ACTIVITY OF THE CENTRAL MEDICAL CONTROL COMMITTEE AS AN EXAMPLE OF PRACTICAL SOLUTIONS AND IDENTIFICATION OF WAYS FOR ANTI-TUBERCULOSIS AID DEVELOPMENT IN CHILDREN IN MOSCOW

Abstract

Data on 2 108 children and adolescents, forwarded to the Central Medical Control Committee of the Moscow Research and Clinical Center for Tuberculosis Control of the Moscow Government Health Department, the Subcommittee on Childhood Tuberculosis, by the
Moscow anti-tuberculosis institutions and the general health care network institutions in 2012-2014 were analyzed. Data on 1050 children with positive reactions to the tuberculosis recombinant allergen (TRA), additionally examined by computed tomography (CT) of the chest in suspicion for local forms of intra-thoracic TB, were substantially examined. Only in every fifth child (19.5%) the presence of TB local form was confirmed. The most common errors in interpreting the CT results in the general health care network institutions, which may lead to overdiagnosis of “small» TB forms were identified.