Tuberculosis, Lung Diseases, HIV Infection最新文献

筛选
英文 中文
Current state of developments and research of new candidate vaccines against tuberculosis (literature review) 结核病新候选疫苗的发展和研究现状(文献综述)
Tuberculosis, Lung Diseases, HIV Infection Pub Date : 2022-06-17 DOI: 10.30978/tb-2022-2-48
N. Matsegora, A. Kaprosh
{"title":"Current state of developments and research of new candidate vaccines against tuberculosis (literature review)","authors":"N. Matsegora, A. Kaprosh","doi":"10.30978/tb-2022-2-48","DOIUrl":"https://doi.org/10.30978/tb-2022-2-48","url":null,"abstract":"147 literature sources on Tuberculosis vaccine, Vaccine prevention of tuberculosis were considered, 33 of them were studied in detail.According to the WHO report, 14 candidates for the TB vaccine are in clinical trials, including the AEC/BC02, Ad5 Ag85A and ChAdOx185A-MVA85A phase 1 vaccines, MTBVAC, ID93+GLA-SE, TB / FLU-04L and the GamB phase vaccine. 2a, amplifiers DAR-901, H56:IC31, M72/AS01, BCG revaccination and RUTI vaccine in phase 2b, VPM1002 and MIP/Immuvac in phase 3. Candidate TB vaccines vary in type and purpose.By type of vaccine are: subunit, vector, genetically modified live recombinant vaccines, live attenuated vaccines containing M. tuberculosis, inactivated vaccines.Subunit TB vaccines — contain purified immunoactive protein components isolated from M. tuberculosis with the addition of an adjuvant to enhance their immunogenic properties.Recombinant live vaccines — use a live vector to deliver heterologous antigens that elicit an immune response.Weakened live vaccines — contain a variant of a live pathogen that has been weakened to prevent serious disease when administered.Inactivated tuberculosis vaccines are designed to prevent and treat TB and are still being studied. These are vaccines with inactivated whole bacteria or their cleavage fragments, prepared physically or chemically.According to the purpose, vaccine candidates are studied in different target groups as pre- and post-exposure prophylaxis, in the context of anti-relapse prophylaxis and therapeutic vaccination, as well as to prevent the activation of LTBI in HIV-infected and contact persons.The results of recent clinical trials are important in addressing critical knowledge gaps and will clearly demonstrate the value of new TB vaccination strategies for endemic countries, and will shape the next generation of clinical trials.","PeriodicalId":292478,"journal":{"name":"Tuberculosis, Lung Diseases, HIV Infection","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125277511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Remote results of the course of non-acute viral pneumonia COVID-19 according to computed tomography 基于计算机断层扫描的非急性病毒性肺炎病程的远程结果
Tuberculosis, Lung Diseases, HIV Infection Pub Date : 2022-06-17 DOI: 10.30978/tb-2022-2-18
O. Yakovenko, M. Linnik, V. Ignatieva, G. Gumenyuk, O. Tarasenko, V.A. Svyatinenko
{"title":"Remote results of the course of non-acute viral pneumonia COVID-19 according to computed tomography","authors":"O. Yakovenko, M. Linnik, V. Ignatieva, G. Gumenyuk, O. Tarasenko, V.A. Svyatinenko","doi":"10.30978/tb-2022-2-18","DOIUrl":"https://doi.org/10.30978/tb-2022-2-18","url":null,"abstract":"Objective — to study the dynamics of changes in the structure of the lungs in patients with a complicated course of non-hospital viral pneumonia COVID-19 by programmatic processing of computed tomography (CT) scan data and to determine the features of changes to predict its course. \u0000Materials and methods. The dynamics of these CT scan 70 patients for non-hospital pneumonia of viral etiology (COVID-19) was analyzed. The diagnosis of COVID-19 was established in accordance with the current protocols for the treatment of coronavirus disease. CT scan was performed on the scanner Aquilion TSX-101A Tochiba (Japan) with the recording of the results on digital media with their subsequent software processing. \u0000Results and discussion. Of the 70 patients for non-hospital pneumonia of viral etiology (COVID-19), 21 patients (15 men and 6 women) were diagnosed with «disappearing lung syndrome», which accounted for 30 % of all those examined. Cases of the formation of massive fibrous post-inflammatory changes were not detected.We performed software processing of CT data of patients’ OGC in dynamics during 6—12 months. On average, control CT scans of the OGC were performed every 2—3 months. At the same time we determined the peculiarities of densitometric indexes dynamics, according to which we could predict the course of non-hospital pneumonia of viral etiology (COVID-19). \u0000Conclusions. Given the high percentage of diagnosis of «disappearing lung syndrome» caused by the autoimmune process in patients with complicated non-hospital viral pneumonia COVID-19, it is necessary to develop methods for its treatment. In order to diagnose complications, prevent them and predict the course of severe forms of pneumonia pneumonia COVID-19, it is necessary to conduct a CT scan in dynamics with densitometric examinations of the pulmonary parenchyma.","PeriodicalId":292478,"journal":{"name":"Tuberculosis, Lung Diseases, HIV Infection","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124709101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiological trends in tuberculosis in Ukraine at the beginning of the COVID­-19 pandemic COVID -19大流行开始时乌克兰结核病流行病学趋势
Tuberculosis, Lung Diseases, HIV Infection Pub Date : 2021-12-15 DOI: 10.30978/tb2021-4-36
Yu.M. Valetskyi, R.O. Valetska, L. Hryshchuk, M. Sakhelashvili, V. Zahorulko, K. Mazhak, S.M. Pakharchuk, L.Ya. Patrakeieva
{"title":"Epidemiological trends in tuberculosis in Ukraine at the beginning of the COVID­-19 pandemic","authors":"Yu.M. Valetskyi, R.O. Valetska, L. Hryshchuk, M. Sakhelashvili, V. Zahorulko, K. Mazhak, S.M. Pakharchuk, L.Ya. Patrakeieva","doi":"10.30978/tb2021-4-36","DOIUrl":"https://doi.org/10.30978/tb2021-4-36","url":null,"abstract":"Objective — to examine the tendencies of the epidemiological situation on tuberculosis in Ukraine at the beginning of the COVID-19 pandemic in 2020. \u0000Materials and methods. The analysis of the data of official statistics in 2015—2020, a survey of 157 medical experts and a telephone questionnaire survey of 69 residents of the Volyn region. \u0000Results and discussion. It was established that the disease of COVID-19 has found its imprint on the epidemiological situation of tuberculosis and on the functioning of the TB care service. In 2020, the rate of decline in the incidence of pulmonary and extrapulmonary tuberculosis was significantly more intensive than in previous years. However, the incidence of tuberculosis among contacts with bacterial excretion in tuberculosis foci increased 1.85 times in each year. The frequency of tuberculosis recurrences is steadily decreasing.The prevalence and mortality from all forms of active tuberculosis among the entire population of Ukraine has a tendency similar to a decrease in morbidity.The effectiveness of treatment of patients of all categories is proportional to the severity of the tuberculosis process, but still insufficient. Mortality in TB care institutions increased in the previous year against the decrease of this indicator in previous years. Against the background of the inaccessibility of the population to TB care, day hospitals are underused, and the sanatorium network needs to be reorganized. The surgical method of treatment of patients is extremely insufficiently realized. \u0000Conclusions. The dispensary contingent of TB care institutions is decreasing every year. There is a reduction in the infrastructure of the TB care service, and in each year, the largest reduction was in the bed stock of TB care institutions and sanatoriums, as well as a decrease in the number of TB doctors.","PeriodicalId":292478,"journal":{"name":"Tuberculosis, Lung Diseases, HIV Infection","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128187316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Topical issues of patient management on multidrug-resistant tuberculosis: international and national experience 耐多药结核病患者管理的专题问题:国际和国家经验
Tuberculosis, Lung Diseases, HIV Infection Pub Date : 2021-12-15 DOI: 10.30978/tb2021-4-74
Prepared by Natalia Litvinenko, Yulia Senko
{"title":"Topical issues of patient management on multidrug-resistant tuberculosis: international and national experience","authors":"Prepared by Natalia Litvinenko, Yulia Senko","doi":"10.30978/tb2021-4-74","DOIUrl":"https://doi.org/10.30978/tb2021-4-74","url":null,"abstract":"","PeriodicalId":292478,"journal":{"name":"Tuberculosis, Lung Diseases, HIV Infection","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130272004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative characteristics of the epidemiological situation of chemoresistant tuberculosis in Germany and Ukraine 德国与乌克兰耐药结核病流行病学比较分析
Tuberculosis, Lung Diseases, HIV Infection Pub Date : 2021-12-15 DOI: 10.30978/tb2021-4-27
I. Friesen, T. Ulrichs, L. Hryshchuk, H. Saturska
{"title":"Comparative characteristics of the epidemiological situation of chemoresistant tuberculosis in Germany and Ukraine","authors":"I. Friesen, T. Ulrichs, L. Hryshchuk, H. Saturska","doi":"10.30978/tb2021-4-27","DOIUrl":"https://doi.org/10.30978/tb2021-4-27","url":null,"abstract":"Objective — to compare the epidemiological situation of chemoresistant tuberculosis in Germany and Ukraine, in addition analyzing the nature and features of chemoresistant tuberculosis in 192 patients treated at the Ternopil Regional TB Dispensary Ukraine during 2017—2018. \u0000Materials and methods. In order to study the comparative characteristics of the epidemiological situation with chemoresistant tuberculosis in Germany and Ukraine, modern literature sources were used with the search query «epidemiological situation with chemoresistant tuberculosis in Germany», «epidemiological situation with chemoresistant tuberculosis in Ukraine». Separatelly a retrospective cohort study was conducted. The nature and features of the course of chemoresistant tuberculosis in 192 patients who were treated in the Ternopil Regional TB Dispensary during 2017—2018 were analyzed. \u0000Results and discussion. Analysis of literature sources showed that multidrug resistant Tuberculosis (MDR-TB) is relatively seldom in Germany with around 100 cases annually. Overall, the epidemiological situation of MDR-TB has been stable since the beginning of the statistical recording of the disease in 2002. In 2013, the highest proportion of MDR TB was registered at 3.3 %. Detailed analysis of notifi cation data shows that the tuberculosis situation in Germany is mainly influenced by migratory movements and demographic changes in the population. Despite the positive overall epidemiological trend with decreasing incidence rates, however, the burden of TB in Ukraine remains significant. According to the latest WHO estimates for 2018, TB incidence in the country(new cases and relapses) is the 4th highest among 53 countries of the WHO European Region.To address the situation, reduce TB prevalence, scale up TB early detection and diagnosis, and ensure effective treatment, Ukraine adopted, in 2019, the 2020–2023 State Strategy for Development of Anti-Tuberculosis Care for the Population.The analysis performed of 192 patients of the MDR/XDR-TB Cohort from the TB-Dispensary Hospital in Ternopil (Ukraine) from 2017—2018, showed that the resistanse of mycobacteria to anti-TB drugs was dominated by cases of MDR-TB — 57.3 %. Among patients first diagnosed were 52.6 %, relapses were 46.4 %. Destruction in the lungs was detected in 71.9 %. 111 patients (57.8 %) had treatment success, and 81 (42.2 %) had poor treatment outcomes or were lost to follow-up. \u0000Conclusions. The epidemiological situation of tuberculosis in Germany is stable and improving. Despite the positive overall epidemiological trend, the burden of TB in Ukraine remains significant. In 2018, TB incidence in the country (new cases and relapses) was 80 per 100 thousands population. In Ukraine during the period (2015—2018), the proportion of «pre-XDR» and XDR cases increased from 47.4 to 51.3 %. Among patients with chemoresistant tuberculosis, MR TB predominates (57.3 %), with destruction in the lungs and only 57.8% are effectively treated.","PeriodicalId":292478,"journal":{"name":"Tuberculosis, Lung Diseases, HIV Infection","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114262914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Influence of outpatient treatment newly diagnosed pulmonary tuberculosis on the development of familial tuberculosis (epidemic situation) 门诊治疗新诊断肺结核对家族性肺结核(疫情)发展的影响
Tuberculosis, Lung Diseases, HIV Infection Pub Date : 2021-12-15 DOI: 10.30978/tb2021-4-16
I. D. Duzhyi, G. P. Oleshchenko, L. Bondarenko
{"title":"Influence of outpatient treatment newly diagnosed pulmonary tuberculosis on the development of familial tuberculosis (epidemic situation)","authors":"I. D. Duzhyi, G. P. Oleshchenko, L. Bondarenko","doi":"10.30978/tb2021-4-16","DOIUrl":"https://doi.org/10.30978/tb2021-4-16","url":null,"abstract":"The incidence of tuberculosis in our country, according to statistics, seems to be declining. However, it should be remembered that the figures of the Crimean Autonomous Republic and the temporarily occupied territories of Donetsk and Luhansk oblasts are excluded from the digital data. Of particular concern are the significant worldwide morbidity and infant mortality rate of 700 people per day.The problem’s urgency is due to the data and the increase in the number of patients with common and destructive forms of pulmonary tuberculosis. The leading factor is the constant increase in the number of patients with multidrug­resistant conditions, the effectiveness of treatment of which does not reach 50%. In comparison, the WHO considers the critical limit for stabilizing the epidemic situation «effective treatment» at 85 %. \u0000Objective — to study the features of familial tuberculosis on the background of outpatient treatment of patients with newly diagnosed tuberculosis. \u0000Materials and methods. We observed 157 families with various forms of pulmonary tuberculosis. Radiation, bacteriological, immuno­genetic methods were used in the examination. Family members were examined every six months. \u0000Results and discussion. Among the TB contacts after this period, tuberculosis was found in 162 people. Sources of tuberculosis (157) were bacillary in 49.7 %, TB contacts — in 43.8 %. Among patients in the group of heads of tuberculosis, there were 28 (35.9 %) people on MRTB, and in the group of TB contacts — 32 (45.1 %), р < 0.05. Thus, tuberculosis’s cause in TB contacts was not isolated from the family of patients with newly diagnosed tuberculosis. \u0000Conclusions. Based on the results obtained, it is safe to say that if at least fixed bacillary patients were hospitalized, there could be no family TB contact patients. Comparing all sources of tuberculosis patients (157), it can be imagined that cases of familial tuberculosis (162) could be avoided. Nature «responded» to ignoring one part of the epidemic process (transmission of infection that increases with contact) by increasing the number of patients with familial tuberculosis by 5 people. We note: it was only about the Sumy region and only for a limited time.","PeriodicalId":292478,"journal":{"name":"Tuberculosis, Lung Diseases, HIV Infection","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132735417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abstracts of the scientific-practical conference «Topical issues of patient management on multidrug-resistant tuberculosis: international and national experience» 科学实践会议的摘要«耐多药结核病患者管理的专题问题:国际和国家经验»
Tuberculosis, Lung Diseases, HIV Infection Pub Date : 2021-12-15 DOI: 10.30978/tb2021-4-77
. .
{"title":"Abstracts of the scientific-practical conference «Topical issues of patient management on multidrug-resistant tuberculosis: international and national experience»","authors":". .","doi":"10.30978/tb2021-4-77","DOIUrl":"https://doi.org/10.30978/tb2021-4-77","url":null,"abstract":"","PeriodicalId":292478,"journal":{"name":"Tuberculosis, Lung Diseases, HIV Infection","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126506609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of patients with multidrug­resistant and extensively drug resistant tuberculosis depending on the composition of individualized regimens: immediate and long­term results 根据个体化方案的组成对耐多药和广泛耐药结核病患者的治疗:近期和长期结果
Tuberculosis, Lung Diseases, HIV Infection Pub Date : 2021-12-15 DOI: 10.30978/tb2021-4-7
Y. Feshchenko, N. Litvinenko, N. Grankina, M. Pogrebna, Y. Senko, L. Protsyk, R. Liubevych
{"title":"Treatment of patients with multidrug­resistant and extensively drug resistant tuberculosis depending on the composition of individualized regimens: immediate and long­term results","authors":"Y. Feshchenko, N. Litvinenko, N. Grankina, M. Pogrebna, Y. Senko, L. Protsyk, R. Liubevych","doi":"10.30978/tb2021-4-7","DOIUrl":"https://doi.org/10.30978/tb2021-4-7","url":null,"abstract":"Objective — to study the effectiveness of treatment of MDR-TB (multidrug-resistant tuberculosis) and preXDR-TB/XDR-TB (pre-extensively and extensively drug resistant tuberculosis), depending on the composition of ITRs (individualized treatment regimens). \u0000Materials and methods. Тhe prospective observational study included 566 patients with MDR/preXDR-TB and XDR-TB during 2016—2020 on the scientific clinical bases of the SI «National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky NAMS of Ukraine» and ME «Kryvyi Rih Anti-tuberculosis Dispensary» Dnipropetrovsk Regional Council Department. Patients were prescribed individualized treatment regimens in cases where short (standard or modified) regimens could not be prescribed. Patients were divided into comparison groups: 469 of them were treated with antimycobacterial therapy including bedaquiline and other effective antimycobacterial drugs groups A—C (without delamanid) — group 1. And 97 patients who were treated with the inclusion of both new antimycobacterial drugs (bedaquiline and delamanid) — group 2. \u0000Results and discussion. Regardless of whether the delamanid, in addition to bedaquiline and other drugs selected for the scheme according to WHO recommendations, «effective treatment» was found in 91.3 against 88.6 % of patients. In the remote period (6-month — 4-year follow-up period) there was no recurrence of the disease, regardless of the composition of the regime. The loss of treatment effectiveness was due to deaths from non-tuberculosis reasons and those lost for follow-up. \u0000Conclusions. For highly effective treatment, individualized regimens should include bedaquidine and linezolid from group A, and for previously ineffectively treated patients, clofazimine and carbapenems must be included (possibility to include 4 or more effective AMDs in ITR). For patients with fluoroquinolone resistance, treatment should include delamanid.","PeriodicalId":292478,"journal":{"name":"Tuberculosis, Lung Diseases, HIV Infection","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131216812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Presentation and implementation of the results of the own scientific research — a practical approach 展示和实施自己的科学研究成果-一种实用的方法
Tuberculosis, Lung Diseases, HIV Infection Pub Date : 2021-12-15 DOI: 10.30978/tb2021-4-21
L. Todoriko, O. Pidverbetska, O.Ya. Pidverbetskyi, N.I. Zorii, Ya.I. Toderika
{"title":"Presentation and implementation of the results of the own scientific research — a practical approach","authors":"L. Todoriko, O. Pidverbetska, O.Ya. Pidverbetskyi, N.I. Zorii, Ya.I. Toderika","doi":"10.30978/tb2021-4-21","DOIUrl":"https://doi.org/10.30978/tb2021-4-21","url":null,"abstract":"During postgraduate studies, future PhDs must master a wide range of teaching and research skills that meet global and European academic standards. In particular, candidates for the degree of Doctor of Philosophy must acquire theoretical knowledge that is sufficient to produce new ideas, solve complex problems in the field of professional and/or research and innovation, acquire universal research skills, including oral and written presentation of their own scientific results, application of modern information technologies in scientific activity, organization and carrying out of educational employments, management of scientific projects and/or introduction of offers concerning financing of scientific researches, registration of the intellectual property rights. \u0000Objective — to summarize information about the relevance of the discipline «Presentation and imple­mentation of the results of the own scientific research» and highlight practical approaches to its teaching. \u0000Materials and methods. Analysis and generalization of information on current documents governing the educational process for applicants for the degree of «Doctor of Philosophy» in medical specialties, and literature sources on the presentation and implementation of dissertation research. \u0000Results and discussion. The discipline «Presentation and implementation of the results of the own scientific research» is an important component of the preparation of graduates of the degree of Doctor of Philosophy in the field of knowledge 22 «Health». As part of the study of this discipline, students learn the concept of innovation process and innovation of the scientist, get acquainted with the basics of protection of the results of their own research and modern aspects of patent information search technologies, gain skills in presenting the results of the own research using various forms of new information technologies and implementation in the practice of health care and educational process of the results of the own research. \u0000Conclusions. Assimilation of theoretical material and practice of the practical part of the program of the discipline «Presentation and implementation of results of the own scientific research» provides acquisition by postgraduate students of corresponding integral, general and special competences and formation of integrative final program results of training necessary for further professional activity of the future doctor of philosophy.","PeriodicalId":292478,"journal":{"name":"Tuberculosis, Lung Diseases, HIV Infection","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128256410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effectiveness of immunoglobulin G application in patients with drug­-resistant tuberculosis/HIV with CD4+ lymphocytes from 200 to 50 cells/µl according to biochemical data 免疫球蛋白G应用于CD4+淋巴细胞在200 ~ 50 cells/µl的耐药结核/HIV患者的生化效果
Tuberculosis, Lung Diseases, HIV Infection Pub Date : 2021-10-01 DOI: 10.30978/tb2021-3-43
N. Matsegora, A. Kaprosh
{"title":"The effectiveness of immunoglobulin G application in patients with drug­-resistant tuberculosis/HIV with CD4+ lymphocytes from 200 to 50 cells/µl according to biochemical data","authors":"N. Matsegora, A. Kaprosh","doi":"10.30978/tb2021-3-43","DOIUrl":"https://doi.org/10.30978/tb2021-3-43","url":null,"abstract":"Objective — to study the effectiveness of immunoglobulin therapy in patients with co-infection of drug-resistant tuberculosis (DR-TB)/HIV at the level of CD4+ lymphocytes from 200 to 50 cells/μl, based on a study of the dynamics of biochemical parameters. \u0000Materials and methods. The study involved 52 patients aged 20 to 55 years, with a mean age of (37.2 ± 7.8) years. All patients were HIV-positive with laboratory-confirmed DR-TB with mycobacterial resistance to first- and second-line drugs. Patients with DR-TB/HIV were distributed as follows: 1 group (control) — 26 patients with DR-TB/HIV, receiving standard treatment of second-line AMBP and ARVT; group 2 (main) — 26 patients with DR-TB/HIV, who also received standard treat­ment of second-line AMBP and ARVT, with the addition of complex therapy with intravenous immunoglobulin G (IgG). \u0000Results and discussion. Against the background of treatment, the dynamics of changes in biochemical parameters was as follows: patients in the control group, after the first 2 weeks of AMBP, there was an increase in intoxication load on the hepatobiliary and urinary systems, which led, on the one hand, to dysfunction liver with hyperbilirubinemia, increased transaminase activity, thymol turbidity, and on the other — to the development of renal failure with hypercreatininemia, hyperuricemia, azotemia and oliguria. As a result, timely appointment of ARVT (2 weeks after AMBP) in 19 (73.1 %) patients was impossible and was carried out much later than desired (after 2—3 months).Treatment of patients with comorbid pathology of DR-TB/HIV, which included complex intravenous IgG on the background of complex therapy, was accompanied by positive clinical and laboratory dynamics, which created conditions for ARVT involvement after the second week of complex therapy according to the developed treatment method. \u0000Conclusions. The use of immunologically targeted treatment with intravenous IgG made it possible to successfully prescribe ARVT to patients of the main group in 2 weeks from the start of AMBT, which is very useful to prevent adverse reactions, increase treatment efficacy and reduce mortality in patients with comorbid DR-TB/HIV in a state of deep immunosuppression.","PeriodicalId":292478,"journal":{"name":"Tuberculosis, Lung Diseases, HIV Infection","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128127575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信