Epidemiological and clinical significance of medico-social predictors and determinants in the development of relapses of pulmonary tuberculosis in adults and the management of medical asistance

The article presents data indicating that at present one of the most important clinical problems is the relapse of pulmonary tuberculosis (TB) in persons from groups of medical and social risk. It is shown the frequency of the main medicosocial predictors and determinants that have the greatest influence on the epidemic situation for tuberculosis. And, it was also determined their role in the development, course and outcomes of relapses. It was found that the revealed features of pulmonary TB relapses in people with different social structures, including socially maladjusted categories of the population, indicate the need for differentiated measures for their timely detection and prevention. An action plan and a number of activities focused on the needs of people, ensuring the optimization of the provision of anti-tuberculosis care and social protection of this category of patients, are described.