[Analysis of the prevalence of nonspecific urinary tract infection in patients with tuberculosis among residents of the Bukhara region of the republic of Uzbekistan].

AIM: To analyze the prevalence of nonspecific UTI in patients with tuberculosis and to evaluate the efficiency of therapy and prevention measures. MATERIAL AND METHODS: A total of 936 patients with tuberculosis of various localizations aged from 18 to 96 years were examined. There were 447 men (47.8%) and 489 women (52.2%). A diagnosis of nonspecific UTI was done using following criteria: the presence of characteristic symptoms, leukocyturia and bacteriuria detected by microscopic examination of the urine sediment, positive urine culture for nonspecific species, negative urine tests for Mycobacterium tuberculosis. RESULTS: The prevalence of nonspecific UTI among 936 patients with tuberculosis was 18.6% (n=174). Non-specific species were determined in all forms of tuberculosis, but most often in urogenital tuberculosis (74.1%). Proposed therapeutic and prophylactic tactics included antibacterial therapy, herbal drug Kanefron N and sanitary measures. The efficiency of treatment was 94.6%. It should be noted that patients received anti-tuberculosis therapy, and there were no adverse reactions associated with a combination of drugs. CONCLUSION: When choosing treatment tactics, it is necessary to take into account the presence of structural and functional changes in the urinary tract, which reduce treatment efficiency.

[Ultrasound evaluation of intrahepatic hemodynamic disorders in patients with renal tuberculosis].

Seroechography, duplex, color, and energy Doppler studies were used to examine 50 patients with different forms of renal tuberculosis. The nature of renal blood flow was shown to depend on the magnitude of pathomorphological changes in tuberculous lesion. Spectral and energy Doppler studies revealed enhanced blood flow in the area of tuberculous infiltration. In all forms of nephrotuberculosis, there was an increase in peripheral vascular resistance, which was associated with vasoconstriction, obliteration, and diminished elasticity of vascular walls. Ultrasound angiography used in destructive forms of renal tuberculosis makes it possible to define treatment policy. The data of Doppler study were compared in relation to the glomerular filtration rate. The study ascertained that there was a reduction in glomerular filtration rates as the velocity characteristics of blood flow decreased and peripheral vascular resistance increased. The threshold values of renal hemodynamic parameters were determined to estimate renal filtration function. The reduction in end-diastolic blood flow velocity at different levels of the renal artery was of the greatest diagnostic informational value for diminished renal filtration function.

[Differential x-ray and ultrasound diagnosis in cavernous renal tuberculosis]. / Differentsial'naia rentgenologicheskaia i ul'trazvukovaia diagnostika kavernoznogo tuberkuleza pochek.

It is virtually very difficult to make a differential diagnosis of cavernous nephrotuberculosis and caliceopyeloectasia (CPE), as well as a combination of caverns and CPE at primary renal ultrasound scanning. Therefore, a complex of diagnostic methods for nephrotuberculosis should include drug echography with a diuretic. Comparing X-ray findings, ultrasound and drug echography with a diuretic allows one to differentiate cavernous nephrotuberculosis from CPE and their combinations with confidence.