Тuberculous spondylitis in HIV-positive and HIV-negative patients: analysis of comorbidity and influence of premorbid background on the formation of infectious postoperative complications
https://doi.org/10.22328/2077-9828-2020-12-3-104-110
Abstract
The aim of the study was to study comorbidity in HIV (+) and HIV (–) patients with tuberculosis spondylitis (TS) and to assess the influence of certain perioperative risk factors on the formation of early and late postoperative infectious complications.
Materials and methods. A retrospective analysis of 274 patients with TS was performed: 116/43.2% of patients HIV (+) (group 1) and 158/57,7% HIV (–) (group 2). We studied the risk factors for postoperative complications: age, alimentary disorders, concomitant diseases, and the risk of surgical intervention on the ASA scale.
Research result. TC patients in 88,3% of cases had comorbidities (ASA Class 3–4). Early and late infectious complications were 1,5–2 times more common in TC patients with ASA Class 4 than in ASA Class 3. In the HIV (+) group, early infectious complications prevailed, while in HIV (–) patients, these complications occurred with the same frequency. Late postoperative complications were 3–5 times more common in HIV (+) patients (OR=2,84 and OR=8,56, respectively).
About the Authors
E. V. Shuvalova
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
Evgeniya V. Shuvalova
St. Petersburg
A. A. Vishnevsky
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
Arkady А. Vishnevsky
St. Petersburg
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Review
For citations:
Shuvalova E.V., Vishnevsky A.A. Тuberculous spondylitis in HIV-positive and HIV-negative patients: analysis of comorbidity and influence of premorbid background on the formation of infectious postoperative complications. HIV Infection and Immunosuppressive Disorders. 2020;12(3):104-110. (In Russ.) https://doi.org/10.22328/2077-9828-2020-12-3-104-110
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