cases registered in three different Moldovan regions: Chisinau (center), Balti(north) and Cahul (south).
Results: Attributable risk identified that in Chisinau compared to Balti predominated patients in economical vulnerable state, without health insurance,GeneXpert MTB/ Rifampicin sensible and those who successfuly finished the treatment. In Balti compared to Chisinau predominated chronic alcoholabusers, co-morbid patients, severe pulmonary tuberculosis, direct addressing to the hospital, patients infected with GeneXpert MTB/Rifampicin resistantstrains of Mycobacteria. The major differences between Chisinau and Cahul groups, with predominance in Chisinau were homeless, co-morbid patientsand those who successfully finished the treatment course. In Cahul predominated patients with rural residence, direct addressed to the regional hospitaland severe forms of tuberculosis. Comparing the Balti and Cahul groups was established the predominance in Cahul of patients with rural residence, ineconomically vulnerable state and patient’s detection by general practitioner. In Balti predominated co-morbid patients, alcohol abusers, patients withsevere forms of tuberculosis.
Conclusions: Reduction of health care inequality will be achieved through social assistance of vulnerable groups and improvement of the general public life. demonstrates that in case of nosocomial infection of patients with acutecerebrovascular accident prevalent is nosocomial infection of the respiratory tract.