Khalimov Iu Sh, Beznosik R V, Shitov Iu N, Dantsev V V, Muchaidze R D
Voen Med Zh. 2012 Jul;333(7):16-22.
The basic directions of system of antituberculous actions in the Armed Forces of the Russian Federation includes: 1) non-admission of citizens, sick of tuberculosis, on military service; 2) allocation of group of persons with the raised risk of tuberculosis among all military servicemen, dispensary dynamic supervision over them and carrying out of chemoprophylaxis; 3) revealing of tuberculosis among military servicemen at preventive medical inspections (including fluorography), and also in case of reference for medical aid with the symptoms specifying on possibility of tuberculosis; 4) carrying out antiepidemic actions in military unit, in case of revealing patient, sick of tuberculosis, well-timed, qualitatively and in full. The major stage of antituberculous actions is a profound medical examination of young reinforcement (recruits under service call and under the contract) after the arrival in army. Preventive actions in group of persons with the raised risk of tuberculosis also are a priority for the medical service of military unit. Final desinfection, controllable emergency chemoprophylaxis and extraordinary fluorography of contact persons under epidemic indications are crucial important for decrease of morbidity in the army focuses of tuberculosis.
1)禁止结核病患者服兵役;2)在所有军人中确定结核病高危人群,对其进行门诊动态监测并开展化学预防;3)在预防性医学检查(包括荧光透视)期间以及军人因出现提示结核病可能性的症状而就医时,发现军人中的结核病病例;4)在军事单位发现结核病患者时,及时、高质量且全面地开展防疫行动。抗结核行动的主要阶段是新兵(应召入伍和合同制新兵)抵达部队后进行深入的医学检查。对结核病高危人群开展预防性行动也是军事单位医疗服务的优先事项。在有疫情指征的情况下,对接触者进行终末消毒、可控性应急化学预防和非常规荧光透视对于降低军队结核病发病集中区域的发病率至关重要。