Lavrenyuk Vladimir Valeryevich (FGBOU VO " Pacific State Medical University" assistant of the Department of Infectious Diseases; GBUZ "Regional Clinical Hospital No. 2" Head of the infectious diseases department, infectious disease specialist; CHUZ "Clinical Hospital "RZD-Medicine" pulmonologist
Vladivostok
)
Luneva Marina Anatolyevna (The Primorsky Regional Tuberculosis Dispensary is the head of the 8th pulmonary therapeutic department, a phthisiologist.
Vladivostok
)
Shishkova Valeria Vadimovna (State Medical Institution "Primorsky Regional Tuberculosis Dispensary", phthisiologist, pulmonologist.
Vladivostok
)
Churina Oksana Sergeevna (KGBUZ "Nadezhdinskaya Central district Hospital", district phthisiologist.
Volno-Nadezhdinskoe village
)
Pavlova Lilia Vladimirovna (GBUZ "Primorsky Regional Tuberculosis Dispensary" head of the 10th department with combined pathology of pulmonary tuberculosis and HIV infection, infectious disease specialist, phthisiologist.
Vladivostok
)
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The purpose of the study: to analyze the problem of comorbidity of chronic obstructive pulmonary disease (COPD) and tuberculosis (TB) of the lungs, which are common socially significant diseases with a high level of disability and mortality. At the same time, both diseases have the same type of risk factors: smoking, occupational, environmental hazards.
According to the results of numerous studies presented in Russian and foreign scientific publications, despite the overall decrease in the incidence of TB, the number of cases of multidrug resistance of Mycobacterium TB (MDR TB) is increasing, which reduces the effectiveness of TB treatment and contributes to an increase in the mortality of this disease. Accordingly, the prevalence of comorbid pathology of COPD is also being updated. At the same time, in the case of a combination of COPD and pulmonary TB, a syndrome of mutual aggravation is observed: TB is characterized by more pronounced clinical symptoms, decay cavities with massive bacterial excretion are more often formed, chronic respiratory and heart failure develop more often, an unfavorable outcome of TB and a more severe course of COPD are noted. Taking into account the peculiarities of the comorbid course of these nosologies will clarify the nature of their mutual influence, assess the prognosis, and improve control over the effectiveness of treatment and preventive measures.
Keywords:COPD, tuberculosis, obstructive syndrome, diagnosis, therapy.
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Citation link:
Lavrenyuk V. V., Luneva M. A., Shishkova V. V., Churina O. S., Pavlova L. V. CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND RESPIRATORY TUBERCULOSIS: THE PROBLEM OF COMORBIDITY // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2024. -№01. -С. 193-197 DOI 10.37882/2223-2966.2024.01.23 |
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