EXPERIENCE OF THE REANIMATION AND INTENSIVE CARE UNIT FOR CHILDREN OF AN EARLY AGE IN TB HOSPITAL
Abstract
Case histories of 560 patients, children aged from 0 to 3 years, received treatment in the Reanimation and Intensive Care Unit of the Moscow Research and Clinical Center for Tuberculosis Control of the Moscow Government Health Department for the period 2000-2013 had been studied.
In clinical structure of the children prevailed tuberculosis (TB) of hilar lymph nodes − 265 patients (47.3%), in 160 (29.0%) of them the process was complicated by infiltrative atelectasis in segmental and lobar lesions (early and late bronchial and lung failure). Among 69
children (12.3%) with generalized TB forms there were lesions of the central nervous system in 30 patients; in 15 cases TB developed in HIVinfected children (2.7%).
The analysis of the Unit activity allowed confidently state the need to implement measures for active influence the various elements in the TB pathogenesis in the patient contingent. This is possible with the help of intensive care and anesthetic techniques, therapeutic
bronchoscopy, continuous infusion therapy, the use of bypass surgery, ventilation. At the same time, with the delayed start of treatment, the presence of severe immunodeficiency, and other significant medical and biological problems the course of TB in the age group may get unfavorable outcome.
About the Authors
I. V. Shirshov
ГКУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
L. M. Tuktarova
ГКУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
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Review
For citations:
Shirshov I.V., Tuktarova L.M. EXPERIENCE OF THE REANIMATION AND INTENSIVE CARE UNIT FOR CHILDREN OF AN EARLY AGE IN TB HOSPITAL. Tuberculosis and socially significant diseases. 2014;(5):40-46. (In Russ.)
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