Detection of patiens with pulmonary tuberculosis in the general medical network of the Kabardino-Balkarian republic.

The population of the Kabardino-Balkarian Republic (KBR) is 903,266 people, the tuberculosis service in this subject is represented by an antitubercular dispensary (PTD) located in the city of Nalchik and tube rooms based on central district hospitals. More than half of the patients registered in the tuberculosis dispensary for pulmonary tuberculosis are examined and treated in the general medical network of the republic before being hospitalized at the dispensary. T h e p u r p o s e o f t h e s t u d y : to analyze the situation in the Kabardino-Balkarian Republic on the diagnosis of tuberculosis in the general medical network. M a t e r i a l s a n d m e t h o d s . Of the examination of 1318 patients with pulmonary tuberculosis from January 2018 to The results December 2022 hospitalized in the health care center of the Kabardino-Balkarian Republic were analyzed. R e s u l t s . When analyzing the results of the examination of tuberculosis patients, it was found that more than half of them (59.9%) received an average of 23.3±6.8 kcal/day inpatient treatment before admission to the dispensary An analysis of the results of the examination of tuberculosis patients found that more than half of them (59.9%) received an average of 23.3±6.8 kcal/day inpatient treatment in the general medical network (OLS) before admission to the dispensary; half of them (46.5%) had bacterial excretion during examination in the PTD. In addition, bacillary patients with pulmonary tuberculosis remained in the OLS for a little longer (26.6±6.9 k/day), which led to a destructive course, as well as an increase in errors in the differential diagnosis of infiltrative pulmonary tuberculosis and community-acquired pneumonia, which reached 30–68%, and the time for diagnosis exceeded 1–3 months. C o n c l u s i o n s . In order to diagnose pulmonary tuberculosis patients as soon as possible and reduce «unjustified» lung operations in tuberculosis patients, the OLS needs the correct organization of the general medical network, namely, to introduce modern methods of etiological diagnosis of tuberculosis, organize a consultation with a phthisiologist or analysis of a specific clinical case at pulmonological commissions before thoracic surgery for unspecified lung disease.