Место работы автора, адрес/электронная почта: Научно-практический центр "Фтизиатрия" ; 677015, г. Якутск, ул. Петра Алексеева, 93 ; http://ftiziatria.ykt.ru/
Северо-Восточный федеральный университет им. М. К. Аммосова, Медицинский институт ; 677027, г. Якутск, ул. Ойунского, 27 ; e-mail: ts.makarova@s-vfu.ru, mtc712@mail.ru ; https://www.s-vfu.ru/
Ученая степень, ученое звание: канд. мед. наук
Область научных интересов: Медицина
ID Автора: SPIN-код: 6943-8488, РИНЦ AuthorID: 954500
Количество страниц: 6 с.
Polychemotherapy is required to treat all forms of tuberculosis, especially drug-resistant disease, but leads to considerable medication load on patient, causing various disturbances in vital functions. We analyzed the most common reasons for patient transfer to Anesthesia, Resuscitation, and Intensive Care Unit. In 2016, a total of 473 patients were admitted to Intensive Care Unit, of them 306 (647%) males and 167 (35.3%) females aged 1 to 91 years. They spent a total of 1528 bed-days; mortality rate 3% (14 patients). 15 patients underwent a total of 168 extracorporeal detoxication sessions. A total of 474 anesthesia supports were performed, of them 443 (93.5%) routine, and 31 (6.5%) emergency. Due to severity of their condition, 33 patients from the Department for Multidrug-Resistant Tuber- 59 Preventing spread of tuberculosis infection in circumpolar regions of Russia. Current problems in co-infection culosis needed to be admitted to Intensive Care Unit for critical therapy, which made 7% out of a total number of patients. They spent 199 bed-days in intensive care (13% of a total member of bed-days). Patients who died made 21.4% of all patients who died, including 9.1% of patients with multidrugresistant tuberculosis (MDR TB). Advanced tuberculosis disease was the cause of deaths. 5 patients transferred from MDR TB Department underwent plasmapheresis due to toxic hepatitis, a total of 31 sessions. Anesthesia supports were provided to 110 patients transferred from MDR TB Department, which made 23.2% of all analgesias. Patients with MDR TB who were surgically treated and received anesthesia support, mostly had infiltrating TB (61.9%), fibrocavitary TB (16.7%), or disseminated TB (9.5%)
Макарова, Т. С. Коньюнктурный обзор больных, поступивших в отделение анестезиологии и реанимации с туберкулезом множественной лекарственной устойчивостью возбудителя / Т. С. Макарова // Предупреждение распространения туберкулезной инфекции в циркумполярных регионах России. Актуальные проблемы сочетанных инфекций (ВИЧ/ТБ/гепатиты) — 2018. — С. 58-63.