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IMPACT OF BEDAQUILINE ON THE EFFICIENCY OF COMPREHENSIVE THERAPY OF RESPIRATORY TUBERCULOSIS

https://doi.org/10.21292/2075-1230-2018-96-6-39-43

Abstract

The objective of the study: to evaluate the possibility to enhance the clinical efficiency of treatment of pulmonary tuberculosis patients by adding bedaquiline to the fifth chemotherapy regimen.

Subjects and methods. The presented results were obtained through dynamic follow-up and treatment of 68 respiratory tuberculosis patients, treated in St. Petersburg TB Dispensary from 2014 to 2016.

Results. The clinical improvement manifested through relief of intoxication symptoms, normalization of blood count, reduction of infiltrate changes and healing of destruction. In a number of cases, relief of intoxication symptoms with reduction of bacillary excretion massiveness, infiltration and cavity sizes allowed preparing patients for the next stage of treatment – surgery. 

About the Authors

M. N. Kondakova
I. I. Mechnikov Northern-Western State Medical University; Municipal TB Dispensary
Russian Federation

Professor of Phthisiopulmonology and Thoracic Surgery Department,

47, Piskarevsky Ave., St. Petersburg, 195067



V. V. Khabirov
I. I. Mechnikov Northern-Western State Medical University
Russian Federation

Student of the VIth year of Training, General Medicine Department,

47, Piskarevsky Ave., St. Petersburg, 195067



V. F. Zhemkov
Municipal TB Dispensary
Russian Federation

Chief Doctor,

12, Zvezdnaya St., St. Petersburg, 196158



L. R. Shpakovskaya
Municipal TB Dispensary
Russian Federation

Deputy Head Doctor for Treatment,

12, Zvezdnaya St., St. Petersburg, 196158



A. V. Daynovets
Municipal TB Dispensary
Russian Federation

Head of Department no. 6,

12, Zvezdnaya St., St. Petersburg, 196158



A. V. Elkin
I. I. Mechnikov Northern-Western State Medical University; Municipal TB Dispensary
Russian Federation

Head of Phthisiopulmonology and Thoracic Surgery Department,

47, Piskarevsky Ave., St. Petersburg, 195067



References

1. Zhukova E.M., Kolpakova T.А., Myshkova E.P., Reykhrud T.А. Experience of using bedaquiline in the integral treatment of the pulmonary tuberculosis patient with extensive drug resistance of M. tuberculosis. Tuberculosis and Lung Diseases, 2016, no. 10, pp. 62-66. (In Russ.)

2. Kofanov Yu.V., Doktorova N.P. Use of the new drug of bedaquiline in the therapy of drug resistant tuberculosis (a clinical case). Bulleten Meditsinskikh Internet Konferentsiy, 2015, vol. 5, no. 5, Available at: http://medconfer. com/node/5100 (In Russ.)

3. Morozova T.I., Otpuschennikova O.N., Doktorova N.P., Danilov А.N.Experience of using bedaquiline (Sirturo®) in the treatment of pulmonary tuberculosis patients with multiple drug resistance. Tuberculosis and Lung Diseases, 2016, no. 2, pp. 29-35. (In Russ.)

4. Edict no. 951 by RF MoH as of 29.19.2014 On Approval of Guidelines for Improvement of Respiratory Tuberculosis Diagnostics and Treatment. (In Russ.)

5. Federalnye klinicheskiye rekomendatsii po diagnostike i lecheniyu tuberkuleza organov dykhaniya s mnozhestvennoy i shirokoy lekarstennoy ustoichivostyu vozbuditelya. [Federal clinical recommendations for diagnosis and treatment of respiratory tuberculosis with multiple and extensive drug resistance]. (Vasilyeva I.A., Aksenova V.A., Ergeshov A.E., Maryandyshev A.O., Samoylova A.G., Bagdasaryan T.R., Komissarova O.G., Lovacheva O.V., Perfiliev A.V., Karpina N.L. et al.) Moscow, OOO NEW TERRA PUBL., 2014, 52 p.


Review

For citations:


Kondakova M.N., Khabirov V.V., Zhemkov V.F., Shpakovskaya L.R., Daynovets A.V., Elkin A.V. IMPACT OF BEDAQUILINE ON THE EFFICIENCY OF COMPREHENSIVE THERAPY OF RESPIRATORY TUBERCULOSIS. Tuberculosis and Lung Diseases. 2018;96(6):39-43. (In Russ.) https://doi.org/10.21292/2075-1230-2018-96-6-39-43

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ISSN 2075-1230 (Print)
ISSN 2542-1506 (Online)