Possibilities of specific immunological tests in patients with TB/HIV coinfection

The objective of the study: to study the possibilities of skin tests with tuberculosis recombinant allergen (TRA) in the diagnosis of tuberculosis in HIV-positive patients in the region with a high prevalence of tuberculosis.Subjects and Methods. Medical files of 85 patients were retrospectively anal...

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Main Authors: L. N. Motanova, M. S. Grabovskaya, I. V. Folts
Format: Article
Language:Russian
Published: New Terra Publishing House 2021-11-01
Series:Туберкулез и болезни лёгких
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Online Access:https://www.tibl-journal.com/jour/article/view/1580
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author L. N. Motanova
M. S. Grabovskaya
I. V. Folts
author_facet L. N. Motanova
M. S. Grabovskaya
I. V. Folts
author_sort L. N. Motanova
collection DOAJ
description The objective of the study: to study the possibilities of skin tests with tuberculosis recombinant allergen (TRA) in the diagnosis of tuberculosis in HIV-positive patients in the region with a high prevalence of tuberculosis.Subjects and Methods. Medical files of 85 patients were retrospectively analyzed, all the patients suffered from TB/HIV coinfection and underwent the skin test with TRA.Results. The skin test with TRA was found to be significantly valuable for the diagnosis of tuberculosis in patients with TB/HIV coinfection. The correlation between the intensity of response to the TRA test and CD4+ count was detected (p = 0.011). The lowest values were observed for CD4+ counts below 100 cells/μL. The direct correlation between the intensity of response to TRA and the stage of HIV infection was proved. No effect of the form of tuberculosis, the phase of the tuberculosis disease, or drug sensitivity on the intensity of response to TRA was found. Among tuberculosis patients with bacterial excretion (n = 48), 68.8% of patients responded positively to the TRA test, and in those with no bacterial excretion, the positive reaction was observed in 81.1%.
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series Туберкулез и болезни лёгких
spelling doaj-art-c2e38f361e2e4290bea4dce4c26928672025-08-20T02:05:48ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062021-11-019910465110.21292/2075-1230-2021-99-10-46-511575Possibilities of specific immunological tests in patients with TB/HIV coinfectionL. N. Motanova0M. S. Grabovskaya1I. V. Folts2Pacific State Medical UniversityNaval Clinical Hospital no. 1477Primorsky Regional TB DispensaryThe objective of the study: to study the possibilities of skin tests with tuberculosis recombinant allergen (TRA) in the diagnosis of tuberculosis in HIV-positive patients in the region with a high prevalence of tuberculosis.Subjects and Methods. Medical files of 85 patients were retrospectively analyzed, all the patients suffered from TB/HIV coinfection and underwent the skin test with TRA.Results. The skin test with TRA was found to be significantly valuable for the diagnosis of tuberculosis in patients with TB/HIV coinfection. The correlation between the intensity of response to the TRA test and CD4+ count was detected (p = 0.011). The lowest values were observed for CD4+ counts below 100 cells/μL. The direct correlation between the intensity of response to TRA and the stage of HIV infection was proved. No effect of the form of tuberculosis, the phase of the tuberculosis disease, or drug sensitivity on the intensity of response to TRA was found. Among tuberculosis patients with bacterial excretion (n = 48), 68.8% of patients responded positively to the TRA test, and in those with no bacterial excretion, the positive reaction was observed in 81.1%.https://www.tibl-journal.com/jour/article/view/1580immunological testshiv infectiontuberculosis
spellingShingle L. N. Motanova
M. S. Grabovskaya
I. V. Folts
Possibilities of specific immunological tests in patients with TB/HIV coinfection
Туберкулез и болезни лёгких
immunological tests
hiv infection
tuberculosis
title Possibilities of specific immunological tests in patients with TB/HIV coinfection
title_full Possibilities of specific immunological tests in patients with TB/HIV coinfection
title_fullStr Possibilities of specific immunological tests in patients with TB/HIV coinfection
title_full_unstemmed Possibilities of specific immunological tests in patients with TB/HIV coinfection
title_short Possibilities of specific immunological tests in patients with TB/HIV coinfection
title_sort possibilities of specific immunological tests in patients with tb hiv coinfection
topic immunological tests
hiv infection
tuberculosis
url https://www.tibl-journal.com/jour/article/view/1580
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