Treatment of TB/HIV co-infected patients in a day center
https://doi.org/10.21292/2075-1230-2019-97-10-19-24
Abstract
Organization of day care centers at TB dispensaries has become a promising trend of directly observed treatment of tuberculosis patients.
The objective of the study: to analyze the activities of a day center by TB dispensary for the period of 12 years.
Subjects and methods. Two groups of people were compared: patients with TB/HIV co-infection (n = 232) and HIV negative tuberculosis patients (n = 665).
Results. HV positive patients had tuberculosis of chest lymph nodes 3.8 times more often. Destructive changes in the lungs were found equally often in both groups in about a quarter of patients. In patients with TB/HIV co-infection, viral hepatitis was diagnosed statistically significantly more often than among HIV negative tuberculosis patients (82.3% versus 11.3%; p < 0.01). Tuberculosis treatment efficacy in HIV positive patients was identical in the day center and in-patient units. Treatment of patients in a dayhospital of TB dispensary has allowed increasing the duration of directly observed treatment of tuberculosis.
About the Authors
A. K. Ivanov
TB Dispensary no. 12 of Admiralteysky District
Russian Federation
Russian Federation
Aleksandr K. Ivanov – Doctor of Medical Sciences, Professor, Phthisiologist.
152A, Fontanka Nab., St. Petersburg, 190103
E. V. Shevyreva
TB Dispensary no. 12 of Admiralteysky District
Russian Federation
Russian Federation
Elena V. Shevyreva – Deputy Head Physician.
152A, Fontanka Nab., St. Petersburg, 190103
N. A. Skrynnik
TB Dispensary no. 12 of Admiralteysky District
Russian Federation
Russian Federation
Natalya A. Skrynnik – Candidate of Medical Sciences, Head Physician.
152A, Fontanka Nab., St. Petersburg, 190103
N. A. Tursunova
TB Dispensary no. 12 of Admiralteysky District
Russian Federation
Russian Federation
Natalya A. Tursunova – Candidate of Medical Sciences, Head of Day Center.
152A, Fontanka Nab., St. Petersburg, 190103
V. V. Manina
TB Dispensary no. 12 of Admiralteysky District
Russian Federation
Russian Federation
Vera V. Manina – Phthisiologist.
152A, Fontanka Nab., St. Petersburg, 190103
V. V. Nechaev
I.I. Mechnikov North-Western State Medical University
Russian Federation
Russian Federation
Vitaly V. Nechaev –Doctor of Medical Sciences, Professor of Infectious Diseases Department.
47AYu, Piskarevsky Ave., St. Petersburg, 195067
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Review
For citations:
Ivanov A.K., Shevyreva E.V., Skrynnik N.A., Tursunova N.A., Manina V.V., Nechaev V.V. Treatment of TB/HIV co-infected patients in a day center. Tuberculosis and Lung Diseases. 2019;97(10):19-24. (In Russ.) https://doi.org/10.21292/2075-1230-2019-97-10-19-24
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