Pathophysiology
doi: 10.25005/2074-0581-2018-20-2-3-271-275
THE ROLE OF THE IMPLANTABLE PORT SYSTEM FOR THE CENTRAL VENOUS ACCESS IN TREATMENT OF PULMONARY TUBERCULOSIS WITH MULTIPLE AND EXTENSIVELY DRUG RESISTANCE (PRELIMINARY RESULTS)

О.R. Razakov1, R.R. Batirov1, R.G. Gaipov1, Zh. N. Yusupov2, M.D. Abdiev3

1Department of Pulmonary Tuberculosis Surgery, National Center for Phthisiology, Bishkek, Kyrgyz Republic
2Department of Anesthesiology and Resuscitation, National Center for Phthisiology, Bishkek, Kyrgyz Republic
3Department of Bones and Joints Tuberculosis Surgery, National Center for Phthisiology, Bishkek, Kyrgyz Republic

Objective: To study the role of the implantable port system (IPS) in the treatment of pulmonary tuberculosis with multiple and extensively drug resistance (MDR TB, XDR TB).

Methods: Since September 2017, IPS (POLYSITE 4008 ECHO) implanted in seven patients (4 men and 3 women) with MDR and XDR forms of pulmonary tuberculosis in the age of 30 to 60 years. All IPS implanted under the local anesthesia in the operation room. Port system installed with catheterization of the subclavian vein, mainly on the right. All these patients at the time of IPS installation received a short course of chemotherapy with new and before profiled preparations after having passed through a Consultation on drug-resistant tuberculosis.

Results: The use of IPS for patients with MDR TB and XDR TB pulmonary tuberculosis demonstrated a high level of commitment to treatment. Only in one case, the infection and suppuration of punction area took place in short-term period. This complication was corrected by secondary surgical treatment and overlay of secondary seams.

Conclusion: The preliminary results of the IPS application for seven patients with MDR TB and XDR TB demonstrated high safety and effectiveness of the technique, which allows recommending it, be for further expanded use in the treatment of this patients.

Keywords: Tuberculosis treatment, MDR TB, XDR TB, implantable port system.

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Authors' information:

Razakov Orunbay Razakovich,
Candidate of Medical Sciences, Head of the Department of Pulmonary Tuberculosis Surgery, National Center for Phthisiology

Batirov Rakhmatilla Raimzhanovich,
Surgeon in the Department of Pulmonary Tuberculosis Surgery, National Center for Phthisiology

Gaipov Rustam Gaipovich,
Doctor of Medical Sciences, Professor, Leading Researcher, National Center for Phthisiology

Yusupov Zhaynak Nabievich,
Head of the Department of Anesthesiology and Resuscitation, National Center of Phthisiology

Abdiev Marat Dzhumadylovich,
Candidate of Medical Sciences, Deputy Director for Science, National Center for Phthisiology

Conflicts of interest: No conflict

Address for correspondence:

Batirov Rakhmatilla Raimzhanovich

Surgeon in the Department of Pulmonary Tuberculosis Surgery, National Center for Phthisiology

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

Tel.: (+996) 312 570926

E-mail: rom312@list.ru

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