Diagnosis of Tuberculosis in Children with Chronic Non-Specific Lung Diseases
https://doi.org/10.58838/2075-1230-2025-103-1-8-13
Abstract
The objective: to determine the most significant parameters in the diagnosis of tuberculosis in children with chronic non-specific lung diseases in order to form groups facing a high risk of developing tuberculosis.
Subject and Methods: 236 children were enrolled in the study, who were divided into three groups: TB+CNSLD group – 65 children with primary tuberculosis and concomitant chronic non-specific respiratory disease, TB group - 93 children with active respiratory tuberculosis and a group of 78 children and adolescents with chronic non-specific respiratory diseases without tuberculosis but infected with MTB.
Results. Chronic non-specific lung diseases increase the risk of earlier development of tuberculosis in children. For the first time, effectiveness of IGRA tests and TRA tests for detecting tuberculosis in children infected with tuberculous mycobacteria with both allergic and infectious-inflammatory non-specific lung diseases has been proven.
About the Authors
V. A. AksenovaRussian Federation
Valentina A. Aksenova - Doctor of Medical Sciences, Professor
4 Build. 2 Dostoevsky St., Moscow, 127473 Phone +7 (495) 631-15-15
S. L. Nakonechnaya
Russian Federation
Sofya L. Nakonechnaya - Post-Graduate Student
4 Build. 2 Dostoevsky St., Moscow, 127473 Phone +7 (495) 631-15-15
Yu. L. Mizernitskiy
Russian Federation
Yury L. Mizernitskiy - Doctor of Medical Sciences, Professor, Honored Worker of the Russian Healthcare System, Head of the Department of Chronic Inflammatory and Allergic Lung Diseases, Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery
1 Ostrovityanova St., Moscow, 117997 Phone: +7 (495) 434-05-43
N. I. Klevno
Russian Federation
Nadezhda I. Klevno - Doctor of Medical Sciences, Leading Researcher of Research Children and Adolescents Department, Professor of Perelman Phthisiopulmonology and Thoracic Surgery Department
4 Build. 2 Dostoevsky St., Moscow, 127473 Phone +7 (495) 631-15-15
A. V. Kazakov
Russian Federation
Aleksey V. Kazakov - Doctor of Medical Sciences, Senior Researcher of Research Children and Adolescents Department, Associate Professor of Perelman Phthisiopulmonology and Thoracic Surgery Department, Professor of Phthisiology Department
4 Build. 2 Dostoevsky St., Moscow, 127473 Phone +7 (495) 631-15-15
D. A. Kudlay
Russian Federation
Correspondent Member of RAS, Doctor of Medical Sciences,
Leading Researcher of Laboratory of Personalized Medicine
and Molecular Immunology no. 71, Professor of Pharmacology
Department of Pharmacy Institute, I.M. Sechenov First Moscow
State Medical University (Sechenov University)
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Review
For citations:
Aksenova V.A., Nakonechnaya S.L., Mizernitskiy Yu.L., Klevno N.I., Kazakov A.V., Kudlay D.A. Diagnosis of Tuberculosis in Children with Chronic Non-Specific Lung Diseases. Tuberculosis and Lung Diseases. 2025;103(1):8–13. (In Russ.) https://doi.org/10.58838/2075-1230-2025-103-1-8-13