DEVELOPMENT OF TUBERCULOSIS EPIDEMIC PROCESS: INFLUENCE OF EXTERNAL AND INTERNAL FACTORS

Tuberculosis epidemic process is characterized by decreasing in the basic epidemiological indexes which is possible the favorable tendency. Inside the process gradual and steady changing from drug sensitive on drug resistant Mycobacterium tuberculosis population has taken place that has the consequence various organizational and medical complexities of therapy of the patients. Simultaneously population of tuberculosis patients is also change with increasing the proportion of patients with a combination of tuberculosis and HIV-infection. Lacks of HIV early detection, growth of HIV patients with prolonged stages of HIV and wide spreading of tuberculosis contamination among population become the reason of fast transformation latent tuberculous infection to disease. Antiviral therapy actively appointed to HIV patients does not render influence on this process yet.