SURGICAL TREATMENT OF TUBERCULOSIS IN HIV PATIENTS

• Main Authors: Mikhail V. Sinitsyn, Nikolay Yu. Virskiy, Marina V. Tityukhina, Boris G. Barskiy, Tamila I. Abu Arkub, Marina V. Kalinina
• Format: Article
• Language: Russian
• Published: NEW TERRA Publishing House 2018-08-01
• Series: Tuberkulez i Bolezni Lëgkih
• Subjects: tuberculosis; hiv infection; surgery of tuberculosis; post-operative complications
• Online Access: https://www.tibl-journal.com/jour/article/view/1145
• ISSN: 2075-1230; 2542-1506

The objective of the study: to study the outcomes of surgical treatment of tuberculosis in HIV patients.Subjects and methods. Surgery outcomes in 345 HIV patients with respiratory tuberculosis were analyzed; totally, 355 surgeries were performed on them. Minor surgeries (189/355; 53.2%) done due to emergency reasons were performed in 181 patients, mostly in those with severe immune suppression. 164 patients had planned surgeries (166/355; 46.8%) mostly due to tuberculosis and its complications.Results. In 345 operated patients, post-operative complications related to surgery made 2.0%, complications not related directly to surgery made 1.2%, and lethal outcomes made 0.9%. Surgery resections were successful even in the patients receiving no antiretroviral therapy with severe immune suppression. All 3 lethal outcomes occurred in the patients with CD4+ count below 200 cell/mcl and they made 2.3% among such patients.