At finite concentrations of reacting molecules, kinetics of diffusion-controlled reactions is affected by intra-reactant interactions. As a result, multi-particle reaction statistics cannot be deduced from single-particle results. Here we briefly review a recent progress in overcoming this fundamental difficulty. We show that the fluctuating hydrodynamics and macroscopic fluctuation theory provide a simple, general and versatile framework for studying a whole class of problems of survival, absorption and escape of interacting diffusing particles.