Peculiarities of the course of tuberculosis in military women and women – family members of military personnel

Abstract

 Relevance. It is noted that incidence of tuberculosis among population and the military increased with perfect regularity during wars and social upheaval. Therefore the health care system and the medical service of the Armed Forces of Russia should be ready for new challenges.Intention. To assess the characteristics of the course of tuberculosis in female servicemen and female members of military families, the specificity in the organization of specialized medical care for them and of treatment results.Methodology. According to the data of studied and analyzed medical documentation (medical histories, medical service reports), characteristic features of tuberculosis course in female servicemen and female members of military families (who were treated in tuberculosis military medical organization in the period of 2012 to 2021) have been revealed. The 1st group consisted of 62 female servicemen, the 2nd – of 63 female members of military families. Mathematical and statistical data processing was carried out using Statistica 22.0 application software packages.Results and Discussion.  New cases of tuberculosis are detected among female military personnel every year. Statistically significant differences have been established in various age groups (p < 0.05), in groups with frequently detected disseminated tuberculosis (p < 0.05). Generalized forms of tuberculosis have been detected only in patients of the 2nd group; these patients were more often prescribed an individual course of treatment (p < 0.05). Tuberculosis pleurisy was significantly more common in 1st group (p < 0.05) due to the younger age of patients. Bacterial excretion was observed in 27.4 % of patients in 1st group and 34.9 % in 2nd group. The proportion of multidrug-resistant tuberculosis reached 9.7 %. As appears from the above, the patients of the 2nd group had clinically more severe forms of tuberculosis and the treatment have required more diagnostic effort and resources.Conclusion. Treatment efficacy in the 1st and 2nd groups was 100 and 93.7 %, respectively. Despite the effective course of treatment, 46.7 % of female servicemen cured of tuberculosis were subject to dismissal from the Russian Armed Forces.