"CTRI Bulletin"
#4,(13),2020.
CTRI BULLETIN №4 (13) 2020
Journal Information: Read
Chief Editor: Ergeshov A.E.
Year of foundation: 2017
ISSN (Print): Browse
Publisher site: http://critub.ru
http://tb-bulletin.ru
CONTENT
1) | Organization of TB services for children and adolescents at risk of TB: a look from the past at current issues (a literature review and a comment) Ergeshov A.E., Ovsyankina E.S., Gubkina M.F., Panova L.V., Yukhimenko N.V. | 5 | READ MORE | |
2) | Modelling of receptor phagocytosis pathways in human pro-inflammatory macrophages Erokhina M.V., Kurynina A.V., Shcherbakova E.A., Shaposhnikova D.A., Lepekha L.N. | 15 | READ MORE | |
3) | Tissue and cellular reactions in the lungs caused by different strains of slowly growing nontuberculous mycobacteria Lepekha L.N., Krasnikova E.V., Makaryants N.N., Smirnova T.G., Sargsyan A.P. | 27 | READ MORE | |
4) | Risk factors for lethal outcome in patients with multidrug-resistant tuberculosis Saenko S.S., Sterlikov S.A., Rusakova L.I. | 35 | READ MORE | |
5) | The peculiarities of diagnosis and course of the novel coronavirus infection in children and adolescents with pulmonary TB Ergeshov A.E., Ovsyankina E.S., Gubkina M.F., Petrakova I.Yu., Panova L.V., Khiteva A.Yu., Krushinskaya E.A. | 43 | READ MORE | |
6) | Types and stages of pathological changes in the lungs in novel SARS-CoV-2 coronavirus infection Kogan E.A., Demura S.A., Berezovsky Yu.S., Ergeshov A.E., Golukhova E.Z., Rybka M.M., Shigeev S.V. | 49 | READ MORE | |
7) | A structured interactive remote access survey in dynamic observation and differential diagnosis of broncho-obstructive diseases and community-acquired pneumonia Shubin I.V., Mishlanov V.Yu., Koshurnikova E.P. | 64 | READ MORE | |
8) | Clinical and microbiological issues of the diagnosis of nontuberculous mycobacterioses in patients with pulmonary cavities Karpina N.L., Asanov R.B., Shishkina E.R., Larionova E.E., Shabalina I.Yu., Ergeshov A.E. | 73 | READ MORE | |
9) | Difficulties in differential diagnosis of pulmonary mycobacteriosis caused by M. abscessus Sargsyan A.P., Makaryants N.N., Lepekha L.N., Bagirov M.A., Chernousova L.N., Kоuklina G.M. | 81 | READ MORE | |
10) | Detection of mycobacteria by culture inoculation. Liquid media and automated systems Sevastyanova E.V., Smirnova T.G., Larionova E.E., Chernousova L.N. | 88 | READ MORE | |
11) | To the 80th anniversary of Vladislav Yakovlevich Gergert | 96 | ||
12) | To the 60th anniversary of Mamed Adilovich Bagirov | 97 |
ORGANIZATION OF TB SERVICES FOR CHILDREN AND ADOLESCENTS AT RISK OF TB: A LOOK FROM THE PAST AT CURRENT ISSUES (a literature review and a comment)
Article 1. | Page 5. |
ARTICLE TITLE: | ORGANIZATION OF TB SERVICES FOR CHILDREN AND ADOLESCENTS AT RISK OF TB: A LOOK FROM THE PAST AT CURRENT ISSUES (a literature review and a comment) DOI: 10.7868/S2587667820040019 |
AUTORS: | Ergeshov A.E.1, Ovsyankina E.S.1, Gubkina M.F.1, 2,, Panova L.V.1, Yukhimenko N.V.1 1 Central TB Research Institute, Moscow, Russia 2 N.I. Pirogov Russian National Research Medical University, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 08.07.2020 We traced the history of the organization of TB services for children and adolescents, made comparisons with modern approaches to the issue. The national policy of sanitary prophylaxis targeted at health-saving was outlined in the documents regulating compulsory routine screenings for TB, mass immunization of children with BCG, formation of risk groups. We emphasized that the prophylactic component of TB control in this group lost its priority as a voluntary consent from parents/guardians became necessary. Presently none of the regulatory documents combines medical, sanitary-hygienic, and juridical solutions for TB control in risk groups, which leads to discrepancies in its organization and implementation, especially in children. TB activities targeted at children at risk of TB should be outlined in an independent regulatory document, as it was in the past, considering age and protection of the right for health saving. A family, as a part of the community, should be oriented to compulsory adherence to sanitary and epidemiological norms and medical rules to protect children and adolescents from TB considering its infectious nature, chronic course, severity and high contagiousness, especially within the family. The article was prepared under research topic No. 0515-2019-0016 “Personalized approaches to pulmonary TB treatment in children and adolescents”. |
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KEYWORDS: | TB, children, risk groups, medical, sanitary-hygienic, juridical solutions. |
FOR CORRESPONDENCE: | Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Atadzhan E. Ergeshov, Doctor of Medical Sciences, Professor, Director Tel.: +7 (499) 785-90-19 E-mail: cniit@ctri.ru Elena S. Ovsyankina, Doctor of Medical Sciences, Professor, Principal Researcher, Head, Child and Adolescent Department Tel.: +7 (499) 785-90-05 E-mail: detstvocniit@mail.ru Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia N.I. Pirogov Russian National Research Medical University 1, Ostrovityanova St., 117997, Moscow, Russia Marina F. Gubkina, Doctor of Medical Sciences, Principal Researcher, Child and Adolescent Department, Central TB Research Institute; Professor, Phthisiology Department, N.I. Pirogov Russian National Research Medical University Tel.: +7 (499) 785-90-27 E-mail: detstvocniit@mail.ru Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Ludmila V. Panova, Doctor of Medical Sciences, Leading Researcher, Child and Adolescent Department Tel.: +7 (499) 785-90-27 E-mail: detstvocniit@mail.ru Natalya V. Yukhimenko, Doctor of Medical Sciences, Leading Researcher, Child and Adolescent Department Tel.: +7 (499) 785-90-27 E-mail: detstvocniit@mail.ru |
MODELLING OF RECEPTOR PHAGOCYTOSIS PATHWAYS IN HUMAN PRO-INFLAMMATORY MACROPHAGES
Article 2. | Page 15. |
ARTICLE TITLE: | MODELLING OF RECEPTOR PHAGOCYTOSIS PATHWAYS IN HUMAN PRO-INFLAMMATORY MACROPHAGES DOI:10.7868/S2587667820040020 |
AUTORS: | Erokhina M.V.1, 2, Kurynina A.V.2, Shcherbakova E.A.1, Shaposhnikova D.A.2, Lepekha L.N.1 1 Central TB Research Institute, Moscow, Russia 2 M.V. Lomonosov Moscow State University, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 29.07.2020 To study the role of receptor phagocytosis in the formation of macrophage phenotypes is important for fundamental science, practical application, and better understanding of the development of inflammatory process in pulmonary tuberculosis. Depending on microenvironmental stimuli macrophages activate as pro-inflammatory (M1) or anti-inflammatory (M2) macrophages. It is assumed that the dynamics of changes in the M1/M2 ratio of macrophages in granulomas determines the activity of tuberculous inflammation in the lungs. For better survival in human lungs, M. tuberculosis uses poorly understood mechanisms for reprogramming M1-macrophages into M2-phenotype. This emphasizes the role of M1-macrophages in the human defence against M. tuberculosis and the need to study the plasticity mechanisms of inflammatory macrophages during phagocytosis. The aim of this study was to model phagocytosis through Fc- and Mn-receptors in proinflammatory human macrophages using a model of human monocytic cells of THP-1 line. The degree of functional activity of macrophages was assessed using latex particles conjugated with ligands to the mannose receptor (MnR) or Fc-receptors (FcRs). Our results show that FcRs-mediated phagocytosis predominates in the differentiation of THP-1 macrophages. This fact confirms the M1-type polarization. Activation of MnR-mediated phagocytosis occurs at the late stage of macrophage differentiation and indicates a shift in their polarization to M2-phenotype. It is assumed that similar processes occur in a human organism after infection and trigger tuberculous inflammation. The use of proinflammatory human macrophages and latex particles conjugated to mannan or IgG allows to create a model system to study the activation of FcR- and MnR-mediated phagocytosis in M1-macrophages. Subsequently, we’ll be able to compare the data with those processes that occur during tuberculous inflammation in vivo. The study was conducted under research topic No. 0515-2019-0015: “The development of drug resistance of mycobacteria and somatic cells to TB drugs”. |
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KEYWORDS: | proinflammatory macrophages, M1/M2-macrophages, receptor phagocytosis, macrophage plasticity, macrophage polarization, mannose receptor, Fc-receptor. |
FOR CORRESPONDENCE: | Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia M.V. Lomonosov Moscow State University 1, Building 12, Leninskie Gory, 119991, Moscow, Russia Maria V. Erokhina, Doctor of Biological Sciences, Head of Cell Biology Laboratory, Department of Pathomorphology, Cell Biology and Biochemistry, Central TB Research Institute; Docent, Cell Biology and Histology Department, Biology Faculty, M.V. Lomonosov Moscow State University Tel.: +7 (499) 785-91-79 Е-mail: masha.erokhina@gmail.com M.V. Lomonosov Moscow State University 1, Building 12, Leninskie Gory, 119991, Moscow, Russia Anna V. Kurynina, Senior Teacher, Cell Biology and Histology Department, Biology Faculty Tel.: +7 (499) 939-45-67 Е-mail: frasska@gmail.com Daria A. Shaposhnikova, Second-Year Master’s Student, Cell Biology and Histology Department, Biology Faculty Tel.: +7 (499) 939-45-67 Е-mail: dasha-shap13@mail.ru Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Ekaterina A. Shcherbakova, Junior Researcher, Department of Pathomorphology, Cell Biology and Biochemistry Tel.: +7 (499) 785-91-79 Е-mail: scherbakova_katya@yahoo.com Larisa N. Lepekha, Doctor of Biological Sciences, Professor, Head of Department of Pathomorphology, Cell Biology and Biochemistry Tel.: +7 (499) 785-91-79 Е-mail: lep3@yandex.ru |
TISSUE AND CELLULAR REACTIONS IN THE LUNGS CAUSED BY DIFFERENT STRAINS OF SLOWLY GROWING NONTUBERCULOUS MYCOBACTERIA
Article 3. | Page 27. |
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ARTICLE TITLE: | TISSUE AND CELLULAR REACTIONS IN THE LUNGS CAUSED BY DIFFERENT STRAINS OF SLOWLY GROWING NONTUBERCULOUS MYCOBACTERIA DOI: 10.7868/S2587667820040032 |
AUTORS: | Lepekha L.N., Krasnikova E.V., Makaryants N.N., Smirnova T.G., Sargsyan A.P. Central TB Research Institute, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 30.08.2020 Aim: to describe tissue and cellular reactions in pulmonary nontuberculous mycobacterioses caused by different strains of nontuberculous mycobacteria (NTM) in resection samples from patients with pulmonary tuberculomas. Materials and methods. We conducted morphological, microbiological and molecular genetic studies of resection samples from 40 patients with diagnosed pulmonary tuberculoma, which were also infected with different strains of slowly growing NTM, and 38 pulmonary tuberculoma patients without concomitant mycobacteriosis (controls). Results. The development of nontuberculous mycobacteriosis is accompanied by severe non-tuberculous lymphoid infiltration of the pulmonary parenchyma, formation of histiocytic and histiocytic macrophage granulomas without caseous necrosis, which is especially typical for M. avium (22.5%), M. intracellulare (7.5%). Histiocytic granulomas are exposed to rapid fibrosing, which results in impaired structural homeostasis of the respiratory tract and developing pneumosclerosis, especially in the perivascular zone. Typical presentations of infections caused by M. kansasii (30%) and M. xenopi (27.5%) are lymphoid histiocytic infiltration of the walls of terminal respiratory ways and adjacent lung tissue accompanied by fibrosing, narrowing of the lumen or developing bronchoalveolar ectasia in the form of thin-wall cavities with ciliated epithelium. The obtained data can be used for differential diagnosis of pulmonary TB and pulmonary nontuberculous mycobacterioses. The study was conducted under research topic No. 0515-2019-0015: “The development of drug resistance of mycobacteria and somatic cells to TB drugs”. |
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KEYWORDS: | nontuberculous mycobacteriosis, TB, morphology, microbiology, resection samples of the lungs. |
FOR CORRESPONDENCE: | Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Larisa N. Lepekha, Doctor of Biological Sciences, Professor, Head, Department of Pathomorphology, Cell Biology and Biochemistry Tel.: +7 (499) 785‑91‑79 Е-mail: lep3@yandex.ru Elena V. Krasnikova, Doctor of Medical Sciences, Senior Researcher, Surgery Department Tel.: +7 (499) 785‑91‑96 Е-mail: el.krasn@gmail.com Natalia N. Makaryants, Doctor of Medical Sciences, Leading Researcher, Department of Differential Diagnosis of TB and Extracorporal Treatments Tel.: +7 (499) 785‑91‑56 E-mail: roman4000@yandex.ru Tatyana G. Smirnova, Candidate of Medical Sciences, Senior Researcher, Microbiology Department Tel.: +7 (499) 785‑90‑91 E-mail: s_tatka@mail.ru Anna P. Sargsyan, Postgraduate, Department of Differential Diagnosis of pulmonary TB and Extracorporal Treatments Tel.: +7 (909) 248‑23‑50 E-mail: a.sargsyan1993@mail.ru |
RISK FACTORS FOR LETHAL OUTCOME IN PATIENTS WITH MULTIDRUG-RESISTANT TUBERCULOSIS
Article 4. | Page 35. |
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ARTICLE TITLE: | RISK FACTORS FOR LETHAL OUTCOME IN PATIENTS WITH MULTIDRUG-RESISTANT TUBERCULOSIS DOI: 10.7868/S2587667820040044 |
AUTORS: | Saenko S.S.1, Sterlikov S.A.2, 3, Rusakova L.I.3 1 Regional Clinical Center of Phthisiopulmonology, Rostov-on-Don, Russia 2 Central Research Institute for Health Organization and Informatics, Moscow, Russia 3 Central TB Research Institute, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 07.06.2020 Objective: to study predictors of mortality in a representative sample of patients on treatment for drug resistant TB. Materials and methods. Multicenter retrospective cohort study of 1909 cases on treatment with confirmed resistance to at least rifampicin notified in 2016. We studied the following factors: drug resistance profile (rifampicin, isoniazid, aminoglycoside or polypeptide, fluoroquinolones), treatment default, gender, age, place of residence (city or rural area), HIV status, microscopy results and lung tissue destruction at time of notification. We conducted uni- and multivariate analyses with the calculation of adjusted odds ratio (aOR). Results. The most significant predictors of mortality were HIV infection (aOR = 5.6), treatment default (aOR = 3.9), positive sputum smear (aOR = 2.0), drug resistance (aOR = 1.3, increasing gradation from resistance to only rifampicin, only isoniazid and rifampicin, resistance to isoniazid, rifampicin, aminoglycosides/polypeptides, resistance to isoniazid, rifampicin, fluoroquinolones, to extensive drug resistance). Other significant factors were rural residence (aOR = 1.6), lung tissue destruction (aOR = 1.6), male gender (aOR = 1.3), age (aOR = 1.03 per life year). Conclusion. The study results can be used to identify patients at risk in order to prevent lethal outcome. |
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KEYWORDS: | multidrug-resistant tuberculosis, MDR-TB, predictors of mortality, mortality among TB patients. |
FOR CORRESPONDENCE: | Regional Clinical Center of Phthisiopulmonology 24, Orskaya St., 344065, Rostov-on-Don, Russia Sergey S. Saenko, Head, Organization and Methodology Department Tel.: +7 (938) 110-77-77 E-mail: saenkosergey@yandex.ru Central Research Institute for Health Organization and Informatics 11, Dobrolyubov St., 127254, Moscow, Russia Sergey A. Sterlikov, Doctor of Medical Sciences, Deputy Director, Federal TB Monitoring Center in the Russian Federation, Programme Monitoring Tel.: +7 (925) 507-82-21 Е-mail: sterlikov@list.ru Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Larisa I. Rusakova, Doctor of Medical Sciences, Head, Research Administration Department Tel.: +7 (926) 584-17-79 Е-mail: larisa.rusakova@mail.ru |
THE PECULIARITIES OF DIAGNOSIS AND COURSE OF THE NOVEL CORONAVIRUS INFECTION IN CHILDREN AND ADOLESCENTS WITH PULMONARY TB
Article 5. | Page 43. |
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ARTICLE TITLE: | THE PECULIARITIES OF DIAGNOSIS AND COURSE OF THE NOVEL CORONAVIRUS INFECTION IN CHILDREN AND ADOLESCENTS WITH PULMONARY TB DOI: 10.7868/S2587667820040056 |
AUTORS: | Ergeshov A.E., Ovsyankina E.S., Gubkina M.F., Petrakova I.Yu., Panova L.V., Khiteva A.Yu., Krushinskaya E.A. Central TB Research Institute, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 18.09.2020 We analyzed diagnosis and course of the novel coronavirus infection in 53 children and adolescents on treatment for pulmonary TB. We established that the infection quickly spread in enclosed groups (86.8% of patients contracted coronavirus). At the same time, most of patients (41 – 89.1%) had asymptomatic or subclinical course of the disease. The clinical symptoms did not differ from those in other respiratory viral infections, which did not let us suspect the coronavirus infection. In order to diagnose COVID-19 in enclosed groups it was vital to perform smear studies for SARS-CoV-2 RNA and blood studies for specific antibodies (IgG) to SARS-CoV-2 after the lockdown, as the presence of SARS-CoV-2 RNA in nasal or pharyngeal swabs allowed to establish the diagnosis in 45.7% of patients; in the other patients (54.3%) we could presume the past infection by only the detection of IgG in blood. The moderate course of infection (10.9%) was diagnosed by the detection of typical changes in the lungs at routine chest computed tomography screening during the lockdown and was not accompanied by clinical presentations of a viral infection (or accompanied by minimal presentations without changes in patients’ general condition). The novel coronavirus infection did not influence the course of TB; the progression of TB process was observed in none of patients; there were no reasons to prolong TB treatment. Generally, TB/coronavirus co-infection did not cause new complications. The article was prepared under research topic No. 0515-2019-0016 “Personalized approaches to pulmonary TB treatment in children and adolescents”. |
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KEYWORDS: | TB, children, adolescents, coronavirus infection. |
FOR CORRESPONDENCE: | Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Atadzhan E. Ergeshov, Doctor of Medical Sciences, Professor, Director Tel.: +7 (499) 785‑90‑19 E-mail: cniit@ctri.ru Elena S. Ovsyankina, Doctor of Medical Sciences, Professor, Principal Researcher, Head, Child and Adolescent Department Tel.: +7 (499) 785‑90‑05 E-mail: detstvocniit@mail.ru Marina F. Gubkina, Doctor of Medical Sciences, Principal Researcher, Child and Adolescent Department Tel.: +7 (499) 785‑90‑27 E-mail: detstvocniit@mail.ru Irina Yu. Petrakova, Candidate of Medical Sciences, Head, Junior Unit, Child and Adolescent Department Tel.: +7 (499) 785‑90‑27 Е-mail: detstvocniit@mail.ru Ludmila V. Panova, Doctor of Medical Sciences, Leading Researcher, Child and Adolescent Department Tel.: +7 (499) 785‑90‑27 E-mail: detstvocniit@mail.ru Antonina Yu. Khiteva, Candidate of Medical Sciences, Junior Researcher, Child and Adolescent Department Tel.: +7 (499) 785‑90‑05 E-mail: detstvocniit@mail.ru Ekaterina A. Krushinskaya, Junior Researcher, Child and Adolescent Department Tel.: +7 (499) 785‑90‑05 Е-mail: detstvocniit@mail.ru |
TYPES AND STAGES OF PATHOLOGICAL CHANGES IN THE LUNGS IN NOVEL SARS-COV-2 CORONAVIRUS INFECTION
Article 6. | Page 49. |
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ARTICLE TITLE: | TYPES AND STAGES OF PATHOLOGICAL CHANGES IN THE LUNGS IN NOVEL SARS-COV-2 CORONAVIRUS INFECTION DOI: 10.7868/S2587667820040068 |
AUTORS: | Kogan E.A.1, Demura S.A.1, Berezovsky Yu.S.2, Ergeshov A.E.2, Golukhova E.Z.3, 4, Rybka M.M.3, 4, Shigeev S.V.5 1 I.M. Sechenov 1st Moscow State Medical University, Moscow, Russia 2 Central TB Research Institute, Moscow, Russia 3 A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, Moscow, Russia 4 Institute of Top-Qualification Personnel Professional Training, A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, Moscow, Russia 5 Bureau of Forensic Medical Examination, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 24.09.2020 Resected lung tissue from 232 patients with COVID-19 confirmed by PCR during life and/or by examining paraffin blocks of lung tissue were studied. Conducted macro-, microscopic and immunohistochemical analysis (CD3, CD20, TLR4, TLR9, Ki67, p63, OCT4, ALDH1) revealed the particularities of pathological changes in the lungs. The obtained results allow hypothesizing that such pathological processes in the lungs as diffuse alveolar damage (DAD), lymphocytic alveolitis with concomitant vasculitis of medium- and small-calibre pulmonary arterial branches, viral-bacterial pneumonia, disseminated coagulopathy with thrombosis or thromboembolism of the pulmonary artery, interstitial fibrosis, and disregeneration changes in the lung epithelium are all interrelated and may be forms-phases of lung pathology in COVID-19. The process in the lungs can develop along three morphogenetic pathways, starting with the development of diffuse alveolar damage, or lymphocytic alveolitis, or coagulopathy. The latter variant of the onset of infection is most likely associated with a primary intestinal lesion. Wherein lung damage is secondary, and develops after viremia, disseminated intravascular coagulation or cytokine storm. Squamous metaplasia with development of spheroid formations in the lungs is dysregenerative in nature, and in the future, the epithelium of such foci can undergo malignant transformation. |
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KEYWORDS: | COVID-19 infection, pathogenesis, types and stages of lung pathology. |
FOR CORRESPONDENCE: | I.M. Sechenov 1st Moscow State Medical University 2, Bolshaya Pirogovskaya St., 119991, Moscow, Russia Evgenia A. Kogan, Doctor of Medical Sciences, Corresponding Member of the Russian Academy of Natural Sciences, Head, Department of Pathological Anatomy named after A.I. Strukov Tel.: +7 (926) 533‑12‑71 Е-mail: koganevg@gmail.com Sofia A. Demura, Candidate of Medical Sciences, Docent, Department of Pathological Anatomy named after A.I. Strukov Tel.: +7 (926) 217‑06‑34 Е-mail: sarah3618@gmail.com Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Yury S. Berezovsky, Head, Department of Pathological Anatomy Tel. +7 (499) 785‑91‑79 Е-mail: report-q@yandex.ru Atadzhan E. Ergeshov, Doctor of Medical Sciences, Professor, Director Tel.: +7 (499) 785‑90‑19 Е-mail: cniit@ctri.ru A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, Institute of Top-Qualification Personnel Professional Training 135, Rublevskoe Highway, 121552, Moscow, Russia Elena Z. Golukhova, Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Acting Director, Head of Cardiology and Functional Diagnosis Department Tel.: +7 (495) 414‑77‑02 Е-mail: info@bakulev.ru Mihail M. Rybka, Doctor of Medical Sciences, Associate Director for Anesthesiology and Intensive care, Head of the Department for Anesthesiology and Intensive care. Professor, Anesthesiology and Reanimatology Department with a course of clinical laboratory diagnostics of professional education Tel.: +7 (495) 414‑77‑02 Е-mail: mmrybka@bakulev.ru Bureau of Forensic Medical Examination 3, Tarny Proezd, 115201, Moscow, Russia Sergey V. Shigeev, Doctor of Medical Sciences, Professor, Director Tel.: +7 (985) 766‑86‑06 Е-mail: shigeevsv@zdrav.mos.ru |
A STRUCTURED INTERACTIVE REMOTE ACCESS SURVEY IN DYNAMIC OBSERVATION AND DIFFERENTIAL DIAGNOSIS OF BRONCHO-OBSTRUCTIVE DISEASES AND COMMUNITY-ACQUIRED PNEUMONIA
Article 7. | Page 64. |
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ARTICLE TITLE: | A STRUCTURED INTERACTIVE REMOTE ACCESS SURVEY IN DYNAMIC OBSERVATION AND DIFFERENTIAL DIAGNOSIS OF BRONCHO-OBSTRUCTIVE DISEASES AND COMMUNITY-ACQUIRED PNEUMONIA DOI: 10.7868/S258766782004007X |
AUTORS: | Shubin I.V.1, Mishlanov V.Yu.2, Koshurnikova E.P.2 1 Change Implementation Centre at the Ministry of Health of Moscow Region, Krasnogorsk, Russia 2 Perm State Medical University named after E.A. Wagner, Perm, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 06.07.2020 The aim of the study was to implement a remote access survey using the respiratory module of the interactive automated “Electronic polyclinic” questionnaire for differential diagnosis and dynamic observation of patients with chronic obstructive pulmonary disease (COPD), bronchial asthma (BA), community-acquired pneumonia (CAP). Totally 219 patients (30 with severe COPD, 28 with severe BA, 41 with CAP and 120 healthy individuals) completed the questionnaire. The statistical analysis of the obtained data used the software package Statistica 10.0. According to the automated conclusion of the computer programme “Electronic policlinic”, patients with CAP had the following syndromes: pulmonary-pleural syndrome, fever, respiratory failure, bronchitis. Patients with BA commonly had atopic and broncho-obstructive syndromes. Patients with COPD suffered from broncho-obstructive syndrome, bronchitis and respiratory failure. The detailed study of cough and dyspnea allowed to develop specific patterns of BA, COPD and CAP, which, together with syndrome diagnosing, could be used for diagnosis, differential diagnosis, effective observation of disease course, and disease control. The implementation of a remote access survey allows to carry out dynamic observation of symptoms, which results in timely administration of diagnostic studies and treatment correction, thus improving treatment outcomes and quality of life. |
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KEYWORDS: | broncho-obstructive diseases, community-acquired pneumonia, chronic obstructive pulmonary disease, symptom, syndrome, interactive questionnaire. |
FOR CORRESPONDENCE: | Change Implementation Centre at the Ministry of Health of Moscow Region 4, Karbyshev St., 143408, Krasnogorsk, Moscow Region, Russia Igor V. Shubin, Candidate of Medical Sciences, Deputy Director Tel.: +7 (905) 500‑35‑30 Е-mail: shubin-igor@mail.ru Perm State Medical University named after E.A. Wagner 26, Petropavlovskaya St., 614990, Perm, Russia Vitaly Yu. Mishlanov, Doctor of Medical Sciences, Corresponding Member of the Russian Academy of Sciences, Head, Department of Internal Diseases Propedeutics No. 1 Tel.: +7 (950) 467‑76‑96 Е-mail: permmed@hotmail.com Ekaterina P. Koshurnikova, Candidate of Medical Sciences, Docent, Department of Internal Diseases Propedeutics No. 1 Tel.: +7 (912) 883‑22‑32 Е-mail: ekaterina_koshur@mail.ru |
CLINICAL AND MICROBIOLOGICAL ISSUES OF THE DIAGNOSIS OF NONTUBERCULOUS MYCOBACTERIOSES IN PATIENTS WITH PULMONARY CAVITIES
Article 8. | Page 73. |
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ARTICLE TITLE: | CLINICAL AND MICROBIOLOGICAL ISSUES OF THE DIAGNOSIS OF NONTUBERCULOUS MYCOBACTERIOSES IN PATIENTS WITH PULMONARY CAVITIES DOI: 10.7868/S2587667820040081 |
AUTORS: | Karpina N.L., Asanov R.B., Shishkina E.R., Larionova E.E., Shabalina I.Yu., Ergeshov A.E. Central TB Research Institute, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 19.07.2020 The incidence of pulmonary nontuberculous mycobacteriosis has significantly grown in all developed countries. We face severe challenges in the diagnosis of mycobacteriosis. In our research we analyzed examinations of 122 patients with pulmonary cavities and established mycobacterial infection in 82.8% of patients. The ratio between TB and mycobacteriosis was 41.8% and 41.2% respectively. We refuted the opinion that TB was most frequently diagnosed in patients with pulmonary cavities. The most common etiologic agent of mycobacteriosis in patients with pulmonary cavities was slowly growing mycobacteria, predominantly M. avium complex – 92% (46/50 patients). To exclude diagnostic mistakes in differential diagnosis of TB and pulmonary mycobacteriosis it is imperative to implement a special approach, including microbiological and molecular genetic verification of mycobacterial species. Absence of immunocompromised individuals among patients with verified pulmonary mycobacteriosis demonstrates that mycobacteriosis may also develop in individuals with intact immunity. The study was conducted under research topic No. 0515-2019-0019 “A multidisciplinary approach to diagnosis, differential diagnosis of TB and other pulmonary diseases in the modern conditions”. |
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KEYWORDS: | nontuberculous mycobacteria, mycobacteriosis, cavities, diagnosis. |
FOR CORRESPONDENCE: | Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Natalia L. Karpina, Doctor of Medical Sciences, Head of Centre for Diagnosis and Pulmonary Rehabilitation, Deputy Director Tel.: +7 (499) 785‑90‑26 Е-mail: natalya-karpina@rambler.ru Ruslan B. Asanov, Laboratory Research Assistant, Centre for Diagnosis and Pulmonary Rehabilitation Tel.: +7 (499) 785‑90‑26 Е-mail: doctor.asanov73@mail.ru Ekaterina R. Shishkina, Junior Researcher, Centre for Diagnosis and Pulmonary Rehabilitation Tel.: +7 (499) 785‑90‑26 Е-mail: ekaterina.eshishkina@yandex.ru Elena E. Larionova, Candidate of Biological Sciences, Senior Researcher, Microbiology Department Tel.: +7 (499) 785‑90‑91 Е-mail: larionova_lena@mail.ru Irina Yu. Shabalina, Candidate of Medical Sciences, Senior Researcher, Centre for Diagnosis and Pulmonary Rehabilitation Tel.: +7 (499) 785‑90‑91 Е-mail: bronholog@yandex.ru Atadzhan E. Ergeshov, Doctor of Medical Sciences, Professor, Director Tel.: +7 (499) 785‑90‑19 Е-mail: cniit@ctri.ru |
DIFFICULTIES IN DIFFERENTIAL DIAGNOSIS OF PULMONARY MYCOBACTERIOSIS CAUSED BY M. abscessus
Article 9. | Page 81. |
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ARTICLE TITLE: | DIFFICULTIES IN DIFFERENTIAL DIAGNOSIS OF PULMONARY MYCOBACTERIOSIS CAUSED BY M. abscessus DOI: 10.7868/S2587667820040093 |
AUTORS: | Sargsyan A.P., Makaryants N.N., Lepekha L.N., Bagirov M.A., Chernousova L.N., Kouklina G.M. Central TB Research Institute, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 06.10.2020 A clinical observation demonstrates difficulties in differential diagnosis of pulmonary mycobacteriosis in patients with misdiagnosed tuberculosis. The article was prepared under research topic No. 0515-2019-0014 “Improvement of treatment methods for granulomatous, interstitial and nonspecific pulmonary diseases”. |
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KEYWORDS: | mycobacteriosis, tuberculosis, rapidly growing nontuberculous mycobacteria. |
FOR CORRESPONDENCE: | Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Anna P. Sargsyan, Postgraduate, Department of Differential Diagnosis of Pulmanory TB and Extracorporal Treatments Tel.: +7 (499) 785‑91‑56 E-mail: a.sargsyan1993@mail.ru Natalia N. Makaryants, Doctor of Medical Sciences, Leading Researcher, Department of Differential Diagnosis of Pulmanory TB and Extracorporal Treatments, Head of Therapeutic Unit no. 2 Tel.: +7 (499) 785‑91‑56 E-mail: roman4000@yandex.ru Larisa N. Lepekha, Doctor of Biological Sciences, Professor, Head, Department of Pathomorphology, Cell Biology and Biochemistry Tel.: +7 (499) 785‑91‑79 Е-mail: lep3@yandex.ru Mamed A. Bagirov, Doctor of Medical Sciences, Professor, Head, Surgery Department Tel.: +7 (499) 785‑90‑60 Е-mail: bagirov60@gmail.com Larisa N. Chernousova, Doctor of Biological Sciences, Professor, Head, Microbiology Department Tel.: +7 (499) 785‑90‑91 Е-mail: lchernousova@mail.ru Galina M. Kouklina, Candidate of Medical Sciences, Senior Researcher, Department of Differential Diagnosis of TB and Extracorporal Treatments Tel.: +7 (499) 785‑91‑56 Е-mail: kgm74@mail.ru |
DETECTION OF MYCOBACTERIA BY CULTURE INOCULATION. LIQUID MEDIA AND AUTOMATED SYSTEMS
Article 10. | Page 88. |
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ARTICLE TITLE: | DETECTION OF MYCOBACTERIA BY CULTURE INOCULATION. LIQUID MEDIA AND AUTOMATED SYSTEMS DOI: 10.7868/S258766782004010X |
AUTORS: | Sevastyanova E.V., Smirnova T.G., Larionova E.E., Chernousova L.N. Central TB Research Institute, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 08.09.2020 This article provides a brief review of methods of mycobacteria inoculation onto liquid nutrient media. A method of growing mycobacteria in the BACTEC MGIT 960 automated system is described. The article was prepared under research topic No. 0515-2019-0015: “The development of drug resistance of mycobacteria and somatic cells to TB drugs”. |
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KEYWORDS: | mycobacteria, liquid nutrient media, growth in the BACTEC MGIT 960 automated system. |
FOR CORRESPONDENCE: | Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Elina V. Sevastyanova, Doctor of Biological Sciences, Leading Researcher, Microbiology Department Tel.: +7 (499) 785‑90‑91 Е-mail: elinasev@yandex.ru Tatiana G. Smirnova, Candidate of Medical Sciences, Senior Researcher, Microbiology Department Tel.: +7 (499) 785‑90‑91 Е-mail: s_tatka@mail.ru Elena E. Larionova, Candidate of Biological Sciences, Senior Researcher, Microbiology Department Tel.: +7 (499) 785‑90‑91 E-mail: larionova_lena@mail.ru Larisa N. Chernousova, Doctor of Biological Sciences, Professor, Head, Microbiology Department Tel.: +7 (499) 785‑90‑91 Е-mail: lchernousova@mail.ru |