Preview

Tuberculosis and Lung Diseases

Advanced search

Respiratory Tuberculosis in Those over 70 Years of Age: Specific Course of the Disease and Diagnostic Difficulties

https://doi.org/10.21292/2075-1230-2021-99-6-39-42

Abstract

The objective: to study specific features of the course and diagnosis of respiratory tuberculosis in persons aged 70 years and older.

Subjects and methods. Medical records of 93 patients aged 70 years and older who were hospitalized due to respiratory tuberculosis in 2000-2019 were retrospectively analyzed. Men made 60.2%, and women – 39.8%.

Results. Often tuberculosis was detected late when referring for medical care (68.8%). In 59.4% of patients, tuberculosis was detected later than in 2 months after the onset of the first symptoms. 89.2% had multiple co-morbidities. Destruction was detected in 52.7% of patients, bacterial excretion – in 69.9%, and remaining post-tuberculosis changes – in 34.4%. Sputum conversion was achieved in 81.5% of patients and cavities were healed in 53.1%.

About the Authors

A. S. Shprykov
Privolzhskiy Research Medical University
Russian Federation

Aleksandr S. Shprykov  – Doctor of Medical Sciences, Professor, Professor of I.S. Nikolaev Phthisiology Department. 

10/1, Minina and Pozharskogo Sq.,  Nizhny Novgorod, 603005



D. A. Sutyaginа
Privolzhskiy Research Medical University
Russian Federation

Dina A. Sutyagina  – Candidate of Medical Sciences, Associate Professor of I.S. Nikolaev Phthisiology Department. 

10/1, Minina and Pozharskogo Sq.,  Nizhny Novgorod, 603005



M. A. Dolgovа
Nizhnegorodsky Regional Clinical TB Dispensary
Russian Federation

Marina A. Dolgova  –  Deputy Head Physician  for Clinical and Expert Activities.

198, Rodionova St.,  Nizhny Novgorod, 603093



References

1. Аgafonova O.V., Gritsenko T.А., Bogdanova Yu.V., Bulgakova S.V., Kosyakova Yu.А., Davydkin I., Danilova O.E., Dzyubajlo А.V., Dyachkov V.А., Zakharova N.O., Zolotovskaya I.А., Kolsanov А.V., Kotelnikov G.P., Krivova S.P., Kudlay D.А., Kupaev V.I., Kurtov I.V., Lebedeva E.А., Menzul E.V., Nazarkina I.M. et al. Poliklinicheskaya Terapiya. Uchebnik. [Polyclinic therapy. Handbook]. Davydkin I.L., Schukin Yu.V., eds., 2nd Edition, reviewed and supplemented, Moscow, GEOTAR-Media Publ., 2020, 840 p. ISBN 978-5-9704-5545-6.

2. Goldshteyn V.D. Tuberkulez organov dykhaniya u lits pozhilogo i starcheskogo vozrasta.[Respiratory tuberculosis in the elder and senile patients]. Moscow, BINOM Publ., 2013, 224 p.

3. Dvoretskiy L.I., Yakovlev S.V. Pozhiloy bolnoy i infektsiya. [A senile patient and the infection]. Moscow, GEOTAR-Media Publ., 2008, 368 p.

4. Deykina O.N., Perfiliev А.V., Mishin V.Yu., Grigoriev Yu.G. Clinical and X-ray characteristics of respiratory tuberculosis in elder and senile patients.Tuberculosis and Lung Diseases, 2015, vol. 93, no. 11, pp. 22-27. (In Russ.)

5. Mamaev А.N., Kudlay D.А. Statisticheskiye metody v meditsine. [Statistical methods in medicine]. Moscow, Prakticheskaya Meditsina Publ., 2021, 136 p. ISBN 978-5-98811-635-6.

6. Nechaeva O.B. Epidemicheskaya situatsiya po tuberkulezu v Rossiyskoy Federatsii v 2018 godu. [Epidemic tuberculosis situation in the Russian Federation in 2018]. 2019, 78 p. Available at: http://www.mednet.ru (Accessed: 07.12.2019).

7. Kharangi L., Stsemenyi K. Patologiya tuberkuleza v pozhilom vozraste. [Pathology of tuberculosis in the old age]. Moscow, Meditsina Publ., 1978, 247 p.

8. Churkin S.A. Osobennosti techeniya tuberkuleza legkikh u lits pozhologo i starcheskogo vozrasta. Avtoref. diss. kand. med. nauk. [Specific features of the course of pulmonary tuberculosis in elderly and senile people. Synopsis of Cand. Diss.]. GU TSNIIT RAMN Publ., 2007, 24 p.

9. Global tuberculosis report 2017. Geneva, World Health Organization, 2017. 147 p.

10. Mori T., Leung C.C. Tuberculosis in the global aging population. Infect. Dis. Clin. North. Am., 2010, vol. 24, no. 3, pp. 751-768.

11. Toyota M., Sasaki Y. The issue of tuberculosis in the elderly in Japan. Kekkaku, 2010, vol. 85, no. 12, pp. 881-894.


Review

For citations:


Shprykov A.S., Sutyaginа D.A., Dolgovа M.A. Respiratory Tuberculosis in Those over 70 Years of Age: Specific Course of the Disease and Diagnostic Difficulties. Tuberculosis and Lung Diseases. 2021;99(6):39-42. (In Russ.) https://doi.org/10.21292/2075-1230-2021-99-6-39-42

Views: 591


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


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