Management of a case of tuberculosis in the light of the reforms of phtisiatry. To help the family doctor

Abstract

Abstract. The article discusses the main areas of work of a general practitioner – family medicine (GP-CM) in the direction of managing a patient suffering from tuberculosis (TB). The purpose of the work is to analyze the main guiding documents that regulate the scope of medical care for patients with tuberculosis. Update of directions of work of the primary care doctor in the diagnosis, prevention and treatment of TB.

Materials and methods. An analysis of the governing documents that form and define the main legal, organizational and financial foundations of the activities of all state authorities and institutions directly responsible for combating TB in Ukraine has been carried out.

Results and discussion. The study of the main documents regulating the fight against TB: Law of Ukraine dated 07/14/2023 No. 3269-IX «On Overcoming Tuberculosis in Ukraine», Order of the Ministry of Health of Ukraine dated 04/13/2023 No. 692 «On Approval of the Procedure for Providing Medical and Psychosocial Support Services for Patients with Susceptible and Multidrug-Resistant Tuberculosis», Order of the Ministry of Health of Ukraine dated 01/19/2023 No. 102 «On Approval of the Standards of Medical Care «Tuberculosis», Order of the Ministry of Health of Ukraine dated 02/16/2022 No. 302 «On Approval of the Procedure for Organizing the Detection and Diagnosis of Tuberculosis and Latent Tuberculosis Infection», made it possible to form and offer the primary care physician an algorithm of actions in the event that it is necessary to diagnose, treat or prevent TB.

Conclusions. It is fundamental for a primary care doctor to understand the main message of working with a patient with a phthisiatric profile – the fight against TB is the work of a powerful interdisciplinary team of professionals in the medical field, involving all branches of society. The responsibility for maintaining health rests on each and everyone. Phased provision of care, a patient-oriented approach to the patient, the latest diagnostic methods, modern treatment regimens and adherence to the principles of controllable therapy are the keys to success in achieving future goals.