CRITERIA OF MODERN TUBERCULOSIS DIAGNOSTICS IN HIV-INFECTION PATIENTS
https://doi.org/10.21518/2079-701X-2016-10-120-124
Abstract
Approaches traditionally used in phthisiological practice to determine tuberculosis can’t be used for population of HIV-infection patients due to peculiarities of the course and forms of tuberculosis developing in conditions of immunological suppression. We analyzed 1 057 cases of the first diagnosed tuberculosis in HIV-infection patients by the nature of the disease diagnostics, forms of the tuberculosis process depending on the initial level of the immune status. In the overwhelming majority of cases (81.7%) tuberculosis was diagnosed when the patient sought medical aid. It was established than 71.7% of patients underwent the chest X-ray in less than a year before tuberculosis diagnosis and a half of them – in less than 6 month, which allows speaking about the low informative value of the chest X-ray for HIV patients even with the interval two times per year. It was established that the most frequent form of early tuberculosis diagnostics is tuberculosis of intrathoracic lymphatic nodes that should be considered as a criteria of timeliness of tuberculosis identification in HIV persons.
About the Authors
A. M. PANTELEEV
Municipal Tuberculosis Hospital No.2; Pavlov First Saint-Petersburg State Medical University
Russian Federation
Russian Federation
MD
Saint-Petersburg
O. V. NIKULINA
Municipal Tuberculosis Hospital No.2
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
M. S. DRACHEVA
Municipal Tuberculosis Hospital No.2
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
O. V. PANTELEEVA
Municipal Center on AIDS and Infectious Disease Prevention and Control
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
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Review
For citations:
PANTELEEV AM, NIKULINA OV, DRACHEVA MS, PANTELEEVA OV. CRITERIA OF MODERN TUBERCULOSIS DIAGNOSTICS IN HIV-INFECTION PATIENTS. Meditsinskiy sovet = Medical Council. 2016;(10):120-124. (In Russ.) https://doi.org/10.21518/2079-701X-2016-10-120-124
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