Phthisiology

doi: 10.25005/2074-0581-2018-20-2-3-224-229
USE OF ACCELERATED METHODS OF DETECTION OF MULTI-DRUG RESISTANT EXTRAPULMONRY TUBERCULOSIS

D.K. Kozhomkulov1, K.M. Mukanbaev2, M.D. Kozhomkulov1, T. Kh. Kudayberdiev2, О.R. Botobekov1, E.A. Baynazarov1

1Department of Bones and Joints Tuberculosis Surgery, National Center for Phthisiology, Bishkek, Kyrgyz Republic
2Department of Extrapulmonary Surgery, National Center for Phthisiology, Bishkek, Kyrgyz Republic

Objective: To evaluate modern diagnostic methods in identifying extrapulmonary forms of tuberculosis (EPT) with drug resistance.

Methods: To examine the time limits and identification of circumstances and diagnostics in EPT considered TB-06 registration forms for 2017, № 003/U (case history) of the 56 primary diagnosed patients registered for 2017-2018 in the National Center for Phthisiology.

Results: The incidence of EPT in Kyrgyzstan in 2017 was 23.9 per 100 thousand of the population. According to TB-06 forms, extrapulmonary tuberculosis is only 1650 cases. 862 sowings were carried out, of which 503 were negative (58%). Positive results of sowings were 359 (42%). In 333 cases, a drug sensitivity test was performed: resistant forms were 192 (57.6%) and sensitive – 141 (42.4%) cases.

Conclusions: From modern methods noted the high use of BactecMGIT and molecular genetic methods of research, which shortens the diagnosis time and promotes to the timely start of the treatment process.

Keywords: Tuberculosis, extrapulmonary, bones and joints, urogenital, peripheral lymph nodes, abdominal, multiple drug resistance.

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Authors informations:

Kozhomkulov Dzhumabay Kozhomkulovich, Candidate of Medical Sciences, Leading Researcher, Department of Bones and Joints Tuberculosis Surgery, National Center for Phthisiology

Mukanbaev Kasymbek Mukanbaevich, Candidate of Medical Sciences, Leading Researcher, Department of Extrapulmonary Surgery, National Center for Phthisiology

Kozhomkulov Meder Dzhumabaevich, Researcher, Department of Bones and Joints Tuberculosis Surgery, National Center for Phthisiology

Kudayberdiev Turatbek Khalmatovich, Researcher, Department of Extrapulmonary Surgery, National Center for Phthisiology

Botobekov Oskon Rakhmatzhanovich, Researcher, Department of Bones and Joints Tuberculosis Surgery, National Center for Phthisiology

Baynazarov Elchibek Abdulakhatovich, Researcher, Department of Bones and Joints Tuberculosis Surgery, National Center for Phthisiology

Address for correspondence:

Kozhomkulov Dzhumabay Kozhomkulovich

Candidate of Medical Sciences, Leading Researcher, Department of Bones and Joints Tuberculosis Surgery, National Center for Phthisiology

720020, Kyrgyz Republic, Bishkek, Akhunbaev str., 90a

Tel.: (+996) 312 570925

E-mail: marat.abdievtbc@gmail.com

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