Abstract
Introduction: Prison's population (yearly approximately 2600 prisoners) is group with higher risk of tuberculosis (TB) due to fullness of prisons, bad living conditions and inadequate medical care. Total population's notification rate decreases continuously but the rate of TB cases in prisons is still high (384/2005, 0/2006, 115/2007, 230/2008, 307/2009 and 384/2010). Aim of this survey is to prove the situation with TB in prisons in Macedonia.
Material: Data for this survey are taken from the Central TB Registry. The forms of TB, previous treatment, bacteriological confirmation and treatment outcome between 36 prisoners (period 2005-2010) have been analysed.
Results: In the period 2005-2010, 36 cases of TB were registered, 91, 6% male and 8, 4% female. The pulmonary TB was identified at 83, 3%, extra pulmonary TB at 16, 7% cases. From all cases, 83, 3% were new and 16, 7% previously treated. Bacteriological confirmation of pulmonary TB with direct microscopy identified at 43,3% and bacteriological confirmation of culture at 63,3% cases. The drug sensitivity test demonstrated multi drug resistance in 2,7% cases. Treatment outcomes from 2005-2009 were following: successful treated 80, 9%, dead 3, 8%, default treatment 11, 5% and 3, 8% lost from evidence. Drug addiction is finding in 41, 6% prisoners with TB.
Conclusion: Rate of TB in prisons in Macedonia is higher than in total population. Among TB cases in prisons percentage of bacteriological confirmation is low. Appearance of multi drug resistant form of tuberculosis is bad prognostic sign.
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