PREDNISONE THERAPY SAFETY FOR TREATMENT OF PATIENTS WITH MIX OF TUBERCULOSIS AND HIV-INFECTION
- Authors: Maksimov G.V.1, Mukomolov S.L.2, Ivanov A.K.3
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Affiliations:
- City Tuberculosis Dispensary, St. Petersburg
- Saint Petersburg Pasteur Institute, St. Petersburg
- Tuberculosis Research Institute, St. Petersburg
- Issue: Vol 3, No 4 (2013)
- Pages: 341-346
- Section: ORIGINAL ARTICLES
- Submitted: 08.07.2014
- Accepted: 08.07.2014
- Published: 08.07.2014
- URL: https://iimmun.ru/iimm/article/view/143
- DOI: https://doi.org/10.15789/2220-7619-2013-4-341-346
- ID: 143
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Full Text
Abstract
Abstract. The study of prednisone safety for treatment of TB mixed with HIV-infection has been conducted. Two groups of patients were compared. The first group was consisted of 88 patients who were treated by prednisone and standard tuberculosis therapy, the second group of patients presented by 45 patients received only tuberculosis medicines. It was demonstrated that in case of prednisone using (1st group) the number of CD4 limphocytes increased, intoxication symptoms disappeared fast and recovery process accelerated. Increasing of cases with unfavorable course of TB and HIV-infection in patients of first group was not registered in compare with the second group. Thus, using of prednisone therapy to treat TB mixed with HIV-infection was safe, not lead to unfavorable course of TB or HIV-infection. Such kind of treatment especially important for patients with exudative reactions.
Keywords
About the authors
G. V. Maksimov
City Tuberculosis Dispensary, St. Petersburg
Author for correspondence.
Email: jpestis@yandex.ru
Head of Department TB+HIV treatment
196158, Russian Federation, St. Petersburg, Zvezdnaya str., 12
РоссияS. L. Mukomolov
Saint Petersburg Pasteur Institute, St. Petersburg
Email: jpestis@yandex.ru
PhD, MD (Medicine), Professor, Head of Viral Hepatitis Laboratory Россия
A. K. Ivanov
Tuberculosis Research Institute, St. Petersburg
Email: jpestis@yandex.ru
PhD, MD (Medicine), Professor Россия
References
- Бабаева И.Ю., Шевченко Н.П., Дробот Н.Н., Сокол Л.А., Шаполовский В.В., Вавилова Е.П. Летальность больных диссеминированным туберкулезом, сочетанным с ВИЧ-инфекцией, в Краснодарском крае // Инновационные технологии в организации фтизиатрич. и пульмонолог. помощи населению: материалы Всерос. науч.-практ. конф. — СПб., 2010. — С. 238–239. Babaeva I.Yu., Shevchenko N.P., Drobot N.N., Sokol L.A., Shapolovskiy V.V., Vavilova E.P. Letal`nost` bol`nykh disseminirovannym tuberkulezom, sochetannym s VICH-infektsiey, v Krasnodarskom krae [Lethality of patients with disseminated tuberculosis mixed with HIV-infection in Krasnodar region]. Innovatsionnye tekhnologii v organizatsii ftiziatrich. i pul`monolog. pomoshchi naseleniyu: materialy Vseros. nauch.-prakt. konf. [Proceeding of the Conference “Innovation technology in organization of tuberculosis and pulmonology aid to population”]. SPb., 2010, pp. 238–239.
- Бартлетт Дж., Галант Дж., Фам П. Клинические аспекты ВИЧ-инфекции. 2009–2010. — М.: Р.Валент, 2010. — С. 490. Bartlett Dzh., Galant Dzh., Fam P. Klinicheskie aspekty VICH-infektsii. 2009–2010 [Clinical aspects of HIV-infection. 2009–2010]. М.: R.Valent, 2010, p. 490.
- Вирус иммунодефицита человека — медицина // Под ред. Н.А. Белякова, А.Г. Рахмановой. — СПб., 2011. — С. 649. Virus immunodefitsita cheloveka — meditsina (Pod red. N.A. Belyakova, A.G. Rakhmanovoy) [Human Immunodeficiency Virus — Medicine (Ed. Beliakov N.A., Rakhmanova A.G.)]. SPb., 2011, p. 649.
- Владимиров К.Б., Иванов А.К., Вароломов В.В., Кочоров С.Д. Клинические особенности туберкулезных плевритов у больных гепатитами и ВИЧ-инфекцией в пенитенциарных учреждениях // Проблемы туберкулеза. — 2007. — № 12. — С. 34–38. Vladimirov K.B., Ivanov A.K., Varolomov V.V., Kochorov S.D. Klinicheskie osobennosti tuberkuleznykh plevritov u bol`nykh gepatitami i VICH-infektsiey v penitentsiarnykh uchrezhdeniyakh [Clinical characteristics of tuberculosis pleuritis in patients with hepatitis and HIV-infection in penitentiary institutions]. Problemy tuberkuleza — Tuberculosis Problems, 2007, no. 12, pp. 34–38.
- Зимина В.Н., Васильева И.А., Батыров Ф.А., Яровая Ж.Ю. Особенности течения и эффективность лечения больных туберкулезом на поздних стадиях ВИЧ-инфекции // Туберкулез и болезни легких. — 2010. — № 3. — С. 23–27. Zimina V.N., Vasil`eva I.A., Batyrov F.A., Yarovaya Zh.Yu. Osobennosti techeniya i effektivnost` lecheniya bol`nykh tuberkulezom na pozdnikh stadiyakh VICH-infektsii [Characteristics of course and treatment efficacy of TB in the late stages of HIV-infection]. Tuberkulez i bolezni legkikh — Tuberculosis and Lung Diseases, 2010, no. 3, pp. 23–27.
- Корнилова З.Х., Луконина И.В., Алексеева Л.П. Туберкулез в сочетании с ВИЧ-инфекцией // Туберкулез и болезни легких. — 2010. — № 3. — С. 3–9. Kornilova Z.H., Lukonina I.V., Alekseeva L.P. Tuberkulez v sochetanii s VICH-infektsiey [Tuberculosis mixed with HIV-infection]. Tuberkulez i bolezni legkikh — Tuberculosis and Lung Diseases, 2010, no. 3, pp. 3–9.
- Максимов Г.В., Пантелеев А.М., Иванов А.К., Мукомолов С.Л. Уровень кортизола в крови больных туберкулезом и ВИЧ-инфекцией // ВИЧ-инфекция и иммуносупрессии. — 2011. — № 9. — С. 40–44. Maksimov G.V., Panteleev A.M., Ivanov A.K., Mukomolov S.L. Uroven` kortizola v krovi bol`nykh tuberkulezom i VICH-infektsiey [Hydrocortisone level in the blood of TB patients mixed with HIV-infection]. VICH-infektsiya i immunosupressii — HIV-infection and Immunosuppression, 2011, no. 9, pp. 40–44.
- Пантелеев А.М., Савина Т.А., Супрун Т.Ю. Внелегочный туберкулез у ВИЧ-инфицированных // Проблемы туберкулеза. — 2007. — № 7. — С. 16–19. Panteleev A.M., Savina T.A., Suprun T.Yu. Vnelegochnyy tuberkulez u VICH-infitsirovannykh [Non pulmonary tuberculosis in HIV-infected persons]. Problemy tuberkuleza — Tuberculosis Problems, 2007, no. 7, pp. 16–19.
- Пантелеев А.М. Применение преднизолона при лечении туберкулеза у больных с ВИЧ-инфекцией // ВИЧ-инфекция и иммуносупрессии. — 2012. — Т. 4, № 3. — С. 47–51. Panteleev A.M. Primenenie prednizolona pri lechenii tuberkuleza u bol`nykh s VICH-infektsiey [Prednisolone use for TB treatment in HIV patients]. VICH-infektsiya i immunosupressii — HIV-infection and Immunosuppression, 2012, vol. 4, no. 3, pp. 47–51.
- Покровский В.В., Ермак Т.Н., Беляев В.В., Юрин О.Г. ВИЧ-инфекция: клиника, диагностика, лечение. — М., 2000. — С. 487. Pokrovskiy V.V., Ermak T.N., Belyaev V.V., Yurin O.G. VICH-infektsiya: klinika, diagnostika, lechenie [HIV-infection: clinic, diagnostics, treatment]. Moscow, 2000, p. 487.
- Турупанова Н.Р. Кортикостероиды и АКТГ в комплексном лечении больных туберкулезом легких. — Л., 1970. — С. 37. Turupanova N.R. Kortikosteroidy i AKTG v kompleksnom lechenii bol`nykh tuberkulezom legkikh [Corticosteroids and AKTG in complex treatment of lung tuberculosis patients]. Leningrad, 1970, p. 37.
- Хоменко А.Г., Авербах М.М., Александрова А.В. Туберкулез органов дыхания. — М.: ЛитТерра, 2004. — 847 с. Homenko A.G., Averbakh M.M., Aleksandrova A.V. Tuberkulez organov dykhaniya [Tuberculosis of respiratory tract organs]. Мoscow, Literra, 2004, 847 p.
- Critchley J.A., Young F., Orton L., Garner P. Corticosteroids for prevention of mortality in people with tuberculosis: a systematic review and meta-analysis. Lancet Infectious Diseases, vol. 13, iss. 3, pp. 223–237.
- Elliott A.M., Luzze H., Quigley M.A., Nakiyingi J.S., Kyaligonza S., Namujju P.B., Ducar C., Ellner J.J., Whitworth J.A., Mugerwa R., Johnson J.L., Okwera A.-J. A randomized, double-blind, placebo-controlled trial of the use of prednisolone as an adjunct to treatment in HIV-1-associated pleural tuberculosis. J. Infect. Dis., 2004, vol. 190, no. 5, pp. 869–878.
- Evans D.J. The use of adjunctive corticosteroids in the treatment of pericardial, pleural and meningeal tuberculosis: do they improve outcome? Respir. Med., vol. 102, iss. 6, pp. 793–800.
- Hakim J.G., Ternouth I., Mushangi E., Siziya S., Robertson V., Malin A. Double blind randomised placebo controlled trial of adjunctive prednisolone in the treatment of effusive tuberculous pericarditis in HIV seropositive patients. Heart, 2000, vol. 84, no. 2, pp. 183–188.
- Mayanja-Kizza H., Jones-Lopez E., Okwera A., Wallis R.S., Ellner J.J., Mugerwa R.D., Whalen C.C. Immunoadjuvant prednisolone therapy for HIV-associated tuberculosis: a phase 2 clinical trial in Uganda. J. Infect. Dis., 2005, vol. 191, no. 6, pp. 856–865.
- Whalen C. Tuberculosis in HIV Infected Patients in Uganda. A randomized, double-blind, placebo-controlled trial / National Institute of Allergy and Infectious Diseases, USA. — April 1, 2003. — Режим доступа: http://clinicaltrials.gov/show/NCT00057421.
- Word Health Organization. WHO report 2008; global tuberculosis control, surveillance, financing. Geneva, 2008. 294 p.