Features of choosing the tactics and method of treatment of external joint frequencies of long external bones in people living with HIV

Objective. Develop an algorithm for determining tactics and parameters of their treatment to improve treatment outcomes. Methodology. Material and research methods. A statistical analysis of the treatment results of 90 HIV-infected patients aged from 23 to 54 years with extra-articular fractures of...

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Main Authors: N. G. Doronin, S. N. Khoroshkov, S. L. Maksimov
Format: Article
Language:Russian
Published: Journal Infectology 2020-03-01
Series:Журнал инфектологии
Subjects:
Online Access:https://journal.niidi.ru/jofin/article/view/1014
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author N. G. Doronin
S. N. Khoroshkov
S. L. Maksimov
author_facet N. G. Doronin
S. N. Khoroshkov
S. L. Maksimov
author_sort N. G. Doronin
collection DOAJ
description Objective. Develop an algorithm for determining tactics and parameters of their treatment to improve treatment outcomes. Methodology. Material and research methods. A statistical analysis of the treatment results of 90 HIV-infected patients aged from 23 to 54 years with extra-articular fractures of long bones of the extremities was carried out. When determining the tactics and method of treatment, the peculiarities of the effect of HIV infection, antiretroviral drugs, and opportunistic diseases on the patient’s body were not taken into account. Results. Non-infectious complications are characteristic of HIV-infected patients: sides of the postoperative wound (seromas, hematomas, discrepancy of wound edges, delayed crushing), aseptic loosening and migration of fixatives, delayed consolidation of fractures. The presence of a statistically significant relationship between the objective factors characterizing the course of HIV infection: the stage of the disease, the number of CD lymphocytes, the ratio of CD4 / CD8 lymphocytes, viral load and the risk of postoperative complications was revealed.Conclusion. The application of the developed algorithm allows you to objectify the procedure and provide an individual approach in determining the tactics and method of treatment for HIV-infected patients with extraarticular fractures of long bones of the extremities
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series Журнал инфектологии
spelling doaj-art-897fdcb89890445f8c511a26de5142e12025-08-20T03:38:30ZrusJournal InfectologyЖурнал инфектологии2072-67322020-03-01121657210.22625/2072-6732-2020-12-1-65-72788Features of choosing the tactics and method of treatment of external joint frequencies of long external bones in people living with HIVN. G. Doronin0S. N. Khoroshkov1S. L. Maksimov2City Clinical Hospital named after F.I. InozemtsevMoscow State University of Medicine and Dentistry named after A.I. EvdokimovMoscow State University of Medicine and Dentistry named after A.I. EvdokimovObjective. Develop an algorithm for determining tactics and parameters of their treatment to improve treatment outcomes. Methodology. Material and research methods. A statistical analysis of the treatment results of 90 HIV-infected patients aged from 23 to 54 years with extra-articular fractures of long bones of the extremities was carried out. When determining the tactics and method of treatment, the peculiarities of the effect of HIV infection, antiretroviral drugs, and opportunistic diseases on the patient’s body were not taken into account. Results. Non-infectious complications are characteristic of HIV-infected patients: sides of the postoperative wound (seromas, hematomas, discrepancy of wound edges, delayed crushing), aseptic loosening and migration of fixatives, delayed consolidation of fractures. The presence of a statistically significant relationship between the objective factors characterizing the course of HIV infection: the stage of the disease, the number of CD lymphocytes, the ratio of CD4 / CD8 lymphocytes, viral load and the risk of postoperative complications was revealed.Conclusion. The application of the developed algorithm allows you to objectify the procedure and provide an individual approach in determining the tactics and method of treatment for HIV-infected patients with extraarticular fractures of long bones of the extremitieshttps://journal.niidi.ru/jofin/article/view/1014bone fractures, hiv infection, osteosynthesis, reposition, complications
spellingShingle N. G. Doronin
S. N. Khoroshkov
S. L. Maksimov
Features of choosing the tactics and method of treatment of external joint frequencies of long external bones in people living with HIV
Журнал инфектологии
bone fractures, hiv infection, osteosynthesis, reposition, complications
title Features of choosing the tactics and method of treatment of external joint frequencies of long external bones in people living with HIV
title_full Features of choosing the tactics and method of treatment of external joint frequencies of long external bones in people living with HIV
title_fullStr Features of choosing the tactics and method of treatment of external joint frequencies of long external bones in people living with HIV
title_full_unstemmed Features of choosing the tactics and method of treatment of external joint frequencies of long external bones in people living with HIV
title_short Features of choosing the tactics and method of treatment of external joint frequencies of long external bones in people living with HIV
title_sort features of choosing the tactics and method of treatment of external joint frequencies of long external bones in people living with hiv
topic bone fractures, hiv infection, osteosynthesis, reposition, complications
url https://journal.niidi.ru/jofin/article/view/1014
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