Surgical treatment of pulmonary tuberculosis in patients with concurrent parenteral viral hepatitis
| Autor: | S. N. Shugаevа, А. E. Suzdаlnitskiy, E. D. Sаvilov, S. I. Mаlov, I. V. Mаlov |
|---|---|
| Jazyk: | ruština |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Tuberculosis Continuous sampling surgical treatment parenteral viral hepatitis Drug resistance Gastroenterology EXTENSIVE DRUG RESISTANCE Excretion 03 medical and health sciences Diseases of the respiratory system 0302 clinical medicine Internal medicine Medicine 030212 general & internal medicine drug resistance RC705-779 business.industry General Medicine medicine.disease Respiratory tuberculosis tuberculosis 030220 oncology & carcinogenesis Sputum medicine.symptom business Viral hepatitis |
| Zdroj: | Tuberkulez i Bolezni Lëgkih, Vol 98, Iss 6, Pp 22-26 (2020) |
| ISSN: | 2542-1506 2075-1230 |
| Popis: | The objective: to assess the effect of parenteral viral hepatitis on the manifestations of respiratory tuberculosis and the nature of surgical interventions for tuberculosis.Subjects and methods. An ambispective observational study was conducted with a continuous sampling of 475 respiratory tuberculosis patients over 18 years old who underwent surgical interventions. The patients are divided into two groups: the group of RTB+PVH consisted of 92 patients with concurrent respiratory tuberculosis and chronic parenteral viral hepatitis; the group of RTB included 383 patients with respiratory tuberculosis and no parenteral viral hepatitis.Results. It was found that compared with RTB group, in RTB+PVH group (regardless of the type of hepatitis virus), a chronic course of tuberculosis was registered significantly more often (42.4%; p = 0.005; OS = 2.0); more often bacillary excretion was documented (68.5%; p = 0.035; OR = 1.7), including those with multiple and extensive drug resistance (52.4% of cases with positive sputum tests, p = 0.048; OR = 1.8). Radical (69.6%; p = 0.05; OS = 1.7) and small-scale surgical interventions (64.1%; p = 0.037; OS = 1.8) were significantly less frequently performed in RTB+PVH patients; and such patients often developed postoperative complications (8.7%; p = 0.009; OS = 2.9). |
| Databáze: | OpenAIRE |
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