[Current problems of extrapulmonary tuberculosis].

Abstract

There is an overall poor situation due to tuberculosis generally and its extrapulmonary involvement specifically. A 2-3-fold rise in the incidence of extrapulmonary tuberculosis (EPT) is estimated in the near future. The number of patients will total 100,000-120,000. The shortcoming of patients' care is associated with poor work organization in all 3 links: detection in the general therapeutical network, notification of patients in antitubrculosis dispensaries, a reduction in the level of medical care at hospitals, ineffective use of interregional hospitals and the clinics of research institutes. Recent years have been marked by an extremely alarming situation connected with physicians trained in EPT: ageing and natural increase of personnel, no staff training at the available bases which have accumulated much experience in practice and investigations. To enhance efficiency requires restoration of the whole past experience in early detecting, notifying, and treating the patients.