[Importance of social tuberculosis prophylaxis for the Armed Forces in present conditions].

Lately social prophylaxis of tuberculosis has taken on special significance in the Armed Forces of the Russian Federation. Thank to social measures of the modern military reform, such as reduction of conscription term, territorial principle of recruitment for the army, improvement of habitation, service and recreation conditions, improvement of quality and organization of a diet, improvement of quality of a uniform it succeeded in reducing tuberculosis morbidity in military servicemen from 2007 up to 2014 up to 65 percent. Nevertheless, the main ways of tuberculosis control in the army (military service prohibition for citizens with tuberculosis, early active case detection, prophylaxis in risk group, anti-epidemic measures in the army nidus of tuberculosis etc.) are still urgent. To increase an effectiveness of the work done it is necessary to specify procedure and period of preventive fluorography in military servicemen.

[The modern state and improvement prospects of community-acquired pneumonia and pulmonary tuberculosis differential diagnostics].

The current article is dedicated to the modem state and improvement prospects of community-acquired pneumonia and pulmonary tuberculosis differential diagnostics. According to the official domestic statistics pulmonary tuberculosis continues to be a serious problem for the Russian Federation. One of the tuberculosis prevention most important factors is its early diagnostics. Unrecognized pulmonary tuberculosis is the leading factor of the in-hospital tuberculosis dissemination. On the basis of the current international and domestic guidelines it is shown that in order to improve the community-acquired pneumonia and pulmonary tuberculosis differential diagnostics it is necessary to introduce mandatory sputum specimens light-emitting diode microscopy and Xpert-testing of all patients admitted with pulmonary tuberculosis suspecion with airspace opacity/consolidation on chest x-ray as well as their isolation until tuberculosis exclusion.

[The directions of activity of the medical service on prophylaxis and early revealing of tuberculosis in the Armed Forces of the Russian Federation].

The basic directions of system of antituberculous actions in the Armed Forces of the Russian Federation includes: 1) non-admission of citizens, sick of tuberculosis, on military service; 2) allocation of group of persons with the raised risk of tuberculosis among all military servicemen, dispensary dynamic supervision over them and carrying out of chemoprophylaxis; 3) revealing of tuberculosis among military servicemen at preventive medical inspections (including fluorography), and also in case of reference for medical aid with the symptoms specifying on possibility of tuberculosis; 4) carrying out antiepidemic actions in military unit, in case of revealing patient, sick of tuberculosis, well-timed, qualitatively and in full. The major stage of antituberculous actions is a profound medical examination of young reinforcement (recruits under service call and under the contract) after the arrival in army. Preventive actions in group of persons with the raised risk of tuberculosis also are a priority for the medical service of military unit. Final desinfection, controllable emergency chemoprophylaxis and extraordinary fluorography of contact persons under epidemic indications are crucial important for decrease of morbidity in the army focuses of tuberculosis.