Pulmonary Aspergillosis in Patients with Cystic Fibrosis in Russian Federation

The aim: to assess the incidence of various forms of pulmonary aspergillosis in patients with cystic fibrosis.Materials and methods. In 2014-2017 yy. in prospective study in  different regions of Russia were included 190 patients with cystic  fibrosis aged 1 to 37 years. Children – 130, adults – 60....

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Main Authors: Ya. I. Kozlova, Yu. V. Borzova, O. V. Shadrivova, I. E. Suslova, O. V. Aak, S. M. Ignat’eva, T. S. Bogomolova, V. A. Ponnaja, T. A. Stepanenko, A. V. Orlov, S. A. Krasovskiy, N. N. Klimko
Format: Article
Language:Russian
Published: Journal Infectology 2018-07-01
Series:Журнал инфектологии
Subjects:
Online Access:https://journal.niidi.ru/jofin/article/view/726
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author Ya. I. Kozlova
Yu. V. Borzova
O. V. Shadrivova
I. E. Suslova
O. V. Aak
S. M. Ignat’eva
T. S. Bogomolova
V. A. Ponnaja
T. A. Stepanenko
A. V. Orlov
S. A. Krasovskiy
N. N. Klimko
author_facet Ya. I. Kozlova
Yu. V. Borzova
O. V. Shadrivova
I. E. Suslova
O. V. Aak
S. M. Ignat’eva
T. S. Bogomolova
V. A. Ponnaja
T. A. Stepanenko
A. V. Orlov
S. A. Krasovskiy
N. N. Klimko
author_sort Ya. I. Kozlova
collection DOAJ
description The aim: to assess the incidence of various forms of pulmonary aspergillosis in patients with cystic fibrosis.Materials and methods. In 2014-2017 yy. in prospective study in  different regions of Russia were included 190 patients with cystic  fibrosis aged 1 to 37 years. Children – 130, adults – 60. All patients  underwent allergy (skin tests with fungal allergens, total IgE level,  specific IgE to fungal allergens) and mycology (microscopy and  cultural investigations of respiratory biomaterials) testing. Chest  computed tomography was performed according to the indications.Results. The incidence of fungal sensitization in patients with cystic  fibrosis was 57%, to Aspergillus spp. – 27%. The incidence of  allergic bronchopulmonary aspergillosis was 5,7%, chronic lung  aspergillosis – 4,2%, invasive aspergillosis developed in one patient  (0,5%) during immunosuppressive therapy after liver transplantation.Conclusion. The incidence of pulmonary aspergillosis in patients  with cystic fibrosis in the Russian Federation was first determined  (10.5%). Mycology testing is indicated for patients with cystic  fibrosis for early treatment of different variants of pulmonary aspergillosis.
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spelling doaj.art-4c68e44e185d46ba9ec06ffc365ea5922023-09-03T09:27:52ZrusJournal InfectologyЖурнал инфектологии2072-67322018-07-01102485410.22625/2072-6732-2018-10-2-48-54636Pulmonary Aspergillosis in Patients with Cystic Fibrosis in Russian FederationYa. I. Kozlova0Yu. V. Borzova1O. V. Shadrivova2I. E. Suslova3O. V. Aak4S. M. Ignat’eva5T. S. Bogomolova6V. A. Ponnaja7T. A. Stepanenko8A. V. Orlov9S. A. Krasovskiy10N. N. Klimko11Северо-Западный государственный медицинский университет имени И.И. МечниковаСеверо-Западный государственный медицинский университет имени И.И. МечниковаСеверо-Западный государственный медицинский университет имени И.И. МечниковаСеверо-Западный государственный медицинский университет имени И.И. МечниковаСеверо-Западный государственный медицинский университет имени И.И. МечниковаСеверо-Западный государственный медицинский университет имени И.И. МечниковаСеверо-Западный государственный медицинский университет имени И.И. МечниковаСеверо-Западный государственный медицинский университет имени И.И. МечниковаГородская многопрофильная больница № 2Северо-Западный государственный медицинский университет имени И.И. Мечникова Детская городская больница № 4 Святой ОльгиНаучно-исследовательский институт пульмонологииСеверо-Западный государственный медицинский университет имени И.И. МечниковаThe aim: to assess the incidence of various forms of pulmonary aspergillosis in patients with cystic fibrosis.Materials and methods. In 2014-2017 yy. in prospective study in  different regions of Russia were included 190 patients with cystic  fibrosis aged 1 to 37 years. Children – 130, adults – 60. All patients  underwent allergy (skin tests with fungal allergens, total IgE level,  specific IgE to fungal allergens) and mycology (microscopy and  cultural investigations of respiratory biomaterials) testing. Chest  computed tomography was performed according to the indications.Results. The incidence of fungal sensitization in patients with cystic  fibrosis was 57%, to Aspergillus spp. – 27%. The incidence of  allergic bronchopulmonary aspergillosis was 5,7%, chronic lung  aspergillosis – 4,2%, invasive aspergillosis developed in one patient  (0,5%) during immunosuppressive therapy after liver transplantation.Conclusion. The incidence of pulmonary aspergillosis in patients  with cystic fibrosis in the Russian Federation was first determined  (10.5%). Mycology testing is indicated for patients with cystic  fibrosis for early treatment of different variants of pulmonary aspergillosis.https://journal.niidi.ru/jofin/article/view/726муковисцидозаспергиллезаллергический бронхолегочный аспергиллезaspergillus.
spellingShingle Ya. I. Kozlova
Yu. V. Borzova
O. V. Shadrivova
I. E. Suslova
O. V. Aak
S. M. Ignat’eva
T. S. Bogomolova
V. A. Ponnaja
T. A. Stepanenko
A. V. Orlov
S. A. Krasovskiy
N. N. Klimko
Pulmonary Aspergillosis in Patients with Cystic Fibrosis in Russian Federation
Журнал инфектологии
муковисцидоз
аспергиллез
аллергический бронхолегочный аспергиллез
aspergillus.
title Pulmonary Aspergillosis in Patients with Cystic Fibrosis in Russian Federation
title_full Pulmonary Aspergillosis in Patients with Cystic Fibrosis in Russian Federation
title_fullStr Pulmonary Aspergillosis in Patients with Cystic Fibrosis in Russian Federation
title_full_unstemmed Pulmonary Aspergillosis in Patients with Cystic Fibrosis in Russian Federation
title_short Pulmonary Aspergillosis in Patients with Cystic Fibrosis in Russian Federation
title_sort pulmonary aspergillosis in patients with cystic fibrosis in russian federation
topic муковисцидоз
аспергиллез
аллергический бронхолегочный аспергиллез
aspergillus.
url https://journal.niidi.ru/jofin/article/view/726
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