Comprehensive assessment of the effectiveness of sanatorium treatment for tuberculosis in children

Introduction. The sanatorium stage is an important component of the comprehensive therapy and rehabilitation of children with tuberculosis and individuals from risk groups. To evaluate its effectiveness, a systematic approach is required that takes into account the dynamics of a set of clinical and functional indicators. The aim of the research — to test a comprehensive assessment table for determining the effectiveness of the sanatorium stage of treatment at the Federal State Budgetary Institution Children's Tuberculosis Sanatorium "Pushkinsky" of the Ministry of Health of Russia (DTS). This table was developed jointly by the Department of Phthisiology of the Federal State Budgetary Educational Institution of Higher Education Saint Petersburg State Pediatric Medical University and the Federal State Budgetary Institution DTS “Pushkinsky” of the Ministry of Health of Russia. Materials and methods. Analysis of medical records of patients undergoing rehabilitation at the sanatorium with diagnoses of “respiratory tuberculosis” and “latent tuberculosis infection” was carried out, and treatment effectiveness was assessed using a special table, where key indicators were assessed in points upon admission and discharge. As a result, the effectiveness coefficient was calculated: the quotient of the sum of points upon admission divided by the sum of points upon discharge. Treatment included medication (chemotherapy) and non-medication methods (halotherapy, ionotherapy, exercise therapy, massage, and physical therapy). Results. The use of an assessment table allowed for standardized assessment of treatment outcomes. Based on the effectiveness coefficient, four outcome categories were identified: “significant improvement”, “improvement”, “unchanged”, and “worsening” The analysis revealed positive dynamics in most of the assessed parameters in patients in both groups.