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The effectiveness of treatment of tuberculosis in patients with HIV infection

Sinitsyn Mikhail Valerevich  (Ph.D., Senior Research Associate, Deputy Chief Medical Officer (for work with patients with HIV / TB co-infection), Moscow Scientific and Clinical Center for TB Control)

Ayusheeva Lydia Bulatovna  (Ph.D., head of the dispensary department for patients with HIV / TB co-infection, Moscow Scientific and Clinical Center for TB Control)

Galstyan Armine Sergeevna  (candidate of the degree Ph.D., phthisiatrician of the tubercular pulmonary department, Moscow Scientific and Clinical Center for TB Control)

The article discusses the results of the comparative of treatment effectiveness of HIV-positive patients with tuberculosis (TB/HIV+) and HIV-negative TB patients (TB/HIV–), based on cohort analysis for new pulmonary TB cases, and based on dispensary follow up data of TB/HIV+ and TB/HIV– patients. It was showed a significant effect of HIV infection on the TB treatment effectiveness. Treatment effectiveness of new pulmonary TB patients registered in 2013-2014 in the TB/HIV+ cohort was only 56.0% at 84.2% in TB/HIV– cohort. The effectiveness of chemotherapy for TB relapse in TB/HIV+ cohort were also significantly lower than in TB/HIV– cohort of TB relapses – 47.4% against 68.4%. Evaluation of TB treatment outcomes for MDR-TB patients showed better efficacy of treatment in TB/HIV+ cohort compared with the TB/ HIV– cohort: 56.4% and 52.0% of the successfully rate of treatment.

Keywords:HIV infection, tuberculosis, chemoprevention.

 

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Citation link:
Sinitsyn M. V., Ayusheeva L. B., Galstyan A. S. The effectiveness of treatment of tuberculosis in patients with HIV infection // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2017. -№03-04. -С. 98-103
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