The treatment of tuberculosis under current conditions
Aim. Study of the current state of problems of treatment of patients with tuberculosis based on literature data and their own experience. Materials and methods. In the Russian Federation, the number and proportion of patients with co-infection with HIV/tuberculosis continues to increase against t...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
"Consilium Medicum" Publishing house
2020-09-01
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| Series: | Терапевтический архив |
| Subjects: | |
| Online Access: | https://ter-arkhiv.ru/0040-3660/article/viewFile/43546/pdf |
| _version_ | 1819296019783876608 |
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| author | M. V. Sinitsyn M. V. Kalinina E. M. Belilovskiy A. S. Galstyan M. N. Reshetnikov D. V. Plotkin |
| author_facet | M. V. Sinitsyn M. V. Kalinina E. M. Belilovskiy A. S. Galstyan M. N. Reshetnikov D. V. Plotkin |
| author_sort | M. V. Sinitsyn |
| collection | DOAJ |
| description | Aim. Study of the current state of problems of treatment of patients with tuberculosis based on literature data and their own experience.
Materials and methods. In the Russian Federation, the number and proportion of patients with co-infection with HIV/tuberculosis continues to increase against the background of improvement in the main epidemiological indicants for tuberculosis. In 2017, 20.9% of newly diagnosed tuberculosis patients had HIV infection. The combination of the two infections significantly complicates the further improvement of the situation with tuberculosis, and the appearance of drug-resistant strains of Mycobacterium tuberculosis sometimes completely neutralizes the results of chemotherapy. The article describes the schemes of modern tuberculosis chemotherapy taking into account HIV/tuberculosis co-infection, as well as MDR in combination with surgical treatment methods, as well as analyzes the data of epidemiological monitoring of treatment of 1115 tuberculosis patients newly diagnosed in 2017 in Moscow, 360 tuberculosis patients with MDR MBT (cohort 20132014), the results of treatment with the use of new chemotherapy regimens for tuberculosis (bedaquiline, linezolid, moxifloxacin) in 36 patients, the effectiveness and safety of surgical methods in 192 patients.
Results. The application of new individualized anti-TB chemotherapy schedules in patients with HIV co-infection/tuberculosis with MDR-MBT has allowed to improve the treatment efficacy. The surgical intervention combined with modern chemotherapy regimens in patients with HIV/tuberculosis co-infection with MDR MBT has been proved to be effective and safe, contributes to the improving the results of treatment for this category of patients.
Conclusion. The confluence of two global problems of co-infection HIV/TB and MDR TB, significantly prevents from the end of the tuberculosis epidemic in the world. At the same time, advances in the development and implementation of new anti-TB drugs and surgical treatment methods give hope for significant progress for resolving this situation. |
| first_indexed | 2024-12-24T04:51:27Z |
| format | Article |
| id | doaj.art-404ece15b950409d9cdc18df6598bbec |
| institution | Directory Open Access Journal |
| issn | 0040-3660 2309-5342 |
| language | Russian |
| last_indexed | 2024-12-24T04:51:27Z |
| publishDate | 2020-09-01 |
| publisher | "Consilium Medicum" Publishing house |
| record_format | Article |
| series | Терапевтический архив |
| spelling | doaj.art-404ece15b950409d9cdc18df6598bbec2022-12-21T17:14:32Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422020-09-01928869410.26442/00403660.2020.08.00076239348The treatment of tuberculosis under current conditionsM. V. Sinitsyn0M. V. Kalinina1E. M. Belilovskiy2A. S. Galstyan3M. N. Reshetnikov4D. V. Plotkin5Moscow Research and Clinical Center for Tuberculosis ControlMoscow Research and Clinical Center for Tuberculosis ControlMoscow Research and Clinical Center for Tuberculosis ControlMoscow Research and Clinical Center for Tuberculosis ControlMoscow Research and Clinical Center for Tuberculosis ControlMoscow Research and Clinical Center for Tuberculosis ControlAim. Study of the current state of problems of treatment of patients with tuberculosis based on literature data and their own experience. Materials and methods. In the Russian Federation, the number and proportion of patients with co-infection with HIV/tuberculosis continues to increase against the background of improvement in the main epidemiological indicants for tuberculosis. In 2017, 20.9% of newly diagnosed tuberculosis patients had HIV infection. The combination of the two infections significantly complicates the further improvement of the situation with tuberculosis, and the appearance of drug-resistant strains of Mycobacterium tuberculosis sometimes completely neutralizes the results of chemotherapy. The article describes the schemes of modern tuberculosis chemotherapy taking into account HIV/tuberculosis co-infection, as well as MDR in combination with surgical treatment methods, as well as analyzes the data of epidemiological monitoring of treatment of 1115 tuberculosis patients newly diagnosed in 2017 in Moscow, 360 tuberculosis patients with MDR MBT (cohort 20132014), the results of treatment with the use of new chemotherapy regimens for tuberculosis (bedaquiline, linezolid, moxifloxacin) in 36 patients, the effectiveness and safety of surgical methods in 192 patients. Results. The application of new individualized anti-TB chemotherapy schedules in patients with HIV co-infection/tuberculosis with MDR-MBT has allowed to improve the treatment efficacy. The surgical intervention combined with modern chemotherapy regimens in patients with HIV/tuberculosis co-infection with MDR MBT has been proved to be effective and safe, contributes to the improving the results of treatment for this category of patients. Conclusion. The confluence of two global problems of co-infection HIV/TB and MDR TB, significantly prevents from the end of the tuberculosis epidemic in the world. At the same time, advances in the development and implementation of new anti-TB drugs and surgical treatment methods give hope for significant progress for resolving this situation.https://ter-arkhiv.ru/0040-3660/article/viewFile/43546/pdftuberculosishiv infectionhiv/tuberculosis co-infectionmultidrug-resistant tuberculosischemotherapy |
| spellingShingle | M. V. Sinitsyn M. V. Kalinina E. M. Belilovskiy A. S. Galstyan M. N. Reshetnikov D. V. Plotkin The treatment of tuberculosis under current conditions Терапевтический архив tuberculosis hiv infection hiv/tuberculosis co-infection multidrug-resistant tuberculosis chemotherapy |
| title | The treatment of tuberculosis under current conditions |
| title_full | The treatment of tuberculosis under current conditions |
| title_fullStr | The treatment of tuberculosis under current conditions |
| title_full_unstemmed | The treatment of tuberculosis under current conditions |
| title_short | The treatment of tuberculosis under current conditions |
| title_sort | treatment of tuberculosis under current conditions |
| topic | tuberculosis hiv infection hiv/tuberculosis co-infection multidrug-resistant tuberculosis chemotherapy |
| url | https://ter-arkhiv.ru/0040-3660/article/viewFile/43546/pdf |
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