Aim objective. The study aimed at determining the facility for bronchoscopic examination and management of HIV-infected patients.Materials and methods. Results of a total of 1393 bronchoscopic procedures carried out in HIV-infected patients (100%) hospitalized in the pulmonology departments with different pulmonologic disorders. The HIV-infection was a comorbidity at that.Results. In terms of study process organization two patient flows have been discerned. The first flow included patients with asymptomatic infection/carrier state (138 bronchoscopic procedures [9,91%] for 104 patients), for whom bronchoscopy was performed due to general indications. The second flow comprised patients with a full-scale clinical picture of the disease (1255 bronchoscopic procedures [90,09%] for 1099 patients). The second flow was divided into two groups, namely, patients with earlier diagnosed HIV-infection (group IIА amounting to 523 bronchoscopic procedures [37,54%] for 473 patients) and patients newly diagnosed with HIV infection (group IIВ; 732 bronchoscopic procedures [52,55%] for 626 patients). Common to both groups was the absence of urgent indications for bronchoscopy, although the elective indications were different between the groups. In all instances the endobronchial symptoms were either non-specific or reflected mucosal lesions in the large bronchi related to lung tumor or tuberculosis.
The modern approaches to the understanding of inflammation in the lower airways in asthma are discussed in the article. we present some recent studies that demonstrate the variety of mechanisms of the inflammatory response and the heterogeneity of patients with bronchial asthma. the immunological particularities of asthma endotypes and phenotypes are shown in this article.
Research objective. This research was conducted to identify and to evaluate clinical and anamnestic features of primary immunodeficiency disorders (PID) as well as quantitive and qualitive microflora composition in PID-patients in Samara region. Methods. We analysed 29 case histories of patients with PID aged from 3 to 55 years old (20 men, 9 women). Clinical and anamnestic features of the diseases were studied. We also examined microflora of 34 loci from upper respiratory tract of 7 patients. Taking into account a small sample we used statistical analysis of variance by criterion F, the normality of the distribution was evaluated by the Shapiro-Wilk criterion (S-U), the distribution was considered normal when S-U value was
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