Endobronchial valve block in the treatment of patients with destructive pulmonary tuberculosis and low adherence to therapy with anti-tuberculosis drugs and refusing to stay in hospital

The objective of the study: to analyze the efficacy of endobronchial valve block (EBV) during out-patient treatment of patients with destructive pulmonary tuberculosis who refused in-patient treatment and therapy with anti-tuberculosis drugs.Subjects and methods. Treatment outcomes of 129 patients w...

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Main Authors: P. A. Fadeev, D. V. Krasnov, S. V. Sklyuev, N. G. Grischenko, V. A. Krasnov
Format: Article
Language:Russian
Published: New Terra Publishing House 2020-01-01
Series:Туберкулез и болезни лёгких
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Online Access:https://www.tibl-journal.com/jour/article/view/1369
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author P. A. Fadeev
D. V. Krasnov
S. V. Sklyuev
N. G. Grischenko
V. A. Krasnov
author_facet P. A. Fadeev
D. V. Krasnov
S. V. Sklyuev
N. G. Grischenko
V. A. Krasnov
author_sort P. A. Fadeev
collection DOAJ
description The objective of the study: to analyze the efficacy of endobronchial valve block (EBV) during out-patient treatment of patients with destructive pulmonary tuberculosis who refused in-patient treatment and therapy with anti-tuberculosis drugs.Subjects and methods. Treatment outcomes of 129 patients were randomly studied, the patients suffered from destructive pulmonary tuberculosis and demonstrated low adherence to therapy with anti-tuberculosis drugs and staying in hospital. EBV was used in one group (66 patients), and it was not used in patients from another group (63 patients). Results. The use of EBV in patients with poor adherence to inpatient treatment and chemotherapy allowed achieving sputum conversion in 36 (58.1%) patients and healing of cavities in 43 (65.2%). Among the patients in whom no EBV was used, sputum conversion was achieved in 12 (20.7%) patients (p = 0.001, χ2) and cavities were healed in 14 (22.2%) patients (p = 0.001, χ2). Efficacy and safety of EBV was demonstrated when used on the out-patient basis in the above category of patients.
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institution OA Journals
issn 2075-1230
2542-1506
language Russian
publishDate 2020-01-01
publisher New Terra Publishing House
record_format Article
series Туберкулез и болезни лёгких
spelling doaj-art-b5de65a3372c406a9140c9d1c8fe16e42025-08-20T02:16:02ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062020-01-019712465310.21292/2075-1230-2019-97-12-46-531369Endobronchial valve block in the treatment of patients with destructive pulmonary tuberculosis and low adherence to therapy with anti-tuberculosis drugs and refusing to stay in hospitalP. A. Fadeev0D. V. Krasnov1S. V. Sklyuev2N. G. Grischenko3V. A. Krasnov4Zabaykalskiy Regional Clinical Phthisiopulmonary CenterNovosibirsk Tuberculosis Research Institute; Novosibirsk State Medical UniversityNovosibirsk Tuberculosis Research Institute; Novosibirsk State Medical UniversityNovosibirsk Tuberculosis Research InstituteNovosibirsk Tuberculosis Research Institute; Novosibirsk State Medical UniversityThe objective of the study: to analyze the efficacy of endobronchial valve block (EBV) during out-patient treatment of patients with destructive pulmonary tuberculosis who refused in-patient treatment and therapy with anti-tuberculosis drugs.Subjects and methods. Treatment outcomes of 129 patients were randomly studied, the patients suffered from destructive pulmonary tuberculosis and demonstrated low adherence to therapy with anti-tuberculosis drugs and staying in hospital. EBV was used in one group (66 patients), and it was not used in patients from another group (63 patients). Results. The use of EBV in patients with poor adherence to inpatient treatment and chemotherapy allowed achieving sputum conversion in 36 (58.1%) patients and healing of cavities in 43 (65.2%). Among the patients in whom no EBV was used, sputum conversion was achieved in 12 (20.7%) patients (p = 0.001, χ2) and cavities were healed in 14 (22.2%) patients (p = 0.001, χ2). Efficacy and safety of EBV was demonstrated when used on the out-patient basis in the above category of patients.https://www.tibl-journal.com/jour/article/view/1369destructive pulmonary tuberculosislow treatment adherenceendobronchial valve block
spellingShingle P. A. Fadeev
D. V. Krasnov
S. V. Sklyuev
N. G. Grischenko
V. A. Krasnov
Endobronchial valve block in the treatment of patients with destructive pulmonary tuberculosis and low adherence to therapy with anti-tuberculosis drugs and refusing to stay in hospital
Туберкулез и болезни лёгких
destructive pulmonary tuberculosis
low treatment adherence
endobronchial valve block
title Endobronchial valve block in the treatment of patients with destructive pulmonary tuberculosis and low adherence to therapy with anti-tuberculosis drugs and refusing to stay in hospital
title_full Endobronchial valve block in the treatment of patients with destructive pulmonary tuberculosis and low adherence to therapy with anti-tuberculosis drugs and refusing to stay in hospital
title_fullStr Endobronchial valve block in the treatment of patients with destructive pulmonary tuberculosis and low adherence to therapy with anti-tuberculosis drugs and refusing to stay in hospital
title_full_unstemmed Endobronchial valve block in the treatment of patients with destructive pulmonary tuberculosis and low adherence to therapy with anti-tuberculosis drugs and refusing to stay in hospital
title_short Endobronchial valve block in the treatment of patients with destructive pulmonary tuberculosis and low adherence to therapy with anti-tuberculosis drugs and refusing to stay in hospital
title_sort endobronchial valve block in the treatment of patients with destructive pulmonary tuberculosis and low adherence to therapy with anti tuberculosis drugs and refusing to stay in hospital
topic destructive pulmonary tuberculosis
low treatment adherence
endobronchial valve block
url https://www.tibl-journal.com/jour/article/view/1369
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