Multidrug resistant tuberculosis in prisons located in former Soviet countries: A systematic review

Abstract

BackgroundA systematic literature review was performed to investigate the occurrence of multidrug-resistant tuberculosis (MDR TB) in prisons located in countries formerly part of the Soviet Union.MethodsA systematic search of published studies reporting MDR TB occurrence in prisons located in former Soviet countries was conducted by probing PubMed and Cumulative Index Nursing and Allied Health Literature for articles that met predetermined inclusion criteria.ResultsSeventeen studies were identified for systematic review. Studies were conducted in six different countries. Overall, prevalence of MDR TB among prisoners varied greatly between studies. Our findings suggest a high prevalence of MDR TB in prisons of Post-Soviet states with percentages as high as 16 times more than the worldwide prevalence estimated by the WHO in 2014.ConclusionAll studies suggested a high prevalence of MDR TB in prison populations in Post-Soviet states.

Patients’ perspectives of tuberculosis treatment challenges and barriers to treatment adherence in Ukraine: a qualitative study

“…Following the dissolution of the Soviet Union, many former Soviet Union countries experienced significant reduction in healthcare financing with a concomitant substantial rise in individual out-of-pocket healthcare costs 3. Amidst this post-Soviet era decline in public health and safety net programmes, many countries faced rising poverty levels, high incarceration rates, skyrocketing injection drug use and a rapid rise in HIV incidence, all of which fuelled the TB epidemic in Eastern Europe in the 1990s 4–9…”

Abandonment of previous treatment and case of resistant multidrug tuberculosis in a tertiary institution in the city of Rio de Janeiro / Abandono de tratamento anterior e caso de tuberculose multidroga resistente em uma instituição terciária na cidade do Rio de Janeiro

“…23,24 In this study, the most affected age group was from 21 to 40 years old (52.5%), the highest dropout rate in this range may be related to the lifestyle of this population, which normally uses alcoholic beverages and has irregular feeding times, factors that may contribute to the interruption of treatment, these results were confirmed in several studies. 20,25,26,27 Twenty percent of the disease cases were found in the range above 61 years, confirming that the increase in life expectancy of the population has changed the age profile of tuberculosis cases, increasing its occurrence among the elderly. 2,16,28 Pulmonary localization is the most common form of MDR-TB in the present study, where 87.5% of the patients who presented the disease were pulmonary.…”

Abandono Da Terapia Do Tratamento Da Tuberculose Multirresistente: Desafios Para Os Profissionais Da Saúde

“…Nos países em desenvolvimento, 80% dos infectados encontram-se na faixa de 15 a 59 anos de idade, considerada a de maior produtividade social, com implicações econômicas e sociais para o próprio indivíduo e sua família (23)(24) . Neste estudo, a faixa etária mais acometida foi de 21 a 40 anos (52,5%), a maior taxa de abandono nessa faixa pode estar relacionado ao estilo de vida desta população, que normalmente faz uso de bebidas alcoólicas e possui horários irregulares para a alimentação, fatores que podem contribuir para a interrupção do tratamento, sendo estes resultados confirmados em diversos trabalhos (20,(25)(26)(27) .…”