Currently, a new grouping of contingents is being developed that are registered at dispensary in anti- tuberculosis organizations, where a place will be reserved for patients with relapses of tuberculosis, taking into account data from social and medical characteristics, and complex rehabilitation measures. Objective of the study: to study the social and medical characteristics of patients with recurrent pulmonary tuberculosis and the possibility of early diagnosis and successful treatment of tuberculosis. The paper presents data from a study of social and medical characteristics of 460 patients with recurrent pulmonary tuberculosis. It is shown that the bulk of the contingents are persons who are not engaged in labor activities, with bad habits and numerous risk factors for the reactivation of a specific process in the lungs. Relapses of tuberculosis more often occur after patients are removed from dispensary registration (76.2 %) and less often during the period of being registered (23.8 %) in the form of infiltrative (80.0 %) and disseminated (12.2 %) processes (p < 0.001). Treatment was found to be successful in 42.4 % of patients with relapse of multidrug-resistant tuberculosis and in 81.0 % of patients with relapse of drug-sensitive tuberculosis (p < 0.001).
Risk Factors for Multidrug-Resistant Tuberculosis among Patients with Pulmonary Tuberculosis at the Central Chest Institute of Thailand
