The article presents the analysis of changes in preliminary and estimated epidemiological rates: tuberculosis (TB) incidence, TB mortality, and clinical and social structure of new TB cases. It has been found that against the background of continuing improvement of the epidemic situation (reduction of TB incidence and mortality), the clinical structure of TB cases detected in 2020-2021 deteriorated compared to 2015-2019 which was manifested by higher frequency of pulmonary tissue destruction, massive bacterial excretion (by smear), and fibrous cavernous pulmonary TB. The number of TB cases detected post mortem has increased, as well as one-year mortality. These changes indicate low detection of TB cases in 2020. Changes in the incidence of TB/HIV co-infection and the number of new cases with bacterial excretion and multiple drug resistant TB essentially repeat the changes in TB incidence in the resident population during this period.
ЗАБОЛЕВАЕМОСТЬ, СМЕРТНОСТЬ И РАСПРОСТРАНЕННОСТЬ КАК ПОКАЗАТЕЛИ БРЕМЕНИ ТУБЕРКУЛЕЗА В РЕГИОНАХ ВОЗ, СТРАНАХ МИРА И В РОССИЙСКОЙ ФЕДЕРАЦИИ1 Часть 2. Смертность от туберкулеза
CFCentral Research Institute for Public Health Organization and Informatization Russian Federation
Central Research Institute for Public Health Organization and Informatization Russian Federation
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ЗАБОЛЕВАЕМОСТЬ, СМЕРТНОСТЬ И РАСПРОСТРАНЕННОСТЬ КАК ПОКАЗАТЕЛИ БРЕМЕНИ ТУБЕРКУЛЕЗА В РЕГИОНАХ ВОЗ, СТРАНАХ МИРА И В РОССИЙСКОЙ ФЕДЕРАЦИИ. ЧАСТЬ 1. ЗАБОЛЕВАЕМОСТЬ И РАСПРОСТРАНЕННОСТЬ ТУБЕРКУЛЕЗА
We have studied the antimycobacterial efficacy of the liposomal preparation of mycobacteriophage D29 on models of tuberculous granuloma in vitro and in the experiment on laboratory mice of the relatively resistant strain C57BL/6, infected with the virulent strain of M. tuberculosis H37Rv. We have shown the preparation of liposomal preparation of the lytic mycobacteriophages and its characteristics. The experiments showed a significant lytic effect of the liposomal form of mycobacteriophage D29 both on the model of tuberculous granuloma formed by human blood mononuclear cells in vitro, which is formed in the presence of Mycobacterium tuberculosis and on the model of tuberculous infection in C57BL/6 mice. Keywords: mycobacteriophage D29, M. tuberculosis, liposomes, tuberculous granuloma in vitro, tuberculosis infection and its treatment.