Bronchoscopy in HIV-infected patients (based on data from patients with pulmonary symptoms)
https://doi.org/10.22328/2077-9828-2020-12-3-77-86
Abstract
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.
About the Authors
M. L. Shteiner
Samara City Hospital No. 4; Samara State Medical University
Russian Federation
Russian Federation
Mikhail L. Shteiner
Samara
Yu. I. Biktagirov
Samara State Medical University
Russian Federation
Russian Federation
Yuriy I. Biktagirov
Samara
A. V. Zhestkov
Samara State Medical University
Russian Federation
Russian Federation
Aleksandr V. Zhestkov
Samara
S. A. Babanov
Samara State Medical University
Russian Federation
Russian Federation
Sergey A. Babanov
Samara
Ye. A. Korymasov
Samara State Medical University
Russian Federation
Russian Federation
Yevgeniy A. Korymasov
Samara
Ye. P. Krivoshchekov
Samara State Medical University
Russian Federation
Russian Federation
Yevgeniy P. Krivoshchekov
Samara
A. D. Protasov
Samara State Medical University
Russian Federation
Russian Federation
Andrey D. Protasov
Samara
V. V. Kulagina
Samara Medical University «REAVIZ»
Russian Federation
Russian Federation
Vera V. Kulagina
Samara
O. V. Agafonova
Samara Regional Clinical Center for the Prevention and Control of AIDS
Russian Federation
Russian Federation
Ol’ga V. Agafonova
Samara
O. S. Kozlova
Samara State Medical University
Russian Federation
Russian Federation
Ol’ga S. Kozlova
Samara
References
1. Zimina V.N., Astafiev A.V. Community-acquired pneumonia in adult patients with HIV infection: features of the course and treatment, prevention. Pulmonology, 2016, Vol. 26, No. 4, рр. 483–497 (In Russ.).
2. Crothers K., Huang L., Goulet J.L. et al. HIV infection and risk for incident pulmonary diseases in the combination antiretroviral therapy era // Amer. J. Respir. Crit. Care Med. 2011. Vol. 183 (3). P. 388–395.
3. Maximous S., Huang L, Morris A. Evaluation and Diagnosis of HIV-Associated Lung Disease // Semin. Respir. Crit. Care Med. 2016. Vol. 37 (2). Р. 199–213.
4. Panteleev A.M. Respiratory tuberculosis in patients with HIV infection. HIV infection and immunosuppression, 2010, Vol. 2, No. 1, рр. 16–22 (In Russ.).
5. Zimina V.N., Kravchenko A.V., Zyuzya Yu.R. and other Features of the course of tuberculosis in combination with other secondary diseases in patients with HIV infection. HIV infection and immunosuppression, 2011, Vol. 3, No. 3, рр. 45–51 (In Russ.).
6. Panteleev A.M. Bacteria excretion and drug resistance of MBT in tuberculosis in HIV-infected people in St. Petersburg. HIV infection and immunosuppression, 2011, Vol. 3, No. 2, рр. 57–61 (In Russ.).
7. Mahtab S., Coetzee D. Influence of HIV and other risk factors ontuberculosis // S. Afr. Med. J. 2017. Vol. 107 (5). Р. 428–434.
8. Abdullaev R., Komisarova O., Gerasimov L. Tuberculosis in HIV-infected: prevalence, clinical manifestations, treatment effectiveness. Doctor, 2018, No. 29 (11), рр. 11–16 (In Russ.).
9. Prakash U.B. Bronchoscopy // Mason R.J., Broaddus V.C., Murray J.F., Nadel J.A., eds. Murray and Nadel’s textbook respiratory medicine. 4 th ed. Philadelphia: Elsevier Saunders, 2005. Р. 1617–1650.
10. Steiner M.L. Fibrobronchoscopy: application algorithm. Ural Medical Journal, 2011, No. 14 (92), рр. 29–33 (In Russ.).
11. Chernekhovskaya N.E., Fedchenko G.G., Andreev V.G., Povalyaev A.V. X-ray endoscopic diagnostics of respiratory diseases: a tutorial. 2 nd ed., rev. and add. Moscow: Рublishing house MEDpress-inform, 2011, 256 p. (In Russ.).
12. Chernichenko N.V. Diagnostic bronchoscopy // Тhe manual on respiratory medicine, ed. by A.G. Chuchalin. 2 nd edition, revised and enlarged. Moscow: Рublishing house Litter, 2017. Vol. 1, рр. 302–314 (In Russ.).
13. Santoso P., Soeroto A.Y., Juniati R. et al. Improving Diagnostic of Pulmonary Tuberculosis in HIV Patients by Bronchoscopy: A Cross Sectional Study // Acta Med. Indones. 2017. Vol. 49 (4). Р. 330–335.
14. Sánchez-Cabral O., Martínez-Mendoza D., Flores-Bello Á.P. et al. Diagnostic discrepancy between bronchoalveolar lavage and transbronchial biopsy from bronchoscopies of HIV patients with pneumonia: toward an integral diagnosis // HIV AIDS (Auckl). 2018. Vol. 10. P. 115–123.
15. Khan S., Guevara J., Barbosa A. et al. Primary pulmonary Kaposi Sarcoma in a newly diagnosed cisgender heterosexual HIV positive patient presenting before cutaneous manifestations // ID Cases. 2018. Vol. 3 (14). e00420.
16. Pokrovsky V.V., Yurin O.G., Kravchenko A.G. National guidelines for dispensary observation and treatment of patients with HIV infection (clinical protocol). Moscow: Рublishing house Bonika Medica, 2016, 72 p. (In Russ.).
17. Lemoine J.M. Les bronchites chronigues // Bronches. 1965. Vol. 15, No. 2. P. 129–142.
18. Lukomsky G.I., Shulutko M.L., Vinner M.G., Ovchinnikov A.A. Bronchopulmonology. Moscow: Рublishing house Medicine, 1982, 399 p. (In Russ.).
Review
For citations:
Shteiner M.L., Biktagirov Yu.I., Zhestkov A.V., Babanov S.A., Korymasov Ye.A., Krivoshchekov Ye.P., Protasov A.D., Kulagina V.V., Agafonova O.V., Kozlova O.S. Bronchoscopy in HIV-infected patients (based on data from patients with pulmonary symptoms). HIV Infection and Immunosuppressive Disorders. 2020;12(3):77-86. (In Russ.) https://doi.org/10.22328/2077-9828-2020-12-3-77-86
Views:
752
.png)
Email this article 