The regimens of TB patients chemotherapy creation based on contemporary regulatory acts

Abstract

The operating regulatory acts, prescribed the procedures of treatment regimens for TB patient creating, are reviewed. The most complicated situation occurred in cases of “off label” drugs administrations (without indication “tuberculosis” in application instruction or excessive treatment duration). Such situation is ineluctable in MDR and XDR-TB, but can’t be solved based on Russian Protocol of medical care for TB patients, especially in the lack of TB treatment standards in the current Russian conditions. Convincingly shown, that Federal law 21.11.2011 N 323-FL «The fundamental principles of the health care in the Russian Federation», determined the key role of attending physician and medical board of the health care facility in treatment administration, ensure to form the legal chemotherapy regimens including drugs with “off label” indications.