SURGICAL TREATMENT OF TUBERCULOSIS IN HIV PATIENTS
https://doi.org/10.21292/2075-1230-2018-96-7-18-24
Abstract
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.
About the Authors
Mikhail V. Sinitsyn
Moscow Municipal Scientific Practical Center of Tuberculosis Control
Russian Federation
Russian Federation
Candidate of Medical Sciences, Deputy Director in Reporting and Statistics.
10, Stromynka St., Moscow, 107014
Nikolay Yu. Virskiy
Moscow Municipal Scientific Practical Center of Tuberculosis Control
Russian Federation
Russian Federation
Doctor, Chest Surgeon.
3, Barbolina St., Moscow, 107014
Marina V. Tityukhina
Moscow Municipal Scientific Practical Center of Tuberculosis Control
Russian Federation
Russian Federation
Doctor of Medical Sciences, Head of Department for Gravitational Surgery and Extracorporal Treatment Methods.
3, Barbolina St., Moscow, 107014
Boris G. Barskiy
Moscow Municipal Scientific Practical Center of Tuberculosis Control
Russian Federation
Russian Federation
Candidate of Medical Sciences, Head of Surgery Department.
3, Barbolina St., Moscow, 107014
Tamila I. Abu Arkub
Moscow Municipal Scientific Practical Center of Tuberculosis Control
Russian Federation
Russian Federation
Thoracic Surgeon of Tuberculosis Surgery Unit
3, Barbolina St., Moscow, 107014
Marina V. Kalinina
Moscow Municipal Scientific Practical Center of Tuberculosis Control
Russian Federation
Russian Federation
Candidate of Medical Sciences, Phthisiologist of Tuberculosis Surgery Department.
3, Barbolina St., Moscow, 107014
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Review
For citations:
Sinitsyn M.V., Virskiy N.Yu., Tityukhina M.V., Barskiy B.G., Abu Arkub T.I., Kalinina M.V. SURGICAL TREATMENT OF TUBERCULOSIS IN HIV PATIENTS. Tuberculosis and Lung Diseases. 2018;96(7):18-24. (In Russ.) https://doi.org/10.21292/2075-1230-2018-96-7-18-24
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