1. tuberkulozis diagnostirebis dayovneba saqarTveloSi
aleqsander rabini, giorgi kuWuxiZe, eka sanikiZe, rasel kempkeri

2. problemis aRwera
saqarTveloSi 2007 wels dafiqsirda daavadebis axali 5,912 Semxveva (maTgan 7% = MDR-TB)
TiToeul aranamkurnaleb nacx dadebiT SemTxvevas SeuZlia daainficiros 10 axlo kontaqtSi myofi piri wlis ganmavlobaSi
rac ufro metad gadaideba mkurnaloba,Ppacientebi SeiZleba gaxdnen metad kontagiozuri
Diagnostic Delay
Sources: WHO, Lomtadze, et al.

3. sxva qveynebSi Catarebuli msgavsi kvlevebi
Past work in the area has been uneven and has identified varying reasons for delay depending on the particular region investigated.

4. diagnostirebis dayovneba
A = pacientis dayovneba
B = jandacvis sistemis dayovneba
C = saerTo dayovneba
Sreeramareddy, C, et al.

5. dayovnebis mizezebi socialuri stigma qronikuli xvelis arseboba
ganaTlebis nakleboba
cudi wvdoma samedicino servisebisadmi
usaxlkaroba, umuSevroba
alkoholis borotad gamoyeneba
mdedrobiTi sqesi
uaryofiTi nacxi
Tumca aRiniSneboda mniSvnelovani sxvaobebi sxvadasxva kulturebsa da sxvadasxva kvlevebs Soris!
Storla, et al.

6. kvlevis miznebi tuberkulozis diagnostirebis dayovnebis gazomva
saqarTveloSi diagnostirebis dayovnebis risk faqtorebis gansazRvra
dayovnebis gavlena klinikur gamosavalze (2 Tvis Semdgomi nacxis cvlilebis mixedviT)
The delay in diagnosis of pulmonary TB will be calculated from the date of onset of the first TB related symptom to the date of TB diagnosis.
Univariate and multivariate analyses (using SAS software) will be performed to assess relationships and identify risk factors associated with delays in the diagnosis of pulmonary TB
Failure to convert sputum to negative after 8 weeks of therapy is a significant risk factor for relapse.

7. kvlevis meTodebi
qveynis masStabiT tuberkulozis sxvadasxva centrebidan ~300 pacientis CarTva kvlevaSi
pirveladi rentgenologiuri monacemebis, naxvelis kvlevis da Semdgomi kulturaluri kvlevebis monacemebis Segroveba

8. CarTvis kriteriumi mxolod filtvis tuberkulozi ≥18 weli
mxolod axali SemTxvevebi (+AFB)
xelaxla namkurnalebi pacientebi ar iqnebian CarTuli kvlevaSi
kvlevaSi monawile pacientebs diagnozi dasmuli aqvT ukanaskneli 4 kviris manZilze

9. Cven gvWirdeba Tqveni daxmareba!
klinicistebTan TanamSromloba CvenTvis mniSvnelovania pacientebTan dasakavSireblad da maT Sesaxeb informaciis mosapoveblad:

10. mas Semdeg rac Cven gamovarkvevT barierebs, romelic uSlis xels droul diagnostirebas saqarTveloSi, Cven SevZlebT erTad vimuSavoT tuberkulozis gavrcelebis Sesamcireblad da klinikuri gamosavlis gasaumjobeseblad
gmadlobT!
gansakuTrebul madlobas vuxdiT tuberkulozis centris yvela TanamSromels, vinc dagvexmara aRniSnuli proeqtis dawyebaSi da gvagrZnobina Tavi rogorc sakuTar saxlSi!