THE COURSE OF RESISTANT PULMONARY TUBERCULOSIS COMBINATED WITH HIV-INFECTION AMONG ADULTS
DOI:
https://doi.org/10.52692/1857-0011.2025.3-83.04Keywords:
HIV/AIDS/TB, chemoresistant pulmonary tuberculosisAbstract
The researched group was 1.5 times dominated by male patients (42: 68.8%), over female (19: 31.2%), while the majority of people were aged 31 to 50 years. 9.8% (6) of patients with chemoresistant pulmonary TB were hospitalized in serious condition. The average number of bed-days in hospital was (61.7 ± 4.5). 16 (26.2%) patients with chemoresistant TB died in the hospital.
Our research shows that among patients with CR-PTB/HIV, rifampicin (R) resistance was 2 times more common than resistance to combination HRZE and Pre-XDR (32.8% vs. 16.4%, P < 0.05). Resistance to combination HRZ was the least common (1.4%). In some cases, they showed resistance to new anti-TB drugs (Bdg and Dlm). Disseminated PTB was 2.4 times more often diagnosed than miliary TB, and infiltrative PTB was 4.0 times more likely among CR-PTB/HIV.
References
Barbova, A.I. Modern approaches to the diagnosis of multidrug-resistant tuberculosis. Ukraine pulmonol. journal 2016; 2: 29-32.
Valetsky Yu.M., Nychiporuk V.O., Valetska R.O. Modern features of the epidemiological situation of tuberculosis in Ukraine (review). Туберкульоз, легеневі хвороби, ВІЛ-інфекція, 2024; 1(56): 102-8. DOI: https://doi.org/10.30978/TB2024-1-102
Valetsky Y.M., Nychyporuk V.O., Valetska R.O. Current features of the epidemiological situation of tuberculosis in Ukraine. Туберкульоз, легеневі хвороби, ВІЛ-інфекція, 2024; 1: 103-8. DOI: http/ doi.org/10.30978/ТB2024-1-103.
.Dotsenko Ya.I, Shekhter I.E., Sivachenko O.E. Features of the dynamics of tuberculosis incidence in children in Ukraine. Infusion & chemotherapy 2024; 3: 14- 20. DOI: 10.32902/2663-0338-2024-3-14-0.
Liskina I.V., Zagaba L.M., Melnyk O.O. Secondary diseases of the thoracic cavity and VID-infected patients with a phthisiopulmonological profile: a 5-year observation period (according to the data of a highly specialized institution). Туберкульоз, легеневі хвороби, ВІЛ-інфекція, 2021; 1 (44): 34-2. DOI: https://doi.org/10.30978/TB2021-1-34.
Litvinenko N.A., Feshchenko Y.I., Pogrebna M.V. et al. Pathomorphosis of chemoresistant tuberculosis. Туберкульоз, легеневі хвороби, ВІЛ-інфекція, 2020; 3: 48-6. DOI: http://doi.org/10.30978/ТB2020-3-48.
Matsegora N.A., Polyakova S.O., Eliseidis M.N. Pathomorphological features of changes in digestive organs and kidneys in isolated CRTB and CH-TB/HIV/ AIDS co-infection. Туберкульоз, легеневі хвороби, ВІЛ-інфекція, 2018; 1(32): 21-7.
Piskur Z.I. et all. Extrapulmonary tuberculosis in children: age characteristics and drug resistance of the pathogen. / Piskur Z.I., Kostyk O.P., Sakhelashvili M.I.et. all. Туберкульоз, легеневі хвороби, ВІЛ- інфекція, 2022; 4(51): 22-9. https://doi.org/10.30978/ТB2022-4-22.
Pratsyuk R. G. Tuberculosis in combination with HIV infection. Туберкульоз, легеневі хвороби, ВІЛ- інфекція. 2020; 3(42): 92- 2.
Petrenko V.I et.all. Risk factors for the outcome in tuberculosis-associated syndrome of recovery of the immune system with tuberculosis damage to the central nervous system (in English). / Petrenko V.I., Stropolysnsky O.V., Bondarenko Ya. V. et.all. Туберкульоз, легеневі хвороби, ВІЛ-інфекція, 2021; 2 (45): 15-9. DOI: https://doi.org/10.30978/TB2021-2-15.
Tuberculosis in Ukraine (analytical and statistical guide). Center for Public Health of the Ministry of Health of Ukraine, Kyiv, https://phc.org.ua/kontrol-zakhvoryuvan/tuberkuloz/statistika-z-tb/analitichno- statistichni-materiali-z-tb.
Ukrainian database of medical and statistical information / Public Health Service “Center for Medical Statistics of the Ministry of Health of Ukraine” [Internet]. http://medstat.gov.ua/ukr/news.html
Feshchenko Yu.I. The pathomorphosis of tuberculosis - the realities of today, chemoresistance as a sign of progression. / Yu.I. Feshchenko, L.D. Todoriko, M.M. Kuzhko, M.I. Humenyuk. Укр. пульмонолог. журн., 2018; 2: 6- 0. DOI: 10.31215/2306-4927-2018-100-2-6-109.
European Centre for Disease Prevention and Control. Tuberculosis surveillance and monitoring in Europe 2022- 2020 data. Available at: http://www.ecdc.europa.eu/en/ publications-data/tuberculosis- surveillance-and-monitoringeu rope-2022-2020-data.
Public Health Center of Ukraine Ministry of Health. National recommendations on strengthening measures for the prevention, detection and management of tuberculosis cases among internally displaced persons in the context of the humanitarian crisis caused by Russia’s armed aggression in Ukraine. Available at: https:// phc.org.ua/sites/default/files/users/user90/ Rekomendaciji_VPO_ TB_2022.pdf.
World Health Organisation Global tuberculosis report; 2024.
Downloads
Published
License
Copyright (c) 2026 Bulletin of the Academy of Sciences of Moldova. Medical Sciences

This work is licensed under a Creative Commons Attribution 4.0 International License.
