RESUMO
The patients with the tuberculosis first established are increasing from different risk groups. New social populations which are at risk for tuberculosis have appeared. The duration of follow-ups of the persons contacting with tuberculosis patients should be revised through its increase. The division of foci into bacillary and abacillary is arbitrary.
Assuntos
Controle de Doenças Transmissíveis , Programas de Rastreamento , Tuberculose Pulmonar/prevenção & controle , Adolescente , Adulto , Criança , Pré-Escolar , Humanos , Morbidade/tendências , Medição de Risco , Federação Russa/epidemiologia , Fatores Socioeconômicos , Tuberculose Pulmonar/epidemiologia , Tuberculose Pulmonar/transmissãoRESUMO
Among the 367 patients with the pleurisy syndrome examined in a specialized diagnostic department, 167 (45.5%) had tuberculous pleurisy and the active stage of pulmonary tuberculosis was diagnosed in 42 (25.1%); in 125 subjects pleurisy was an independent form of tuberculosis. The possibilities of the clinico-roentgenologic, bioptic and bacteriologic diagnosis of the disease etiology have been studied in different variants of the X-ray picture (unblocked, partially sacculated, sacculated and adhesive pleurisy).
Assuntos
Pleurisia/diagnóstico , Tuberculose Pleural/diagnóstico , Adolescente , Adulto , Idoso , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mycobacterium tuberculosis/isolamento & purificação , Pleura/diagnóstico por imagem , Pleura/patologia , Derrame Pleural/microbiologia , Radiografia , Tuberculose Pleural/etiologiaRESUMO
A technique of a dynamic cavernoscopy permitting one to conduct diagnostic and therapeutic manipulations for several months has been suggested. The given procedure was conducted in 36 patients with disseminated fibrous-cavernous pulmonary tuberculosis. An important role in defining management tactics belongs to the direct bacteriological and histological examination of the cavern contents. Local treatment by means of antituberculous drug solution instillation was administered in 29 patients. A positive effect was registered in 26 cases. The above technique can be used for the process prognosis and the treatment modification.