[Assessment of factors influencing the outcome of new-onset infiltrative pulmonary tuberculosis].

Autor:	Mordyk AV; Omsk State Medical Academy, Ministry of Health of Russia, Omsk, Russia., Puzyreva LV; Omsk State Medical Academy, Ministry of Health of Russia, Omsk, Russia., Batishcheva TL; Omsk State Medical Academy, Ministry of Health of Russia, Omsk, Russia; Clinical Tuberculosis Dispensary, Omsk, Russia.
Jazyk:	ruština
Zdroj:	Terapevticheskii arkhiv [Ter Arkh] 2015; Vol. 87 (11), pp. 46-50.
DOI:	10.17116/terarkh2015871146-50
Abstrakt:	Aim: To identify predictors for the poor outcome of infiltrative pulmonary tuberculosis (IPTB). Subjects and Methods: The social, epidemiological, and medical risk factors and clinical features of IPTB were assessed in 130 first detected patients. The findings were classified using a cluster analysis and then a variance analysis, followed by the ranking of its results. Results: The primarily diagnosed disseminated destructive process with respiratory and cardiopulmonary failure, excretion of both resistant and multi-resistant pathogenic bacteria had a strong impact on the poor outcome of tuberculosis (TB) in the first detected patients. Its outcome was also influenced by a set of social factors, such as poor material living conditions, stay in corrective labor facilities, and a lack of education. The unfavorable outcome of TB was significantly due to organizational factors, such as bad habits; refusal to undergo fluorography during a few years; and a medical factor as comorbidities. Conclusion: Based on the identified factors, the authors formulated recommendations for working with the first detected IPTB patients at risk for a poor disease outcome.
Databáze:	MEDLINE
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