Approaches to improving the tuberculosis surveillance system in modern conditions

The results of modeling the further development of the epidemic process of tuberculosis in several regions of the world, including the Russian Federation, indicate an unfavorable prognosis in the spread of multidrug-resistant and extensively drug-resistant Mycobacterium tuberculosis. Purpose of the study : improving the system of epidemiological surveillance of tuberculosis caused by drug-resistant strains of M. tuberculosis, in modern conditions. Materials and methods . An epidemiological analysis of manifestations of tuberculosis infection in the Omsk region for the period 2006–2017 was carried out, the effectiveness of the existing epidemiological surveillance system was assessed, the need to optimize it was shown. Results . In the Omsk region against the background of improved indicators of the epidemiological situation, the incidence and incidence of tuberculosis, the incidence and incidence of multidrug resistance, the severity of the propensity for the incidence and prevalence of tuberculosis with drug-resistant, and the incidence of tuberculosis in HIV-infected patients Observation of changes in the quantitative and qualitative characteristics of the epidemic process of tuberculosis indicates a lack of effectiveness of anti-tuberculosis measures, the need to improve the system of epidemiological surveillance and control. Presents approaches to the implementation of epidemiological surveillance of tuberculosis infection in modern conditions, proposed criteria for assessing its quality and effectiveness.