ANALYSIS OF INTENSIVE CARE RESULTS IN PREGNANT WOMEN WITH SEVERE FORM OF TUBERCULOSIS
https://doi.org/10.17749/2313-7347.2015.9.1.038-043
Abstract
The article presents analysis of intensive care results in 32 pregnant women diagnosed with tuberculosis for the period from 2009 to 2013. The average age of the patients was 28.4±5.6 years; gestational age - 34.3±7.5 weeks. It was determined that 90.6% of pregnant women with severe forms of tuberculosis during the treatment were carried out surgical delivery in relation to the severity of the pulmonary process, at the average gestational age +21 weeks. The finding says that pregnancy and postpartum period in patients with severe forms of tuberculosis were accompanied by obstetric complications of pregnancy in 59.3% of cases and septic complications in 29.3% of cases. It is shown that integrated management and intensive treatment of pregnant women with severe forms of tuberculosis make possible to ensure the survival of 81.2% of the patients
About the Authors
V. B. Tskhay
SBEI HPE «Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetskogo» of Ministry of Health of the Russian Federation
Russian Federation
d.m.s., professor, head of Department perinatology, obstetrics and gynecology
Russian Federation
d.m.s., professor, head of Department perinatology, obstetrics and gynecology
A. M. Polstyanoy
SBEI HPE «Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetskogo» of Ministry of Health of the Russian Federation, Clinical Center of the Siberian Federal Biomedical Agency, Krasnoyarsk
Russian Federation
assistant of Department perinatology, obstetrics and gynecology
Russian Federation
assistant of Department perinatology, obstetrics and gynecology
G. V. Gritsan
SBEI HPE «Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetskogo» of Ministry of Health of the Russian Federation
Russian Federation
d.m.s., docent of Department anesthesiology and resuscitation
Russian Federation
d.m.s., docent of Department anesthesiology and resuscitation
A. I. Gritsan
SBEI HPE «Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetskogo» of Ministry of Health of the Russian Federation
Russian Federation
d.m.s., professor, head of Department anesthesiology and resuscitation
Russian Federation
d.m.s., professor, head of Department anesthesiology and resuscitation
G. N. Polstyanaya
SBEI HPE «Krasnoyarsk State Medical University named after prof. V.F. Voyno-Yasenetskogo» of Ministry of Health of the Russian Federation
Russian Federation
k.m.s., docent of Department perinatology, obstetrics and gynecology
Russian Federation
k.m.s., docent of Department perinatology, obstetrics and gynecology
References
1. Abashidze A.A., Arakelyan V.F. Akusherstvo,ginekologiya i reproduktsiya. 2013; 4: 32-34.
2. Grabarnik A.G. Assessment of the quality of life of women, patients with pulmonary tuberculosis when used combined oral contraceptives, «Janine.» Proceedings of the XIV National Congress on Respiratory Diseases[Otsenka kachestva zhizni zhenshchin, bol’nykh tuberkulezom legkikh, pri primenenii kombinirovannogo oral’nogo kontratseptiva «Zhanin». Materialy XIV natsional’nogo kongressa po boleznyam organov dykhaniya]. Moscow. 2004; 446.
3. Kolachevskaya E.N. Problemy tuberkuleza. 1994; 5: 48-51.
4. Order of the Ministry of Health of the Russian Federation from 21.03.2003 N 109 (ed. From 29.10.2009) «On improvement of TB control activities in the Russian Federation» [Prikaz Minzdrava RF ot 21.03.2003 N 109 (red. ot 29.10.2009) «O sovershenstvovanii protivotuberkuleznykh meropriyatii v Rossiiskoi Federatsii»].
5. Serov V.N., Sukhikh G.T., Baranov I.I. i dr. Emergency conditions in obstetrics: a guide for physicians (library specialist doctor) [Neotlozhnye sostoyaniya v akusherstve: rukovodstvo dlya vrachei (biblioteka vrachaspetsialista)]. Moscow. 2011; 784 s.
6. Sukhanova L.P. Sotsial’nye aspekty zdorov’ya naseleniya. 2009; 6: 11-16.
7. Abalain M.L., Petsaris O., Héry-Arnaud G. Fatal congenital tuberculosis due to a Beijing strain in a premature neonate. J Med Microbiol. 2010 Jun; 59 (6): 733-5.
8. Bishara H., Vinitsky O., Satim R., Keness Y., Chazan B., Miron D. Tuberculosis in pregnancy and puerperium. Harefuah. 2013 Jul; 152 (7): 381-4, 435.
9. Espinal M.A., Reingold A.L., Lavandera M. Effect of pregnancy on the risk of developing active tuberculosis. J Infect Dis 1996; 173: 488-91.
10. Lahbabi M., Brini J., Massaoudi K. Tuberculous peritonitis in pregnancy: a case report. J Med Case Rep. 2014 Jan 2; 8 (1): 3.
11. Larsen I.W., Hager N.D., Livengood C.H., Hoyme U. Guidelines for the diagnosis, treatment and prevention of postoperative infections. Obstet. Gynecol. 2003; 11 (1): 65-70.
12. Lonnroth K., Castro K.G., Chakaya J.M. et al. Tuberculosis control and elimination 2010-50: cure, care, and social development. Lancet. 2010; 375: 1814-2.
13. Nhan-Chang C.L., Jones T.B. Tuberculosis in pregnancy. Clin Obstet Gynecol. 2010 Jun; 53 (2): 311-21.
14. Riachy M.A. PCR use in miliary tuberculosis presenting with acute respiratory distress syndrome. BMJ Case Rep. 2011 May 24.
15. Thillagavathie P. Current issues in maternal and perinatal tuberculosis: impact of the HIV-1 epidemic. Semin Neonatol. 2000; 5: 189-96.
16. Zenner D., Kruijshaar M.E., Andrews N., Abubakar I. Risk of tuberculosis in pregnancy: a national, primary care-based cohort and selfcontrolled case series study. Am J Respir Crit Care Med. 2012 Apr 1; 185 (7): 779-84.
17.
18.
Review
For citations:
Tskhay V.B., Polstyanoy A.M., Gritsan G.V., Gritsan A.I., Polstyanaya G.N. ANALYSIS OF INTENSIVE CARE RESULTS IN PREGNANT WOMEN WITH SEVERE FORM OF TUBERCULOSIS. Obstetrics, Gynecology and Reproduction. 2015;9(1):38-43. (In Russ.) https://doi.org/10.17749/2313-7347.2015.9.1.038-043
Views:
486
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Email this article 
