Comparative characteristics of the indicators of work of the tuberculosis hospitals and dispensaries of the Moscow Healthcare Department

Thirteen Moscow phthisiological facilities, including Moscow City Research-and-Practical Center for Tuberculosis (TB) Control, 4 TB hospitals, and 8 TB dispensaries having 24-hour hospitals, were comprehensively analyzed to have comparative characteristics of the work of TB hospitals and dispensaries over 12 years (1997-2008). Criteria were proposed for the efficiency of treatment in patients with pulmonary TB in the phthisiological facilities.
According to the results of the study, hospital care includes as follows: bed occupancy and mortality rates and therapeutic effectiveness. The mean length of TB hospital stay for patients with active pulmonary TB has been found to be greater than the standard established by the Ministry of Health and Social Development of Russia (90 bed days) and equal to 90-100 bed days, including 90-110 bed days for patients with new-onset pulmonary TB. Along with this, the basic criteria for the efficiency of inpatient treatment should be considered to be bacterial excretion cessation and pronounced positive clinical and X-ray changes in the tuberculosis process.

bed occupancy rates, mortality rates, therapeutic efficiency, mean length of hospital stay for patients with active pulmonary tuberculosis, bacterial excretion cessation in months