Туберкулез и болезни лёгких (Aug 2018)

SURGICAL TREATMENT OF TUBERCULOSIS IN HIV PATIENTS

  • Mikhail V. Sinitsyn,
  • Nikolay Yu. Virskiy,
  • Marina V. Tityukhina,
  • Boris G. Barskiy,
  • Tamila I. Abu Arkub,
  • Marina V. Kalinina

DOI
https://doi.org/10.21292/2075-1230-2018-96-7-18-24
Journal volume & issue
Vol. 96, no. 7
pp. 18 – 24

Abstract

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The objective of the study: to study the outcomes of surgical treatment of tuberculosis in HIV patients.Subjects and methods. Surgery outcomes in 345 HIV patients with respiratory tuberculosis were analyzed; totally, 355 surgeries were performed on them. Minor surgeries (189/355; 53.2%) done due to emergency reasons were performed in 181 patients, mostly in those with severe immune suppression. 164 patients had planned surgeries (166/355; 46.8%) mostly due to tuberculosis and its complications.Results. In 345 operated patients, post-operative complications related to surgery made 2.0%, complications not related directly to surgery made 1.2%, and lethal outcomes made 0.9%. Surgery resections were successful even in the patients receiving no antiretroviral therapy with severe immune suppression. All 3 lethal outcomes occurred in the patients with CD4+ count below 200 cell/mcl and they made 2.3% among such patients.

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