Pharmacoeconomical aspects of chemotherapy in children at high risk of tuberculosis

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Abstract

AIM: of the study is to analyze the results of pharmacoeconomical studies of preventive chemotherapy in children from high-risk groups of tuberculosis to optimize measures for the prevention of tuberculosis infection in children.

MATERIALS AND METHODS: Collection, systematization and analysis of data from the scientific literature and the results of their own research on the relevant problem.

RESULTS: On the problem of chemoprophylaxis of tuberculosis infection in children from high-risk groups, there is insufficient information on the pharmacoeconomical aspects of this problem. Most studies include a pharmacoeconomical assessment of the management of adult patients with tuberculosis infection. There are isolated scientific papers devoted to the pharmacoeconomical analysis of the preventive treatment of latent tuberculosis infection (LTI) in children. Different clinical and economic efficiency of the applied methods of immunodiagnostics and regimens of chemoprophylaxis of tuberculosis in children is shown. To improve the epidemic situation of tuberculosis among children, it is important to improve preventive chemotherapy regimens. Their effectiveness is largely determined by the sensitivity of Mycobacterium tuberculosis (MBT) to anti-tuberculosis drugs (PTP) and the rational choice of a chemotherapy regimen. The current chemoprophylaxis regimens for children with LTI do not take into account the sensitivity of MBT to PTP at a possible source of infection.

CONCLUSION: The analysis shows the high relevance of pharmacoeconomical studies and the practical significance of the results of such studies for optimizing preventive chemotherapy in children from high-risk groups for tuberculosis. Scientific research on the assessment of the clinical and economic effectiveness of various regimens of chemoprophylaxis of tuberculosis in children allows us to identify the most effective and least expensive ways to prevent tuberculosis through the rational use of medicines and methods of immunodiagnostics.

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About the authors

Vasiliy E. Novikov

Smolensk State Medical University

Author for correspondence.
Email: farmfpk@smolgmu.ru

Dr. Sci. (Med.), Professor

Russian Federation, 28, Krupskaya str., Smolensk, 214019

Natalia E. Usacheva

Smolensk State Medical University

Email: nataly09ka@yandex.ru

assistant of the Pharmacology Department

Russian Federation, 28, Krupskaya str., Smolensk, 214019

Natalia S. Ponamareva

Smolensk State Medical University

Email: Ponamareva-n@yandex.ru

PhD, Cand. Sci. Med. (Pharmacology)

Russian Federation, 28, Krupskaya str., Smolensk, 214019

Tatyana V. Myakisheva

Smolensk State Medical University

Email: tatya-myakisheva@yandex.ru

Dr. Sci. (Med.), Associate Professor

Russian Federation, 28, Krupskaya str., Smolensk, 214019

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Copyright (c) 2021 Novikov V.E., Usacheva N.E., Ponamareva N.S., Myakisheva T.V.

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