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Prognostic factors for tuberculosis development in children with latent tuberculous infection

https://doi.org/10.21292/2075-1230-2016-94-6-14-19

Abstract

Goal of the study: to detect specific immune response in children with latent tuberculous infection and define factors to forecast the development of the active disease in this group.

Materials and methods. The changes in clinical, X-ray and immunological data were analyzed in 127 children when latent tuberculous infection was diagnosed and after 12 months of follow-up. The number of immunological tests was done for evaluation of humoral and cellular immunity in those suffering from latent tuberculous infection and active disease.

Results. The obtained results showed high negative prognostic relevance of exposure to tuberculosis, concurrent disease, refusal to have preventive treatment and low efficiency of short-course preventive treatment, specific features of humoral and cellular immunity were defined which could be used as additional forecasting criteria for active tuberculosis development in children with latent tuberculous infection. 

About the Authors

N. V. Korneva
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation

Candidate of Medical Sciences, Senior Researcher,

2-4, Ligovsky Ave., St. Petersburg, 191036



A. A. Starshinova
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation

Doctor of Medical Sciences, Senior Researcher,

2-4, Ligovsky Ave., St. Petersburg, 191036



S. M. Аnaniev
St. Petersburg Research Institute of Phthisiopulmonology; TB Dispensary no. 5
Russian Federation

Full Time Post-Graduate Student,

2-4, Ligovsky Ave., St. Petersburg, 191036



Yu. E. Ovchinnikova
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation

Candidate of Medical Sciences, Head of Treatment Department for Pulmonary Tuberculosis in Children,

2-4, Ligovsky Ave., St. Petersburg, 191036



I. F. Dovgalyuk
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation

Doctor of Medical Sciences, Professor, Head of Children Tuberculosis Unit,

2-4, Ligovsky Ave., St. Petersburg, 191036



References

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Review

For citations:


Korneva N.V., Starshinova A.A., Аnaniev S.M., Ovchinnikova Yu.E., Dovgalyuk I.F. Prognostic factors for tuberculosis development in children with latent tuberculous infection. Tuberculosis and Lung Diseases. 2016;94(6):14-19. (In Russ.) https://doi.org/10.21292/2075-1230-2016-94-6-14-19

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