Open AccessТuberculous spondylitis in HIV-positive and HIV-negative patients: analysis of comorbidity and influence of premorbid background on the formation of infectious postoperative complications
Author(s) -
Е. В. Шувалова,
А А Вишневский
Publication year - 2020
Publication title -
vič-infekciâ i immunosupressii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 4
eISSN - 2078-1792
pISSN - 2077-9828
DOI - 10.22328/2077-9828-2020-12-3-104-110
Subject(s) - medicine , perioperative , comorbidity , tuberculosis , human immunodeficiency virus (hiv) , concomitant , spondylitis , surgery , ankylosing spondylitis , immunology , pathology
The aim of the study was to study comorbidity in HIV (+) and HIV (–) patients with tuberculosis spondylitis (TS) and to assess the inuence of certain perioperative risk factors on the formation of early and late postoperative infectious complications. Materials and methods . A retrospective analysis of 274 patients with TS was performed: 116/43.2% of patients HIV (+) (group 1) and 158/57,7% HIV (–) (group 2). We studied the risk factors for postoperative complications: age, alimentary disorders, concomitant diseases, and the risk of surgical intervention on the ASA scale. Research result. TC patients in 88,3% of cases had comorbidities (ASA Class 3–4). Early and late infectious complications were 1,5–2 times more common in TC patients with ASA Class 4 than in ASA Class 3. In the HIV (+) group, early infectious complications prevailed, while in HIV (–) patients, these complications occurred with the same frequency. Late postoperative complications were 3–5 times more common in HIV (+) patients (OR=2,84 and OR=8,56, respectively).