SURGERY FOR DRUG-RESISTANT DESTRUCTIVE PULMONARY TUBERCULOSIS
The paper presents the experience in surgically treating 145 patients with destructive, mainly fibrocavernous pulmonary tuberculosis. All the patients completed treatment. In the preoperative preparation, particular emphasis is laid on the promptest determination of a spectrum of pathogen susceptibi...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2015-03-01
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| Series: | Туберкулез и болезни лёгких |
| Subjects: | |
| Online Access: | https://www.tibl-journal.com/jour/article/view/346 |
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| author | S. N. Skornyakov I. Ya. Motus E. I. Kildyusheva I. D. Medvinsky A. V. Bazhenov A. V. Savelyev |
| author_facet | S. N. Skornyakov I. Ya. Motus E. I. Kildyusheva I. D. Medvinsky A. V. Bazhenov A. V. Savelyev |
| author_sort | S. N. Skornyakov |
| collection | DOAJ |
| description | The paper presents the experience in surgically treating 145 patients with destructive, mainly fibrocavernous pulmonary tuberculosis. All the patients completed treatment. In the preoperative preparation, particular emphasis is laid on the promptest determination of a spectrum of pathogen susceptibility/resistance, individualized chemotherapy, and collapse therapy options. Postoperative complications occurred in 27 (18.6%) patients, fatal outcomes in 4 (2.7%). The former were recorded most frequently after pneumonectomy in 13 (37.1%) cases, the later were seen in 3 (8.6%). Sputum culture conversion was generally achieved in 111 (78%) patients, particularly in 97 (78.2%) patients with multidrug-resistant tuberculosis and in 14 (66.7%) with a broad drug resistance in the pathogen. Out of the 64 patients followed up for more than 3 years, 48 (75.0%) were in clinical and bacteriological remission. |
| format | Article |
| id | doaj-art-179967b8dadc43b483e639ae9546bbd2 |
| institution | DOAJ |
| issn | 2075-1230 2542-1506 |
| language | Russian |
| publishDate | 2015-03-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Туберкулез и болезни лёгких |
| spelling | doaj-art-179967b8dadc43b483e639ae9546bbd22025-08-20T03:02:32ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062015-03-01031521346SURGERY FOR DRUG-RESISTANT DESTRUCTIVE PULMONARY TUBERCULOSISS. N. Skornyakov0I. Ya. Motus1E. I. Kildyusheva2I. D. Medvinsky3A. V. Bazhenov4A. V. Savelyev5Ural Reseach Institute of PhthisiologyUral Reseach Institute of PhthisiologyUral Reseach Institute of PhthisiologyUral Reseach Institute of PhthisiologyUral Reseach Institute of PhthisiologyUral Reseach Institute of PhthisiologyThe paper presents the experience in surgically treating 145 patients with destructive, mainly fibrocavernous pulmonary tuberculosis. All the patients completed treatment. In the preoperative preparation, particular emphasis is laid on the promptest determination of a spectrum of pathogen susceptibility/resistance, individualized chemotherapy, and collapse therapy options. Postoperative complications occurred in 27 (18.6%) patients, fatal outcomes in 4 (2.7%). The former were recorded most frequently after pneumonectomy in 13 (37.1%) cases, the later were seen in 3 (8.6%). Sputum culture conversion was generally achieved in 111 (78%) patients, particularly in 97 (78.2%) patients with multidrug-resistant tuberculosis and in 14 (66.7%) with a broad drug resistance in the pathogen. Out of the 64 patients followed up for more than 3 years, 48 (75.0%) were in clinical and bacteriological remission.https://www.tibl-journal.com/jour/article/view/346drug resistance in pathogenpulmonary tuberculosis |
| spellingShingle | S. N. Skornyakov I. Ya. Motus E. I. Kildyusheva I. D. Medvinsky A. V. Bazhenov A. V. Savelyev SURGERY FOR DRUG-RESISTANT DESTRUCTIVE PULMONARY TUBERCULOSIS Туберкулез и болезни лёгких drug resistance in pathogen pulmonary tuberculosis |
| title | SURGERY FOR DRUG-RESISTANT DESTRUCTIVE PULMONARY TUBERCULOSIS |
| title_full | SURGERY FOR DRUG-RESISTANT DESTRUCTIVE PULMONARY TUBERCULOSIS |
| title_fullStr | SURGERY FOR DRUG-RESISTANT DESTRUCTIVE PULMONARY TUBERCULOSIS |
| title_full_unstemmed | SURGERY FOR DRUG-RESISTANT DESTRUCTIVE PULMONARY TUBERCULOSIS |
| title_short | SURGERY FOR DRUG-RESISTANT DESTRUCTIVE PULMONARY TUBERCULOSIS |
| title_sort | surgery for drug resistant destructive pulmonary tuberculosis |
| topic | drug resistance in pathogen pulmonary tuberculosis |
| url | https://www.tibl-journal.com/jour/article/view/346 |
| work_keys_str_mv | AT snskornyakov surgeryfordrugresistantdestructivepulmonarytuberculosis AT iyamotus surgeryfordrugresistantdestructivepulmonarytuberculosis AT eikildyusheva surgeryfordrugresistantdestructivepulmonarytuberculosis AT idmedvinsky surgeryfordrugresistantdestructivepulmonarytuberculosis AT avbazhenov surgeryfordrugresistantdestructivepulmonarytuberculosis AT avsavelyev surgeryfordrugresistantdestructivepulmonarytuberculosis |