[Recurrence of pulmonary tuberculosis: in- and outpatient data].

Diagnosis recrudescent pulmonary tuberculosis shows different flaws: on the one hand, the progression of early untreated tuberculosis can be mistaken for a recrudescence, on the other, changes are interpreted as a recrudescence if there is no clinical and X-ray evidence for the reactivation of the process. All cases of recrudescent tuberculosis should be reexamined by a medical commission, which allows the above errors to be avoided. If a patient with chronic alcoholism and mental disease has recrudescent tuberculosis, a narcologist and psychiatrist must participate in working out a comprehensive treatment policy.

[Drug resistance of Mycobacterium tuberculosis and its significance in the hospital practice].

The author describes the trends in frequency and nature of primary drug resistance throughout the last 3 decades. Favourable trends in 1980s changed for negative tendencies in 1990s which reflects deterioration of epidemiological situation by tuberculosis. Earlier establishment of drug resistance is possible basing on its direct determination in the conditions of massive bacterial discharge.

[Treatment of patients with pulmonary tuberculosis and mental disorders].

In combined treatment of pulmonary tuberculosis and mental disease cessation of bacterial discharge was achieved in 79.5%, caverns closure in 73.8% of patients.