Medical and social characteristics of tuberculosis patients who died in in-patient units in 2017-2018 (based on data from Kemerovo Region)
https://doi.org/10.21292/2075-1230-2020-98-2-15-19
Abstract
The objective of the study: to analyze the medical and social characteristics of tuberculosis cases died in hospitals of Kemerovo Region in 2017-2018 including those with HIV infection
Subjects and methods. Clinical, radiological and morphological data of 372 patients who died in in-patient units of Kemerovo Regional Clinical Phthisiopulmonary Medical Center in 2017-2018 were studied.
Results. HIV infection was the major cause of death in tuberculosis patients in Kemerovo Region - in 74.7% (278 patients). Only 21.7% died of tuberculosis, and 3.6% - died of other diseases. The main clinical form of tuberculosis in patients with TB/HIV co-infection was a generalized form with lesions in multiple organs, of them, lesions of intrathoracic lymph nodes, spleen, liver, kidneys, pleura, and central nervous system were the most frequent. In patients who died of tuberculosis, the leading clinical form was fibrous cavernous tuberculosis, mainly complicated by caseous pneumonia.
About the Authors
I. F. KopylovaRussian Federation
22a, Voroshilova St., Kemerovo, 650056
Phone: +7 (3842) 54-56-51
G. V. Kobeleva
Russian Federation
Candidate of Medical Sciences, Associate Professor of Phthisiology Department
22a, Voroshilova St., Kemerovo, 650056
Phone: +7 (3842) 54-56-51
M. V. Primkulova
Russian Federation
Assistant of Phthisiology Department
22a, Voroshilova St., Kemerovo, 650056
Phone: +7 (3842) 54-56-51
References
1. Vasilyeva I.А., Belilovsky E.M., Borisov S.V., Sterlikov M.V. Tuberculosis with concurrent HIV infection in the Russian Federation and the world. Tuberculosis and Lung Diseases, 2017, no. 9, pp. 8-18. (In Russ.)
2. Zimina V.N., Koshechkin V.А., Kravchenko А.V. Tuberkulez i VICH-infektsiya u vzroslykh: Rukovodstvo. [Tuberculosis and HIV infection in adults. Guidelines]. Moscow, 2014, 224 p.
3. Krasnov V.А., Revyakina O.V., Аlekseeva G.V., Pavlenok I.V. Osnovnye pokazateli protivotuberkuleznoy deyatelnosti v Sibirskom i Dalnevostochnom federalnykh okrugakh. [Main indicators of tuberculosis control activities in Siberian and Far Eastern Federal Districts]. Novosibirsk, IPTS NGMU Publ., 2017, 92 p.
4. Nechaeva O.B. Epidemicheskiy protsess pri tuberkuleze v sochetanii s VICH-infektsiey v Rossiyskoy Federatsii. Prognoz razvitiya. TB/VICH v Rossiyskoy Federatsii. [Epidemic process in case of tuberculosis and concurrent HIV infection. Prognosis of its development. TB/HIV in the Russian Federation]. Moscow, 2017, pp. 7-16.
5. Tsybikova E.B., Punga V.V., Rusakova L.I. Tuberculosis with concurrent HIV infection in Russia: statistics and correlations. Tuberculosis and Lung Diseases, 2018, no. 12, pp. 9-17. (In Russ.)
6. Shugaeva S.N., Savilov E.D., Koshkina O.G., Zarbuev А.N., Untapova L.S. Impact of HIV infection on intensity of tuberculosis epidemics on the territories of high risks for both infections. Tuberculosis and Lung Diseases, 2018, no. 2, pp. 5-10. (In Russ.)
Review
For citations:
Kopylova I.F., Kobeleva G.V., Primkulova M.V. Medical and social characteristics of tuberculosis patients who died in in-patient units in 2017-2018 (based on data from Kemerovo Region). Tuberculosis and Lung Diseases. 2020;98(2):15-19. (In Russ.) https://doi.org/10.21292/2075-1230-2020-98-2-15-19