"CTRI Bulletin"
#3,(12),2020.
CTRI BULLETIN №3 (12) 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) | WHO: TB control in the European Region. Operational TB research Based on the World Health Organization publications | 5 | READ MORE | |
2) | Non-virological laboratory markers of COVID-19 Abdullaev R.Yu., Komissarova O.G. | 12 | READ MORE | |
3) | Pulmonary tuberculosis and the thyroid gland Polyakova A.S., Bagdasaryan T.R., Romanov V.V., Ergeshov A.E. | 17 | READ MORE | |
4) | Predictors of unfavourable treatment outcome in TB patients receiving treatment regimens for susceptible tuberculosis Saenko S.S., Sterlikov S.A., Rusakova L.I., Lekhleider M.V., Pirogova N.D., Surnacheva I.F., Gudenkov M.A., Svicharskaya A.K., Podgainaya O.A., Kononenko Yu.S., Novikova T.V., Yukhnova E.A., Frolov E.G., Gromov A.V., Gaevaya I.S. | 24 | READ MORE | |
5) | The morphology of healing processes in the lung tissue of patients with drug resistant pulmonary TB after preoperative intravenous laser blood irradiation Lepekha L.N., Aliev V.K., Krasnikova E.V., Bagirov M.A. | 35 | READ MORE | |
6) | On the question of effectiveness and safety of bedaquiline-containing regimens in the treatment of pulmonary TB with multiple or extensive drug resistance in senior children and adolescents Krushinskaya E.A., Panova L.V., Ovsyankina E.S. | 43 | READ MORE | |
7) | Chronic obstructive pulmonary disease: from recommendations to practice in the Republic of Tatarstan Vizel I.Yu., Salakhova I.N., Shmelev E.I., Vizel А.А., Vafina A.R., Shakirova G.R., Dyakova E.V. | 49 | READ MORE | |
8) | The standards of knowledge of the international conception of chronic obstructive pulmonary disease Liverko I.V., Tashmetova G.T. | 58 | READ MORE | |
9) | Vascular stiffness and pulmonary fibrosis as predictors of right ventricular systolic dysfunction in patients with chronic hypersensitivity pneumonitis Leonova E.I., Shmelev E.I., Shergina E.A. | 65 | READ MORE | |
10) | The culture method for mycobacteria studies. Solid growth media Larionova E.E., Andrievskaya I.Yu., Andreevskaya S.N., Smirnova T.G., Sevastyanova E.V. | 75 | READ MORE |
WHO: TB CONTROL IN THE EUROPEAN REGION.
OPERATIONAL TB RESEARCH
Article 1. | Page 5. |
ARTICLE TITLE: | WHO: TB CONTROL IN THE EUROPEAN REGION. OPERATIONAL TB RESEARCH DOI: 10.7868/S2587667820030012 |
AUTORS: |
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DESCRIPTION OF ARTICLE: | Submitted as of 21.05.2020 Worldwide, TB remains a top infectious killer, given 1.5 million people die annually from the disease. Every day about 30.000 people fall ill with the disease, which is preventable. Effective management and cure of drug resistant TB remains a priority measure of TB control. Therefore, the WHO Regional Office for Europe in association with the WHO Representative Office in the Russian Federation have prepared an article, which covers the latest evidence based policy recommendations on the treatment and care of patients with drug-resistant TB. Dr Melita Vujnovic WHO Representative to the Russian Federation |
REFERENCES: | Based on the World Health Organization publications |
KEYWORDS: | WHO: tb control in the european region. Operational tb research |
FOR CORRESPONDENCE: |
NON-VIROLOGICAL LABORATORY MARKERS OF COVID‑19
Article 2. | Page 12. |
ARTICLE TITLE: | NON-VIROLOGICAL LABORATORY MARKERS OF COVID‑19 DOI: 10.7868/S2587667820030024 |
AUTORS: | Abdullaev R.Yu.1, Komissarova O.G.1,2 1 Central TB Research Institute, Moscow, Russia 2 Russian National Research Medical University named after N.I. Pirogov, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 21.04.2020 The review provides literature data on specific changes in clinical and biochemical parameters of blood, as well as hemostatic and fibrinolytic systems in patients with COVID‑19 disease caused by novel coronavirus SARS-CoV‑2. It was shown that the changes in clinical and biochemical parameters of blood, as well as hemostatic and fibrinolytic systems in COVID‑19 patients have specific features and are strongly associated with severity of the disease. Lymphopenia and thrombocytopenia are most common for this category of patients. As for biochemical parameters, elevated CRP and ferritin levels along with reduced albumin levels are often detected. We should note that in one third of patients with severe COVID‑19 disease the activity of liver enzymes (ALT, AST) is increasing. The elevated concentration of D-dimer in blood plasma is typical for hemostatic and fibrinolytic systems. |
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KEYWORDS: | COVID‑19, lymphopenia, thrombocytopenia, CRP, ferritin, D-dimer. |
FOR CORRESPONDENCE: | Central ТВ Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Rizvan Yu. Abdullaev, Doctor of Medical Sciences, Professor, Leading Researcher, Department of Pathomorphology, Cell Biology and Biochemistry, Head of Biochemistry Laboratory Tel.: +7 (903) 226-81-22 E-mail: rizvan0403@yandex.ru Oksana G. Komissarova, Doctor of Medical Sciences, Deputy Director for Research and Treatment, Central TB Research Institute; Professor of Phthisiology Department, Medical Faculty, Russian National Research Medical University named after N.I. Pirogov Tel.: +7 (499) 785-90-19 Е-mail: oksana.komissarova.72@mail.ru |
PULMONARY TUBERCULOSIS AND THE THYROID GLAND
Article 3. | Page 17. |
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ARTICLE TITLE: | PULMONARY TUBERCULOSIS AND THE THYROID GLAND DOI: 10.7868/S2587667820030036 |
AUTORS: | Polyakova A.S., Bagdasaryan T.R., Romanov V.V., Ergeshov A.E. Central TB Research Institute, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 18.05.2020 Tuberculosis (TB) is one of the global challenges facing humanity. Every year millions of people fall ill with TB, and about one million die from TB. Treatment effectiveness remains low due to drug resistance of mycobacteria, and due to comorbidities affecting other organs or systems, which often complicates the disease course. The aim of our literature review is to highlight the influence of the thyroid gland on the course of TB, and the influence of TB on the thyroid function. The research was conducted under scientific theme 0515-2019-0015 “Modern approaches to diagnosis, epidemiology and treatment of drug resistant pulmonary TB, including TB associated with HIV infection or diabetes mellitus”. |
REFERENCES: |
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KEYWORDS: | tuberculosis, MDR, XDR, thyroid gland. |
FOR CORRESPONDENCE: | Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Angela S. Polyakova, Junior Researcher, Phthisiology Department Tel.: +7 (963) 927‑61‑43 E-mail: angelamdid@yandex.ru Tatevik R. Bagdasaryan, Candidate of Medical Sciences, Head, Therapeutic Unit no. 1 Tel.: +7 (499) 169‑99‑68 E-mail: norair04@mail.ru Vladimir V. Romanov, Doctor of Medical Sciences, Head, Phthisiology Department Tel.: +7 (499) 748‑30‑26 E-mail: romanov-vladimir-vik@mail.ru Atadzhan E. Ergeshov, Doctor of Medical Sciences, Professor, Director Tel.: +7 (499) 785‑90‑19 E-mail: cniit@ctri.ru |
PREDICTORS OF UNFAVOURABLE TREATMENT OUTCOME IN TB PATIENTS RECEIVING TREATMENT REGIMENS FOR SUSCEPTIBLE TUBERCULOSIS
Article 4. | Page 24. |
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ARTICLE TITLE: | PREDICTORS OF UNFAVOURABLE TREATMENT OUTCOME IN TB PATIENTS RECEIVING TREATMENT REGIMENS FOR SUSCEPTIBLE TUBERCULOSIS DOI: 10.7868/S2587667820030048 |
AUTORS: | Saenko S.S.1, Sterlikov S.A.2, Rusakova L.I.3, Lekhleider M.V.4, Pirogova N.D.5, Surnacheva I.F.6, Gudenkov M.A.7, Svicharskaya A.K.8, Podgainaya O.A.9, Kononenko Yu.S.10, Novikova T.V.11, Yukhnova E.A.12, Frolov E.G.13, Gromov A.V.14, Gaevaya I.S.15 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 4 Chelyabinsk Regional Clinical TB Dispensary, Chelyabinsk, Russia 5 Regional TB Dispensary, Tyumen, Russia 6 Tula Regional TB Dispensary no. 1, Tula Region, Russia 7 Smolensk Regional TB Clinical Dispensary, Smolensk, Russia 8 Sevastopol TB Dispensary, Sevastopol, Russia 9 Crimean Republican Clinical Centre of Phthisiology and Pulmonology, Simferopol, Russia 10 Republican TB Dispensary, Petrozavodsk, Russia 11 Penza Regional TB Hospital, Penza, Russia 12 Novgorod Clinical Specialized Centre of Phthisiopulmonology, Veliky Novgorod, Russia 13 Moscow Regional TB Dispensary, Moscow, Russia 14 Kamchatka Krai TB Dispensary, Petropavlovsk-Kamchatsky, Russia 15 Amur Regional TB Dispensary, Blagoveshchensk, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 18.05.2020 Objective: To study the predictors of unfavourable treatment outcomes (death, treatment failure, default) in TB patients with preserved (or presumed) sensitivity to rifampicin. Materials and methods: A multicentre retrospective cohort study of 8,099 TB patients with preserved (or presumed) sensitivity to rifampicin registered in 2016. The following factors were evaluated: history of previous treatment (treatment failure or default), gender, age, place of residence, HIV status, microscopy results, lung cavities, mono/polyresistance before treatment. We conducted one- and multiple-factor analysis considering adjusted odds ratio (aOR). Results. The predictors of death were HIV infection (aOR = 8.7), sputum positivity (aOR = 2.4), default from previous treatment (aOR = 2.2), lung cavities (aOR = 1.7), age (aOR = 1.04 per life year), male gender (aOR = 1.3). Previous treatment failure, rural residence or mono/polyresistance did not influence the outcome. The predictors of treatment failure were default from previous treatment (aOR = 3.9), previous treatment failure (aOR = 2.1), lung cavities (aOR = 2.1), mono/polyresistance (aOR = 1.9), male gender (aOR = 1.7), sputum positivity (aOR = 1.3), rural residence (aOR = 1.4). HIV status or age did not influence the outcome. The predictors of treatment default were default from previous treatment (aOR = 5.8), previous treatment failure (aOR = 2.2), HIV infection (aOR = 1.9), lung cavities (aOR = 1.9), male gender (aOR = 1.9), sputum positivity. Age, rural residence or mono/polyresistance did not influence the outcome. Conclusion. The obtained data allow to assess the risk of unfavourable treatment outcome in each case. The most important predictor is default from treatment, which should be considered as a criterion for enrolling patients in psychosocial support programmes. |
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KEYWORDS: | TB, predictors of treatment failure, predictors of death, predictors of treatment default, prediction of treatment outcomes, selection criteria for psychosocial support. |
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 Chelyabinsk Regional Clinical TB Dispensary 38, Vorovsky St., 454020, Chelyabinsk, Russia Marina V. Lekhleider, Candidate of Medical Sciences, Chief Physician Tel.: +7 (3512) 32‑15‑37 Е-mail: info@chokptd74.ru Regional TB Dispensary 2A, Kurortnaya St., 625017, Tyumen, Russia Natalya D. Pirogova, Chief Physician Tel.: +7 (3452) 43‑35‑89 Е-mail: pirogova-ishim@yandex.ru Tula Regional TB Dispensary no. 1 v. Petelino, Ilyinka, Leninsky Raion, 301105, Tula Region, Russia Irina F. Surnacheva, Methodist Doctor Tel.: +7 (910) 551‑05‑43 Е-mail: irina.surnacheva@tularegion.org Smolensk Regional TB Clinical Dispensary 10, Kommunalnaya St., 214018, Smolensk, Russia Mikhail A. Gudenkov, Chief Physician Tel.: +7 (910) 726‑62‑20 Е-mail: gudmik1@mail.ru Sevastopol TB Dispensary 45, Gotskaya St., 299021, Sevastopol, Russia Anna K. Svicharskaya, Deputy Chief Physician Tel.: +7 (9978) 730‑41‑76 Е-mail: antcha-s@yandex.ru Crimean Republican Clinical Centre of Phthisiology and Pulmonology 34, Franko Blvd., 295034, Simferopol, Russia Olesya A. Podgainaya, Head, Organization and Methodology Department Tel.: +7 (978) 771‑87‑06 Е-mail: crimea_rtbd@mail.ru Republican TB Dispensary 40, Lev Tolstoy St., 185003, Petrozavodsk, Russia Julia S. Kononenko, Candidate of Medical Sciences, Chief Physician Tel.: +7 (911) 404‑88‑42 Е-mail: yuliya.kononenko.1978@mail.ru Penza Regional TB Hospital 62–12, Uritsky St., 440008, Penza, Russia Tatyana V. Novikova, Phthisiologist Tel. +7 (960) 312‑41‑67 Е-mail: novikovatv57@mail.ru Novgorod Clinical Specialized Centre of Phthisiopulmonology 11, Parkovaya St., 173020, Veliky Novgorod, Russia Evgeniya A. Yukhnova, Feldsher, Organization and Methodology Department Tel.: +7 (8162) 63‑54‑36 Е-mail: omotub_nov@mail.ru Moscow Regional TB Dispensary 11, Ploshchad Borby, 127005, Moscow, Russia Evgeny G. Frolov, Deputy Chief Physician Tel.: +7 (915) 460‑08‑44 Е-mail: odpp@mail.ru Kamchatka Krai TB Dispensary 9, Ordzhonikidze St., 683024, Petropavlovsk-Kamchatsky, Russia Andrey V. Gromov, Chief Physician Tel.: +7 (4152) 26‑84‑75 Е-mail: gromov@tubkam.ru Amur Regional TB Dispensary 5, Liteinaya St., 675005, Blagoveshchensk, Amur Region, Russia Irina S. Gaevaya, Deputy Chief Physician Tel.: +7 (914) 579‑72‑49 Е-mail: aoptd@amurzdrav.ru |
THE MORPHOLOGY OF HEALING PROCESSES IN THE LUNG TISSUE OF PATIENTS WITH DRUG RESISTANT PULMONARY TB AFTER PREOPERATIVE INTRAVENOUS LASER BLOOD IRRADIATION
Article 5. | Page 35. |
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ARTICLE TITLE: | THE MORPHOLOGY OF HEALING PROCESSES IN THE LUNG TISSUE OF PATIENTS WITH DRUG RESISTANT PULMONARY TB AFTER PREOPERATIVE INTRAVENOUS LASER BLOOD IRRADIATION DOI: 10.7868/S258766782003005X |
AUTORS: | Lepekha L.N., Aliev V.K., Krasnikova E.V., Bagirov M.A. Central TB Research Institute, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 20.04.2020 The relevance of the study is justified by the necessity to provide scientific and practical rationale for wider application of intravenous laser blood irradiation (ILBI) in the preoperative care of patients with drug-resistant fibrocavernous pulmonary TB. Objective: Detection and morphological description of healing processes in resection samples from patients with fibrocavernous pulmonary TB, who received ILBI before surgery. Materials and methods. We carried out a comparative morphological study of resection samples from 22 patients with drug-resistant fibrocavernous TB, who received ILBI with gallium arsenide, 14 sessions, 8 min each, before surgery, and 24 patients with similar pathology without preoperative endovascular exposure (comparison group). Results. ILBI triggered the activation of angiogenesis, the inflow of lymphocytes and macrophages in the perifocal inflammation area. These processes facilitated involution and encapsulation of small and larger caseation foci, fibrozation and hyalinization of lymphohematogenous and bronchogenic dissemination foci. Such processes were not observed in the comparison group. The study was conducted under research topic no. 0515‑2019‑0017 “The development of methods of surgical treatment for disseminated pulmonary TB and bones and joints TB”. |
REFERENCES: |
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KEYWORDS: | drug-resistant fibrocavernous pulmonary TB, intravenous laser blood irradiation, histology. |
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 Vilayat K. Aliev, Candidate of Medical Sciences, Junior Researcher, Surgery Department Tel.: +7 (499) 785‑91‑96 Е-mail: vilaliev@gmail.com Elena V. Krasnikova, Doctor of Medical Sciences, Senior Researcher, Surgery Department Tel.: +7 (499) 785‑91‑96 Е-mail: el.krasn@gmail.com Mamed A. Bagirov, Doctor of Medical Sciences, Professor, Head, Surgery Department Tel.: +7 (499) 785‑91‑96 Е-mail: bagirov60@gmail.com |
ON THE QUESTION OF EFFECTIVENESS AND SAFETY OF BEDAQUILINE-CONTAINING REGIMENS IN THE TREATMENT OF PULMONARY TB WITH MULTIPLE OR EXTENSIVE DRUG RESISTANCE IN SENIOR CHILDREN AND ADOLESCENTS
Article 6. | Page 43. |
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ARTICLE TITLE: | ON THE QUESTION OF EFFECTIVENESS AND SAFETY OF BEDAQUILINE-CONTAINING REGIMENS IN THE TREATMENT OF PULMONARY TB WITH MULTIPLE OR EXTENSIVE DRUG RESISTANCE IN SENIOR CHILDREN AND ADOLESCENTS DOI: 10.7868/S2587667820030061 |
AUTORS: | Krushinskaya E.A., Panova L.V., Ovsyankina E.S. Central TB Research Institute, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 28.05.2020 Aim: to assess effectiveness and safety of bedaquiline (Bdq)-containing regimens in the treatment of pulmonary TB with multiple/extensive drug resistance (MDR/XDR TB) in senior children and adolescents. Materials and methods. A cohort prospective study of 33 patients aged 14–17 with pulmonary MDR/XDR TB was carried out in 2015–2018. The informed consent to use Bdq was obtained from the parents. Bdq tolerance was monitored by ECG with QT interval assessment (the normal interval for children aged 0–18 was 0.36–0.44 sec): weekly during the 1st month of treatment, monthly afterwards. Results. In 13 out of 33 cases (39.4%) Bdq-containing regimens were administered. The criteria for Bdq administration were as follows: impossibility to form an effective treatment regimen based on drug susceptibility testing (DST) and/or impossibility to form a treatment regimen due to the development of intractable adverse reactions. In 7 out of 13 cases Bdq was administered due to DST results, in 3 cases – due to the development of adverse reactions to major drugs, and in 3 cases – due to the both factors. In 8 (61.5%) out of 13 cases Bdq was used in shortened 12-month regimens. In 9 (69.3%) out of 13 cases administration of two Bdq courses was justified. In 11 (84.6%) out of 13 cases good tolerance of Bdq-containing regimens was observed. 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: | pulmonary TB, MDR/XDR TB, children and adolescents, bedaquiline, TB drug tolerance. |
FOR CORRESPONDENCE: | Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Ekaterina A. Krushinskaya, Junior Researcher, Child and Adolescent Department Tel.: +7 (499) 785‑90‑05 Е-mail: detstvocniit@mail.ru Ludmila V. Panova, Doctor of Medical Sciences, Leading Researcher, Child and Adolescent Department Tel.: +7 (499) 785‑90‑05 Е-mail: detstvocniit@mail.ru Elena S. Ovsyankina, Doctor of Medical Sciences, Professor, Principal Researcher, Head of Child and Adolescent Department Tel.: +7 (499) 785‑90‑05 Е-mail: detstvocniit@mail.ru |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE: FROM RECOMMENDATIONS TO PRACTICE IN THE REPUBLIC OF TATARSTAN
Article 7. | Page 49. |
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ARTICLE TITLE: | CHRONIC OBSTRUCTIVE PULMONARY DISEASE: FROM RECOMMENDATIONS TO PRACTICE IN THE REPUBLIC OF TATARSTAN DOI: 10.7868/S2587667820030073 |
AUTORS: | Vizel I.Yu.1, 2, Salakhova I.N.1, Shmelev E.I.2, Vizel А.А.1, 3, Vafina A.R.1, Shakirova G.R.1, 3, Dyakova E.V.3 1 Kazan State Medical University, Kazan, the Republic of Tatarstan, Russia 2 Central TB Research Institute, Moscow, Russia 3 Republican Clinical Hospital, Kazan, the Republic of Tatarstan, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 12.03.2020 COPD is a chronic irreversible disease. The treatment is targeted to slow the rate of lung function decline and preserve the quality of life. COPD phenotypes diverge, and approaches to treatment quickly improve. Therefore, it is important to monitor the situation in the healthcare practice. Aim: To evaluate clinical, laboratory and functional characteristics of COPD patients with different frequency of exacerbation and on different treatments. Materials: We studied 330 COPD patients (327 men and 3 women) aged 64,2 ± 0,47 (from 40 to 89) years, the median age was 64. The patients completed questionnaires, underwent spirometry. Prescribed treatment and treatment adherence were assessed. We stored and processed data using the SPSS‑18 software on Windows 10. Results: We referred 61.1% of patients to GOLD III–IV (GOLD 2007), and 78.2% – to D (GOLD 2017). The “frequent exacerbator” phenotype was reliably associated with declined FEV1 and high of mMRC and CAT scores. The share of COPD patients with more than two exacerbations per year and eosinophilia ≥ 300 · 109/l was 9.9%. Short-acting bronchodilators were prescribed to 86.4% of patients, as monotherapy – to 25.5% of them. The combination of IGCS-LABA was given to 54.2% of patients, duel combinations of long-acting bronchodilators – to 20.9%, and triple combinations – to 15.2%. IGCS were prescribed to COPD patients with the key adverse signs (frequent exacerbations, high scores of questionnaires, declined FEV1, eosinophilia ≥ 300 · 109/l). The administration of systemic glucocorticosteroids was only based on declined FEV1 and high scores. High treatment adherence was most common among patients with expressed COPD symptoms. Conclusion. In the Republic of Tatarstan pulmonologists observe patients with impaired spirometry functions, frequent exacerbations and expressed symptoms. The key treatments include short-acting bronchodilators and IGCS-LABA combinations. Treatment adherence is higher in patients with severe symptoms of COPD. |
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KEYWORDS: | chronic obstructive pulmonary disease, exacerbation, eosinophilia, treatment. |
FOR CORRESPONDENCE: | Kazan State Medical University 49, Butlerov St., 420012, Kazan, Tatarstan, Russia Irina Yu. Vizel, Doctor of Medical Sciences, Professor of Russian Academy of Natural Sciences, Docent, Phthisiopulmonology Department; Researcher at Central TB Research Institute Tel.: +7 (917) 903‑91‑13 Е-mail: tatpulmo@mail.ru Irina N. Salakhova, Postgraduate, Phthisiopulmonology Department Tel.: +7 (937) 283‑32‑25 Е-mail: iboroznova@gmail.com Adelya R. Vafina, Postgraduate, Phthisiopulmonology Department Tel.: +7 (960) 054‑03‑64 Е-mail: adelyavafina@gmail.com Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Evgeny I. Shmelev, Doctor of Medical Sciences, Professor, Head, Department of Differential Diagnosis of TB and Extracorporal Treatments Tel.: +7 (903) 192‑32‑74 Е-mail: eishmelev@mail.ru Kazan State Medical University 49, Butlerov St., 420012, Kazan, Tatarstan, Russia Republican Clinical Hospital 138, Orenburgsky trakt, 420064, Kazan, Tatarstan, Russia Alexander A. Vizel, Doctor of Medical Sciences, Professor, Head, Phthisiopulmonology Department, Kazan State Medical University; Pulmonologist, Republican Clinical Hospital Tel.: +7 (987) 296‑25‑99 Е-mail: lordara@inbox.ru Gulnaz R. Shakirova, Candidate of Medical Sciences, Assistant, Phthisiopulmonology Department, Kazan State Medical University; Pulmonologist, Republican Clinical Hospital Tel.: +7 (917) 884‑30‑39 Е-mail: adeleashakirova@mail.ru Republican Clinical Hospital 138, Orenburgsky trakt, 420064, Kazan, Tatarstan, Russia Ekaterina V. Dyakova, Pulmonologist, Head, Pulmonology Department Tel.: +7 (917) 266‑79‑93 Е-mail: vrkaty.dyakowa@yandex.ru |
THE STANDARDS OF KNOWLEDGE OF THE INTERNATIONAL CONCEPTION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Article 8. | Page 58. |
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ARTICLE TITLE: | THE STANDARDS OF KNOWLEDGE OF THE INTERNATIONAL CONCEPTION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE DOI: 10.7868/S2587667820030085 |
AUTORS: | Liverko I.V.1, Tashmetova G.T.2 1 Republican Specialized Scientific and Practical Medical Center of Phthisiology and Pulmonology, Tashkent, Uzbekistan 2 Tashkent Institute of Postgraduate Medical Education, Tashkent, Uzbekistan |
DESCRIPTION OF ARTICLE: | Submitted as of 28.05.2020 COPD is one of the priority issues of the WHO Global Action Plan for the Prevention and Control of Non-Communicable Diseases, and the health systems should be oriented towards early detection and prevention of COPD [3]. Aim: To assess the proficiency of medical workers before postgraduate education in pulmonology. Materials and methods. We conducted an anonymous survey of 590 professionals including medical graduates, general practitioners, therapeutists and respiratory medicine specialists using questions, which were supposed to assess knowledge about the disease, its diagnosis, treatment, and prevention. Results. The assessment of professional competence in COPD diagnosis and treatment as per international recommendations revealed a low level of basic knowledge in all professionals, from medical graduates to general practitioners/therapeutists. We detected unsatisfactory knowledge of COPD diagnosis issues, which accounted for rapid progression of the disease and unfavourable outcomes. |
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KEYWORDS: | chronic obstructive pulmonary disease, diagnosis standards, treatment standards, early diagnosis, functional methods of study. |
FOR CORRESPONDENCE: | Republican Specialized Scientific and Practical Medical Center of Phthisiology and Pulmonology 1, Mazhlisy St., Shaikhontakhursky raion, 100086, Tashkent, Uzbekistan Irina V. Liverko, Doctor of Medical Sciences, Deputy Director for Research and Innovation Tel.: + (998 71) 278‑04‑70 Е-mail: liverco@yandex.ru Tashkent Institute of Postgraduate Medical Education 51, Parkentskaya St., Mirzo-Ulugbeksky raion, 100007, Tashkent, Uzbekistan Gulchekhra T. Tashmetova, Assistant, Department of Pulmonology with Course of Clinical Allergology Tel.: + (998 71) 268‑17‑44 Е-mail: gtashmetovad@mail.ru |
VASCULAR STIFFNESS AND PULMONARY FIBROSIS AS PREDICTORS OF RIGHT VENTRICULAR SYSTOLIC DYSFUNCTION IN PATIENTS WITH CHRONIC HYPERSENSITIVITY PNEUMONITIS
Article 9. | Page 65. |
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ARTICLE TITLE: | VASCULAR STIFFNESS AND PULMONARY FIBROSIS AS PREDICTORS OF RIGHT VENTRICULAR SYSTOLIC DYSFUNCTION IN PATIENTS WITH CHRONIC HYPERSENSITIVITY PNEUMONITIS DOI: 10.7868/S2587667820030097 |
AUTORS: | Leonova E.I., Shmelev E.I., Shergina E.A. Central ТВ Research Institute, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 22.05.2020 The high level of cardiovascular comorbidities in patients with lung diseases requires a study of risk factors for cardiovascular complications. Vascular wall stiffness as an independent risk factor for cardiovascular events remains unexplored in patients with interstitial lung diseases. Aim: To study a prognostic role of increased arterial stiffness in the development of right ventricular dysfunction in patients with chronic hypersensitivity pneumonitis (HP). Materials and methods: One hundred and six patients with chronic HP were observed in our clinic for two years. Spirometry, plethysmography, diffusing capacity of carbon monoxide (DLCO), blood gases, echocardiography, and pulse wave velocity (PWV) were evaluated. The extent of lung fibrosis was assessed using high-resolution computed tomography of the chest. Results. In the Cox proportional hazards model two variables significantly predicted right ventricular systolic dysfunction: the extent of pulmonary fibrosis and PWV (p < 0.05). Conclusion. The increase of arterial stiffness and the extent of pulmonary fibrosis can be used as predictors of right ventricular systolic dysfunction in chronic HP patients. The article was prepared under scientific theme 0515‑2019‑0014 “Improving methods of treatment of granulomatous, interstitial and non-specific lung diseases”. |
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KEYWORDS: | heart failure, vascular stiffness, chronic hypersensitive pneumonitis. |
FOR CORRESPONDENCE: | Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia Elena I. Leonova, Candidate of Medical Sciences, Senior Researcher, Department of Differential Diagnosis of TB and Extracorporal Treatments Tel.: +7 (906) 755‑36‑54 Е-mail: zei86@mail.ru Evgeny I. Shmelev, Doctor of Medical Sciences, Professor, Head, Department of Differential Diagnosis of TB and Extracorporal Treatments Tel.: +7 (499) 785‑90‑08 Е-mail: eishmelev@mail.ru Elena A. Shergina, Candidate of Medical Sciences. Head, Functional Diagnosis Department Tel.: +7 (917) 526‑27‑75 Е-mail: e.a.sher@yandex.ru |
THE CULTURE METHOD FOR MYCOBACTERIA STUDIES. SOLID GROWTH MEDIA
Article 10. | Page 75. |
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ARTICLE TITLE: | THE CULTURE METHOD FOR MYCOBACTERIA STUDIES. SOLID GROWTH MEDIA DOI: 10.7868/S2587667820030103 |
AUTORS: | Larionova E.E., Andrievskaya I.Yu., Andreevskaya S.N., Smirnova T.G., Sevastyanova E.V.
Central TB Research Institute, Moscow, Russia |
DESCRIPTION OF ARTICLE: | Submitted as of 16.06.2020
The article represents a review of current solid media for mycobacteria growth. The principles of solid media preparation are outlined. The actual methods of solid egg media preparation are given. The article also describes the technique of inoculating solid growth media, the way of assessing results, and the methods of mycobacteria identification. 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, culture method, solid growth medium. |
FOR CORRESPONDENCE: | Central TB Research Institute 2, Yauzskaya alley, 107564, Moscow, Russia 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. Andrievskaya, Researcher, Microbiology Department Tel.: +7 (499) 785‑90‑91 Е-mail: andrievskaya.iri@mail.ru Sofia N. Andreevskaya, Candidate of Medical Sciences, Senior Researcher, Microbiology Department Tel.: +7 (499) 785‑90‑91 Е-mail: andsofia@mail.ru Tatiana G. Smirnova, Candidate of Medical Sciences, Senior Researcher, Microbiology Department Tel.: +7 (499) 785‑90‑91 Е-mail: s_tatka@mail.ru Elina V. Sevastyanova, Doctor of Biological Sciences, Leading Researcher, Microbiology Department Tel.: +7 (499) 785‑90‑91 Е-mail: elinasev@yandex.ru |