Reasons for late diagnostics of tuberculosis in adolescents

Овсянкина, Е. С.; Панова, Л.В.; Хитева, А. Ю.; Viechelli, E. A.

doi:10.21508/1027-4065-2019-64-1-76-80

Ross. vestn. perinatol. pediatr.

2019

DOI: 10.21508/1027-4065-2019-64-1-76-80

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Reasons for late diagnostics of tuberculosis in adolescents

Е. С. Овсянкина

Л.В. Панова

А. Ю. Хитева

et al.

Abstract: Изучены данные истории болезни 83 больных туберкулезом: анамнез развития заболевания, результаты стандартного клинико-рентгенологического и лабораторного обследования. Туберкулез у подростков, выявленный при обращении за медицинской помощью, характеризуется высокой эпидемической опасностью (45% пациентов являлись бактериовыделителями), тяжелой структурой клинических форм с формированием выраженных остаточных изменений и необходимостью в этих случаях применения хирургических методов лечения. Пациенты с клиничес… Show more

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Difficulties of the stage-by-stage surgical treatment of a teenager with bilateral advanced fibrotic-cavernous tuberculosis. Сlinical case

Tarasov,

Lepekha,

Sadovnikova

et al. 2024

Russian Journal of Pediatric Surgery

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BACKGROUND: To achieve success in the management of adolescents with tuberculosis, a comprehensive approach including surgical intervention is needed so as to eliminate disease clinical manifestations, to achieve persistent healing of tuberculous changes with restoration of bodily functions and complete social rehabilitation CLINICAL CASE DESCRIPTION: In patient U., 17 y.o., sudden and acute onset of the disease broke out after her contacts with her aunt who had tuberculosis. The initial form was infiltrative pulmonary tuberculosis in the decay phase. A course of anti-tuberculosis therapy was prescribed considering the bacteria sensitivity to antibiotics. After the course, fibrous lesions and cavities were detected in both lungs at computed tomography examination of the chest organs. A personalized therapy was developed for the patient with consideration of her body weight and sensitivity to bacteria. In 7 months, an endobronchial valve was inserted at the bronchus mouth in the right superior lobe because of the large cavity in the right upper lung lobe and lack of changes in the cavity size. In six more months, the blocker was removed due to the lack of dynamics, and a video-assisted thoracoscopic combined resection of the right lung (upper lobectomy with resection of part SV, anatomical resection SVI with part SVIII) was performed. On analyzing surgical material, it was found out that the patient was resistant to Isoniazid, Rifampicin and fluoroquinolones, so therapy was corrected. In six months, a video–assisted thoracoscopy combined resection of the left lung (SI–III anatomical resection and marginal resection of SVI part) was made. CONCLUSION: After the performed treatment, patient's oxygenation improved, persistent abacillation was achieved, due to which the patient could return to normal lifestyle.

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Difficulties of the stage-by-stage surgical treatment of a teenager with bilateral advanced fibrotic-cavernous tuberculosis. Сlinical case

Tarasov,

Lepekha,

Sadovnikova

et al. 2024

Russian Journal of Pediatric Surgery

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Improvement of Organizational Measures for Detection and Diagnosing of Tuberculous Infection and Tuberculosis in Adolescents in the Republic of Kazakhstan

Eralieva,

Serikbaeva,

Rakisheva

et al. 2024

Tuberk. bolezni lëgk.

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The objective: to improve organizational measures for detection and diagnosing of tuberculous infection and tuberculosis in adolescents in the Republic of Kazakhstan.Subjects and Methods. Screening was conducted among 27,648 adolescents aged 15-17 years from regions of the Republic of Kazakhstan with a high burden of tuberculosis. It was planned to use TRA tests and fluorography in parallel, while local doctors, district and school nurses, and nurses in vaccination rooms were preliminary trained by pediatric phthisiologists to perform the test, evaluate its results and monitor manifestations of adverse events (AEs) caused by TRA test.Results. 27,648 adolescents (aged 15-17 years) were given TRA test. No adverse events were observed during TRA skin test. Latent tuberculous infection was diagnosed in 320 (1.2%) adolescents. During further examination, 10 patients were diagnosed with drug susceptible pulmonary tuberculosis with no bacillary excretion. Based on the study results, to detect LTBI and tuberculosis in adolescents, in addition to fluorography examination, it is necessary to use TRA skin test with in the groups facing a high risk of tuberculosis.

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ОРГАНИЗАЦИЯ ПРОТИВОТУБЕРКУЛЕЗНОЙ ПОМОЩИ ДЕТЯМ И ПОДРОСТКАМ ИЗ ГРУПП РИСКА: ВЗГЛЯД ИЗ ПРОШЛОГО НА СОВРЕМЕННЫЕ ПРОБЛЕМЫ (Обзор Литературы И Комментарий), "Вестник Центрального Научно-Исследовательского Института Туберкулеза"

Ergeshov¹,

Ovsyankina²,

Губкина³

et al. 2020

Вестник ЦНИИТ

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В обзоре прослежен исторический путь организации противотуберкулезной помощи детям и проведены сопоставления с современными подходами к этой проблеме. Государственная политика поддержки санитарной профилактики, направленной на охрану здоровья, была отражена в нормативных документах по обязательным плановым обследованиям на туберкулез (ТБ), во внедрении массовой иммунизации детей вакциной БЦЖ, в принципах формирования групп риска. Обращено внимание на то, что профилактическая направленность мероприятий в этой группе населения утрачивает свою приоритетную позицию при условиях добровольного согласия на их проведение со стороны родителей/законных представителей детей. В настоящее время нет нормативного документа, объединяющего медицинские, санитарно-гигиенические и правовые решения по противотуберкулезным мероприятиям в группах риска, что определяет противоречия при их организации и проведении, особенно в детской группе населения. Мероприятия в группах риска детей должны быть отражены в самостоятельном нормативном документе, как было раньше, с учетом возрастных особенностей и защиты прав на сохранение их здоровья. Семья, как часть общества, должна быть ориентирована на обязательное выполнение санитарно-эпидемиологических и медицинских правил для защиты детей и подростков от заболевания с учетом инфекционного характера заболевания, его хронического течения, тяжести и высокой контагиозности, прежде всего, в семье.

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Reasons for late diagnostics of tuberculosis in adolescents

Cited by 3 publications

References 1 publication

Difficulties of the stage-by-stage surgical treatment of a teenager with bilateral advanced fibrotic-cavernous tuberculosis. Сlinical case

Difficulties of the stage-by-stage surgical treatment of a teenager with bilateral advanced fibrotic-cavernous tuberculosis. Сlinical case

Improvement of Organizational Measures for Detection and Diagnosing of Tuberculous Infection and Tuberculosis in Adolescents in the Republic of Kazakhstan

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