Issues of tuberculosis detection in general medical practice

DOI: https://doi.org/10.29296/25877305-2023-02-01
Issue: 
2
Year: 
2023

Professor E. Borodulina, MD
Samara State Medical University, Ministry of Health of Russia

Implementing the tasks to reduce the burden of tuberculosis (TB) in Russia while striving for the declared WHO indicators weighs primarily on the general medical network. The main condition for reducing the incidence and prevalence of TB is its timely diagnosis with a comprehensive examination of the patient. The issues of the interaction with the anti-tuberculosis service begin at the stage of screening activities among the population or examination of a patient with complaints in suspected TB. The paper presents main information from the existing guidelines on adult TB, which is necessary in general medical practice, and the reasons that reduce the effectiveness of anti-tuberculosis measures.

Keywords: 
phthisiology
physician
patient
Mycobacterium tuberculosis
tuberculosis
primary health care
screening
drug resistance.



References: 
  1. Raviglione M.C., Korobitsyn A.A. End Tb – the new who strategy in the SDG era, and the contributions from the Russian Federation. Tuberculosis and Lung Diseases. 2016; 94 (11): 7–15 (in Russ.). DOI: 10.21292/2075-1230-2016-94-11-7-15
  2. Ergeshov A.E. Tuberculosis in the russian federation: situation, challenges and perspectives Bulletin of the Russian Academy of Medical Sciences. 2018; 73 (5): 330–7 (in Russ.). DOI: 10.15690/vramn1023
  3. Tsybikova E.B., Zubova N.A. Approaches to organization of respiratory tuberculosis detection when its prevalence is decreasing. Tuberculosis and Lung Diseases. 2019; 97 (9): 33–9 (in Russ.). DOI: 10.21292/2075-1230-2019-97-9-33-39
  4. Borodulin B.E., Borodulina E.A., Eremenko E.P. Outpatient phthisiology: textbook. M., 2022 (in Russ.).
  5. Nikolenko N.Yu., Kudlay D.А., Doktorova N.P. Pharmacoepidemiology and pharmacoeconomics of multidrug- and extensively drug-resistant tuberculosis. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2021; 14 (2): 235–48 (in Russ.). DOI: 10.17749/2070-4909/farmakoekonomika.2021.089
  6. Borodulina E.A., Borodulin B.E. Phthisiology: textbook. M.: Knorus, 2021; 212 р. (in Russ.).
  7. Bykov I.A. Social and demographic factors contributing to the spread of multiple drug resistant tuberculosis in the Russian Federation: a systematic review. Tuberculosis and Lung Diseases. 2022; 100 (6): 59–65 (in Russ.). DOI: 10.21292/2075-1230-2022-100-6-59-65
  8. Ryzhkova O.A., Streltsova E.N. The structure of drug resistance of m. tuberculosis in newly diagnosed patients with tuberculosis of the respiratory system. Bulletin of the Central Research Institute of Tuberculosis. 2021; 3: 54–60 (in Russ.). DOI: 10.7868/S2587667821030067
  9. Borodulina E., Skoptsova N.. Borodulin B. et al. Difficulties of tuberculosis diagnosis. Vrach. 2018; 29 (2): 30–2 (in Russ.). DOI: 10.29296/25877305-2018-02-07
  10. Guseynalieva V.N. Improved detection of tuberculosis in primary health care and its impact on the incidence. Tuberculosis and Lung Diseases. 2020; 98 (10): 41–6 (in Russ.). DOI: 10.21292/2075-1230-2020-98-10-41-46
  11. Karpina N.L. Diagnosis of tuberculosis: basic principles and modern possibilities. Bulletin of the Central Research Institute of Tuberculosis. 2019; S1: 181–90 (in Russ.). DOI: 10.7868/S2587667819050947
  12. Lapshina I.S., Tsybikova E.B., Kotlovskiy M.Yu. Groups at high risk of developing respiratory tuberculosis among adult population of Kaluga Oblast. Tuberculosis and Lung Diseases. 2022; 100 (11): 20–8 (in Russ.). DOI: 10.21292/2075-1230-2022-100-11-20-28
  13. Borodulina E.A., Inkova A.T., Borodulin B.E. et al. Ways to optimize detection of tuberculosis in a pulmonology unit. Tuberculosis and Lung Diseases. 2018; 96 (5): 22–6 (in Russ.). DOI: 10.21292/2075-1230-2018-96-5-22-26
  14. Stepanyan I.E. Diagnosis of pulmonary tuberculosis in XXI century: what has changed? Consilium Medicum. 2019; 21 (3): 37–40 (in Russ.). DOI: 10.26442/20751753.2019.3.190213
  15. Tyulkova T.E., Lugovkina T.K., Kutuzova D.M. et al. Diagnosis of bacteriologically unconfirmed pulmonary tuberculosis (literature review). Russian Medical Inquiry. 2022; 6 (7): 387–92 (in Russ.). DOI: 10.32364/2587-6821-2022-6-7-387-392
  16. Rusakova L.I., Galkin V.B., Sterlikov S.A. Microbiological diagnosis of tuberculosis in Russia in 2020: achievements and challenges. Medical Alliance. 2021; 9 (3): 12–21 (in Russ.). DOI: 10.36422/23076348-2021-9-3-12-21
  17. Berdyugina O.V. Laboratory diagnostics of pulmonary tuberculosis in adults. Medical Alliance. 2019; S3: 48–50 (in Russ.). DOI: 10.13140/RG.2.2.29760.35842
  18. Murzakhmetova Z.S., Chingisova L.T., Zhelgozina M.A. et al. Unified system of laboratory tests for the diagnosis of tuberculosis. Phthisiopulmonology. 2021; 2: 3–6 (in Russ.).
  19. Aksenova V.A., Levi D.T., Aleksandrova N.V. et al. Pediatric TB: Modern Methods for Prevention and Early Diagnostics. Doctor.Ru. 2017; 15 (144): 9–15 (in Russ.).
  20. Aksenova V.A., Klevno N.I., Baryshnikova L.A. et al. Vyyavlenie tuberkuleza i taktika dispansernogo nablyudeniya za litsami iz grupp riska s ispol'zovaniem rekombinantnogo tuberkuleznogo allergena – Diaskintest®. Metodicheskie rekomendatsii. M.: Pervyi MGMU im. I.M. Sechenova, 2011; 12 s. (in Russ.).
  21. Shovkun L.A., Aksenova V.A., Kudlai D.A. et al. The role of immunological tests in the diagnosis of tuberculosis infection in children with juvenile idiopathic arthritis (JIA). Eur Resp J (Suppl). 2018; 52 (S62): PA2733.
  22. Borodulina E., Vdoushkina E., Inkova A. Tuberculosis and HIV-infection. Vrach. 2020; 31 (1): 37–43 (in Russ.). DOI: 10.29296/25877305-2020-01-07
  23. Kaminsky G.D., Kudlay D.A., Panova A.E. et al. Doctor's tactics in the detection, diagnosis and prevention of combined HIV and tuberculosis infections. Practical guide. M., 2020; 152 р. (in Russ.).
  24. Shubina A.T., Borodulina E.A., Kudlay D.A. et al. Test with recombinant tuberculosis allergen (Diaskintest®) in the diagnosis of pulmonary tuberculosis in pulmonological practice. Pulmonologiya. 2022; 32 (4): 576–84 (in Russ.). DOI: 10.18093/0869-0189-2022-32-4-576-584
  25. Vishnevsky B.I., Yablonsky P.K. Quorum sensing in Mycobacterium tuberculosis. Review. Medical Alliance. 2021; 9 (3): 6–11 (in Russ.). DOI: 10.36422/23076348-2021-9-3-6-11