ANALYSIS OF INDICATORS PROVIDING MEDICAL CARE TO CHILDREN SUFFERING FROM URINARY TRACT INFECTIONS

Abstract

Introduction. Analysis of health condition of Ukrainian children population is indicative of a negative trend toward its deterioration. Diseases of the urinary system remain a topical issue in pediatrics due to a high degree of its spread among children population and differences in frequency of this pathology in different regions of the country.The objective of this study was to analyze the state provide specialized Nephrology care for children's population of Chernivtsi region.Materials and methods. Official statistical data (reporting documents concerning medical aid provided to children in Chernivtsi region and data of theMedicalStatisticsCenter of the Ministry of Health ofUkraine for the period from 2006 to 2017) were analyzed; informational-analytical and statistical methods were applied in processing of the material. Results. Analysis of the major parameters on providing medical aid to children suffering from infections of the urinary system (UТI) showed positive quantitative indices in the work of health service institutions of Chernivtsi region concerning medical aid provided to children in the form of out-patient observation in case of UТI and chronic pyelonephritis (CP), reduced number of those being hospitalized and duration of in-patient treatment.At the same time, comparative analysis «arranges» a number of factors indicating of the necessity to improve the organization of kinds and forms of providing specialized aid to children with the above pathology in order to achieve considerable qualitative changes.In case of «unstable» high indices of dispensary examination (12.3 – 37.0 % according to the years, age of children and pathology) the percentage of children with the diagnosis made for the first time seems to be insignificant. Sickness rate of children aged 0-14 years suffering from UТI for the recent six years (2012-2017) has increased 23.0%, and among children aged 15-17 increased 34,2 % - concerning cystitis. Under conditions of decreased children population and growth of those being treated in-patiently, from ¼ to ⅓ of patients from their general amount are registered out-patiently at medical health institutions in Chernivtsi region.This tendency can be evidenced by the data concerning the growth of sick children with congenital developmental defects of the urinary system with their general decrease in the country, and the indices of sickness rate 1.8 times as much (0.56 ‰ against 0.32 ‰ per 1000 of the proper population).Conclusion. The percentage of children suffering from UТI registered out-patiently is reliably higher among the children in Chernivtsi region than in an average inUkraine. It increased during the period from 2006 to2017 in the age group of children 0-14 years with a tendency to decrease among teenagers. Qualitative parameters of providing specialized medical aid to children by medical establishments in Chernivtsi region are behind the quantitative ones. They require a separate analysis resulting in objective information in order to substantiate further actions in improvement of medical aid provided to children suffering from UТI within the frame of management, and considering up-to-date achievements more – directly in therapeutic-diagnostic innovations.