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the Comparative analysis of patients OG with a positive Mantoux test on 2 THOSE and 5 THOSE with patients of a subgroup of the basic group with otritsayotelnoj a Mantoux test on 2 THOSE and positive RM on 5 THOSE

For the purpose of the profound analysis of sick HIV with positive reaction to a tuberculin we allocate a subgroup (WHOLESALE) of patients which 5 THOSE had poziyotivnyj the answer to a tuberculin only in a dose besides, that intradermal reyoaktsija on a tuberculin in a dose 2 THOSE was negative.

In designated PG the basic group 20 patients, including 11 (55 %) men and 9 (45 %) women have entered. Thus, the man in WHOLESALE sostaviyoli hardly there is more than half of patients, while in OG - 3/5 from the general koliyochestva surveyed.

In age structure some differences are found out: patients in WHOLESALE were a little bit more senior (28,953,98 years), than in OG (27,81,44 years).

Distribution of patients on prospective terms of a becoming infected of a HIV was practically identical in both groups (tab. 7).

Table 7

Limitation periods of revealing of a HIV at patients OG and patients of subgroup OG.

Terms infitsi -

rovanija

OG

)

WHOLESALE
% % % %
Less than 1 year 42,9 40,0
1-2 years 12,3 71,0 10,0 70,0
2-3 years 15,8 20,0
3-4 years 16,7 15,0
4-5 years 7,0 29,0 10,0 30,0
5 years and more 5,3 5,0
Total: 100 100 100 100

Thus, the majority of patients have been infected to three years ago as in OG (71,0 %), and in PG the basic group (70,0 %).

In both groups the parenteral way of infection is established in bolshinyostve cases, but in WHOLESALE its share (80,0 %) has appeared above, than in OG (70,1 %), thus authentic differences it is not revealed. At the same time a sexual way of transfer in OG noted almost at every third, in WHOLESALE - at every fifth patient.

Most often in both groups diagnosed stages primary proyojavleny a HIV-infection. So, in OG stages 2B-in observed at 81,6 % of patients whereas in WHOLESALE - 75 % of patients, that is on 6 % it have less (differences nedostoyoverny). As to stages of secondary diseases (FOR-IN) in OG them obnayoruzhili at 18,4 % of patients, and in WHOLESALE - at 25 %, that in 1,4 times is more, however dosyotovernyh differences also are not present.

Opportunistic infections diagnosed as for patients OG (29,8 %), and in PG the basic group (40 %), and in last in 1,3 times chayoshche (tab. 8).

Table 8

Structure of opportunistic infections in OG and PG the basic group.

The diagnosis OG PG
% %
HIV-encephalopathy 76,4 75,0
Candidosis infection 61,8 62,5
gerpeticheskaja an infection 32,4 50,0
TSMV-INFECTION 26,5 50,0
Peaked condylomas 2,9 12,5
Hairy leukoplakia 2,9 12,5
Toxoplasmosis 5,9 0

In frequency of detection of an encephalopathy and a candidosis infection razliyochy practically was not. Gerpetichesky and TSMV infections at patients diagnosed WHOLESALE in 1,5 - 1,9 times more often, peaked condylomas and a hairy leukoplakia - in 4 times more often. Along with it at patients the WHOLESALE was absent tokyosoplazmoz. Thus, patients PG of the basic group were in the lead on chasyotote revealings of opportunistic infections and serious AIDS - of display infections (peaked condylomas, a hairy leukoplakia).

In OG 4,3 % of patients in the past have transferred a pulmonary tuberculosis, to WHOLESALE - 10 %, that is in 2,3 times there are more than patients.

Contact to tubercular patients at patients OG (43,9 %) registriyorovali on 9 % more often, than at patients WHOLESALE (35 %). Thus, if in OG types of contacts were various (in MLS - 72 %, family - 16 %, room - 2 %, periodic - 10 %) in WHOLESALE all contacts were realised in MLS (< 0,001).

rzhaloby in WHOLESALE showed in 1,7 times larger quantity sick (30 %), than in OG (18 %), but authentic differences have not been taped.

The catarral phenomena at auscultation of lungs in the form of rigid breath were auscultated at 21 % of patients in OG, that twice more than in WHOLESALE where changes were at 10 % of patients.

The augmentation of the sizes of a liver on 1,60,4 sm below a costal arch obnaruyozheno at 55 % of patients WHOLESALE and on 8 % is less at patients OG - 47,3 %.

Chronic virus hepatitises in WHOLESALE (80 %) found out a little bit more often, than in OG (74 %). Frequency of revealing HVGS in both groups was praktiyocheski identical and has made in OG 65,5 %, in WHOLESALE - 68,8 %, thus combination HVGV and HVGS in OG is established at 32,1 % of patients, that on 7 % more than in WHOLESALE - 25 %. HVGV, on the contrary, in 2,6 times taped at patients WHOLESALE is more often: 6,2 % and 2,4 % accordingly.

During radiological inspection (survey roentgenography of a thorax) pathological changes in a pulmonary tissue were not vyjavleyony at 100 % observed both in OG, and in PG the basic group.

Research intradermal tuberkulinovoj sensitivities with 2 THOSE has yielded negative results in all cases. On delution 5 THOSE are received positive reactions, the average size of papules has made 9,551,7 mm. At soyopostavlenii the average sizes of papules at patients from OG and WHOLESALE it has appeared, that at patients OG size of papules (14,90,9 mm) authentically above, than in WHOLESALE (r

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A source: Tursunova Natalia Aleksandrovna. TUBERCULINODIAGNOSTIC AND CHEMIOPROPHYLAXIS OF TUBERCULOSIS IN HIV-INFECTED PATIENTS. St. Petersburg 2006. 2006

More on topic the Comparative analysis of patients OG with a positive Mantoux test on 2 THOSE and 5 THOSE with patients of a subgroup of the basic group with otritsayotelnoj a Mantoux test on 2 THOSE and positive RM on 5 THOSE:

  1. the characteristic of patients of the basic group with positive reyoaktsiej on a tuberculin
  2. the Comparative analysis of clinical and laboratory indicators of patients of the basic groupand comparison group.
  3. the Comparative analysis of clinico-laboratory indicators of patients of the basic group and comparison groups.
  4. 3.3. The comparative analysis of sick HIV-infections with positive and negativedermal reaction to a tuberculin
  5. the Comparative statistical analysis of initial parametres for patients of group RARP and RPP
  6. the Comparative analysis of patients of investigated group depending on time of revealing of an active tuberculosis and an infection HIV -
  7. the Comparative characteristic of a current of tubercular process at patients of the basic group (a tuberculosis in a combination to a HIV-infection) and in control group (a tuberculosis without a HIV-infection)
  8. 1 group (pregnant women with positive results of inspection on VPCH VKR).
  9. 1 group (pregnant women with positive results of inspection on VPCH VKR).
  10. 1 group (pregnant women with positive results of inspection on VPCH VKR).
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  12. the BASIC STAGES of the KONSTRUIROVANIJAPEDAGOGICHESKY TEST
  13. 5.2.3. Immunologic indicators at patients of the basic group.