Problems in organizing the detection and diagnosis of pulmonary tuberculosis in the general healthcare network

Abstract

Analyzing 360 case histories revealed the reasons for the untimely and late diagnosis of pulmonary tuberculosis in the general healthcare network facilities. The main reasons for its untimely and late diagnosis were lower alertness to pulmonary tuberculosis among the population and physicians; underestimation of clinicoanamnestic data; delayed and inadequate X-ray examination; violation of the requirements of Orders Nos. 109 and 690 by the Ministry of Health of the Russian Federation for the detection of tuberculosis by direct microscopy; low quality of sputum tests for acid-resistant mycobacteria in the general healthcare network. In conclusion, there are ways to remove shortcomings, the use of which will contribute to the timely detection of pulmonary tuberculosis.

Keywords

• туберкулез
• легкие
• выявление
• диагностика
• лечебная сеть