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Recommended for Implementation

Over the past five years the surgical activity has increased 4-6 times at the Republican Specialized Scientific and Practical Center of Phthisiology and Pulmonology. At the same time, technologies that are used by surgeons today, took the notice. Since 2016 most of the operations have been performed with endovisual technologies in the center.

“The increase in surgical activity is also associated with the creation of opportunities for the introduction of high technologies in the treatment of tuberculosis patients. Four years ago, we had only one surgical room, but today we have four of them in the center,” says Nargiza Parpiyeva, Director of the Republican Specialized Scientific and Practical Medical Center of Phthisiology and Pulmonology. “Today, we perform surgery on all patients who require removal of residual effects which subsequently can lead to disease recurrence. We widely practice the operations that maximize a patient recover. This is, basically, the musculoskeletal system surgery - on strengthening the spinal column in places previously affected with tuberculosis, replacing affected large joints.

Nargiza Parpiyeva also placed significance on the level of the surgeries. Today, all four operation centers are equipped with aerial tools allowing perform a surgery in minimally invasive bloodless way, with less use of painkillers and other drugs, as well as enabling patients to go quickly on the mend.

A number of large-scale changes resulted in growth in the activity of the surgical center. One of the most important components of them was the fact that over the past five years, the government allocated 177 billion soums to carry out repair and reconstruction work of Tuberculosis service on all vertical - from the center to regional and district institutions. Another equally important part was the solution of a personnel issue. In the five years the provision of health care system with phthisiatricians increased from 55% to 83%. Particular attention was placed on the training of specialists to work on new advanced technologies, with the latest high-performance equipment that allows set specific diagnosis and treat the patient effectively.

In Uzbekistan, all patients with tuberculosis are treated free of charge. At the same time Uzbekistan was one of the first in the world that transformed to innovative technologies of tuberculosis treatment with short treatment courses and the use of new drugs in the treatment of drug-resistant forms of tuberculosis. All this became the basis for that the experience of Uzbekistan was recommended by the World Health Organization for other countries as an example of best practice treatment of the most difficult forms of tuberculosis. Its peculiarity lies precisely in high-surgical activity.

The most important thing - all this has led to improvement of treatment outcomes. If cessation of bacterial isolation was observed in 56% of patients before, today this result is reached to 85%.

“We began to share our experiences in the pages of specialized international peer-reviewed journals. Over the past five years, our specialists have published 17 papers in top scientific medical journals whereas before that for a long time there was not a single article. This suggests that our experience corresponds to the best in the world. Moreover, the World Health Organization has named our experience as "best practices" and recommended to study and implement in other countries,” Nargiza Parpiyeva concluded.
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