EPIDEMIOLOGY OF GENITOURINARY TUBERCULOSIS IN STAVROPOL TERRITORY

Abstract

The epidemiological survey of the genitourinary tuberculosis (GUTB) in the Stavropol territory during 2001-2012 was done. The effectiveness of risk groups mass screening for early detection of GUTB (introduced in 2006) was evaluated. The I (control) group consisted of 245 patients with newly diagnosed GUTB during 2001-2006, the II (main) group consisted of 348 patients with GUTB registered in 2007-2012. The total TB incidence rate decreased from 56,1 ± 1,3 per 100 thousands of population in the I group to 50,9 ± 2,3 in the II. Significant increase of GUTB incidence in the II group (from 1,51 ± 0,11 to 2,14 ± 0,06, p < 0,05) was detected. Destructive forms of GUTB dominated in the I group. The rate of cavernous renal TB was 16,8 ± 1,3% in the I group vs 9,3 ± 1,3% in the II group (p < 0,05). Consequently, the rates of early forms of GUTB increased: parenchymal TB – from 1,8 ± 0,5% to 6,0 ± 0,4% and TB papillitis – from 17,2 ± 1,8% to 29,0 ± 1,0% (p < 0,05). The increase of male genital TB from 5,0 ± 1,3% up to 13,7 ± 0,3% also was registered (p < 0,05).This testifies about the success of risk groups mass screening for early detection of GUTB.