[Implication of laparoscopy in diagnostics of genital tb among women through cytohistological testing of bioptic specimen].

Diagnostics of genital TB among women is a serious challenge because of the absence of specific clinical manifestation and difficulty to obtain material for bacteriological verification of the pathogen. All the cases with ascites and masses in pelvic cavity must undergo thorough testing to exclude tuberculosis. The present article describes 14 suspect cases of genital TB, where along with the mandatory clinical diagnostic studies (including PCR of ascites and bacteriological testing for TB, also on carcinoma of CA-125 ovary) they have conducted laparoscopy, with further cytological and bacteriological testing of bioptic sample. This method allowed us to diagnose genital and abdominal tuberculosis among women in 85,7% of cases through cytologic and histologic testing and to exclude ovarian carcinoma. Effectiveness of laparoscopy has been confirmed in diagnostics of genital and abdominal TB.

[For periodization of history of fight against TB in Georgia].

Evolution of TB programs indicates the importance of analysis of existing experience and reasons of failure in planning of TB strategy for future. In spite of existing scientific researches in the field of history of fight against TB in Georgia, it turned out that the question is not mastered perfectly, various periods are not sorted out and the comparative analysis is not made. On account of this, a request was raised to elaborate a new periodization. The aim of our research is to work out a new variant of periodization of history of fight against TB in Georgia. Epidemic, literary and the official statistical data were worked out by the methods of historical analysis and standardization. According to the research, it turned out that the correlation exists between social -political state and the spreading of TB, which was reflected in our "step" pattern. It means to serve as criteria of spreading of tuberculosis and TB strategy. Concerning these criteria a new variant of periodization was elaborated and the separate stages were compared. It gives us opportunity to determine effective methods and measures and they should be envisaged in the condition of realisation DOTS strategy in Georgia.