Clinic, diagnostics, treatment and results of acute lung accesses in HIV-infected patients
https://doi.org/10.24884/0042-4625-2020-179-3-69-74
Abstract
The OBJECTIVE was to study the course and results of treatment of lung abscesses in HIV-infected patients.
METHODS AND MATERIALS. We analyzed the case histories of 199 patients with lung abscesses who treated in the Department of thoracic surgery of St. Petersburg Pokrovskaya Municipal Hospital in the period from 2012 to 2018. The 1st group included 121 HIV-infected patients, and the 2nd group – 78 patients with HIV-negative status.
RESULTS. Patients from the 1st group were younger than patients from the 2nd group (p <0.05). Lung abscesses without sequestration were detected in 105 (86.8 %) patients in the 1st I group and 65 (83.3 %) in the 2nd group. Lung abscesses with sequestration (gangrenous abscesses) was diagnosed in 16 (13.2 %) HIV-infected and 13 (16.7 %) uninfected patients. There were no differences between surgical methods of treatment and outcomes (p>0.05). The mortality rate in the 1st group was 9.1 %, and in the 2nd – 12.8 %.
CONCLUSION. General surgical methods for treating lung abscess are equally effective in patients with HIV-negative status and HIV-positive status. Lung abscesses in HIV-positive and HIV-negative patients have a similar etiology, clinical symptomatology, courses and outcome.
About the Authors
P. M. Ionov
Pokrovskaya Municipal Hospital
Russian Federation
Russian Federation
Ionov Pavel M., Thoracic Surgeon
85, Bolshoy pr., Saint Petersburg, 199106, Russia.
А. V. Elikin
City tuberculosis hospital № 2
Russian Federation
Russian Federation
Elkin Alexey V., Dr. of Sci. (Med), Professor, Chief Physician
Saint Petersburg
I. V. Deinega
Pokrovskaya Municipal Hospital
Russian Federation
Russian Federation
Deinega Igor V., Head of the Department of Thoracic Surgery
Saint Petersburg
G. A. Yakovlev
Pokrovskaya Municipal Hospital
Russian Federation
Russian Federation
Yakovlev Gleb A., Thoracic Surgeon
Saint Petersburg
References
1. Egorov V. I., Deynega I. V., Ionov P. M., Besedina N. K. Main indicators of the Department of surgery of purulent diseases of the lungs and pleura (thoracic Department). Health – the basis of medicine. potential: problems and ways to solve them. 2015;10(2):709–713. (In Russ.).
2. Puzyreva L. V., Safonov A. D., Mordyk A. V. Respiratory Diseases in HIV infection (review). Journal of Infectology. 2016;8(2):17–25. (In Russ.).
3. Federico M., Cunningham B., Paredes A., Lee D., Folio L. Cavitary Lung Disease in an HIV-Positive Patient. Military Medicine Radiology Corner. 2009;174:1–4.
4. Bisenkov L. N. Thoracic surgery: a guide for doctors. SPb, 2004:928. (In Russ.).
5. Gostischev V. K. Infection in thoracic surgery. A guide for physicians. Moscow, 2004:583. (In Russ.).
6. Ovchinnikov A. A. Acute and chronic lung diseases. Russian medical journal. 2002;10(23):1073–1079. (In Russ.).
7. Roshchev I. P., Shoykhet Ya. N., Syzdykbayev M. K., Kapitulin S. Yu. Complex treatment of patients with acute infectious and destructive lung diseases. Modern problems of science and education. 2014;(3):474–478. (In Russ.).
8. Kolesnikov I. S., Lytkin M. I. Lung and pleural surgery: doctor’s guide. L., 1988:384. (In Russ.).
9. Ionov P. M., Elkin A. V., Deynega I. V., Yakovlev G. A., Shevtsova M. A. Etiology and clinical forms of suppurative diseases of the lungs and pleura in HIV-infected patients. Grekov Bulletin of Surgery. 2019;178(4):10–14. (In Russ.).
10. Noskin G. A., Glassroth J. Bacterial pneumonia associated with HIV-1 infection. Clin. Chest Med. 1996;(17):713–723.
11. Petukhov V. I., Ermashkevich S. N., Rusetskaya M. O. Results of treatment of patients with acute infectious destruction of the lungs. Surgery news. 2015;23(4):391–397. (In Russ.).
12. Suppurative lung diseases: national clinical guidelines / ed. by E. A. Korymasov, P. K. Yablonskii, K. G. Zhestkov, E. G. Sokolovich, I. Ya. Motus, V. V. Lishenko, S. A. Skryabin. Association Of Thoracic Surgeons Of Russia. Available at: http://thoracic.ru/wp-content/uploads/ (accessed: 29.11.2019). (In Russ.).
13. Akopov A. L., Egorov V. I., Deynega I. V., Ionov P. M. Video assisted operations under local anesthesia for abscesses and pyopneumothorax. Grekov Bulletin of Surgery. 2015;174 (3):54–58. (In Russ.).
14. Avdeyev S. N., Chuchalin A. G. The use of scales for assessing the severity and intensive care in pulmonology. Pulmonology. 2001;(4):77–86. (In Russ.).
15. Aleksandrovich Yu. S., Gordeyev V. I. Evaluation and prognostic scales in critical condition medicine. SPb., 2007:140. (In Russ.).
16. Laptev A. N. On the classification of purulent-necrotic destruction of the lungs. Collection of abstracts of the 5th national Congress on respiratory diseases. Moscow, 1995:740. (In Russ.).
Review
For citations:
Ionov P.M., Elikin А.V., Deinega I.V., Yakovlev G.A. Clinic, diagnostics, treatment and results of acute lung accesses in HIV-infected patients. Grekov's Bulletin of Surgery. 2020;179(3):69-74. (In Russ.) https://doi.org/10.24884/0042-4625-2020-179-3-69-74
Views:
921
Email this article 