Analysis of the causes of tuberculosis developed in 617 patients aged 10 to 17 years in 1989 to 1998 has revealed epidemiological, social, and biomedical risk factors that are most significant for the development of a specific tuberculous process. According to their influence on the development of the disease, the factors were divided into 2 groups: 1) contact with a patient with tuberculosis; 2) the first year of infection. Psychogenic factors (49.9%), concomitant infectious factors (48.1%), and stay at penitentiary facilities were also included in this group. Group B comprised none or small-sized postvaccinal scars (33.%), low-economic class (37.3%), families having many children (25.%), unorganized individuals (8.1%), and migration (13%). The division of the factors has yielded an algorithm for the actions of a pediatrician for timely examination of individuals with suspected tuberculosis.
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