[Method for evaluating the efficiency of treatment of urogenital tuberculosis]

Urologiia. 2020 Sep:(4):10-13.
[Article in Russian]

Abstract

Introduction: Methods for evaluating the efficiency of treatment which were developed for pulmonary tuberculosis (absence of bacterial transmission and closure of cavities) are not suitable for urogenital tuberculosis.

Aim: To evaluate the use of scoring system for assessing the efficiency of treatment of urogenital tuberculosis.

Materials and methods: A pilot simple open-label prospective noncomparative cohort study was carried out, which included 15 patients with urogenital tuberculosis. All patients completed the urogenital tuberculosis score upon admission and after 1 month, along with standard clinical, laboratory and X-ray examinations. We developed this score to objectify evaluate the efficiency of antituberculosis therapy and it includes clinical and laboratory manifestations of urogenital tuberculosis.

Results: Eleven (73.3%) patients responded well to standard therapy, and 4 (26.7%) required therapy correction. Considering that the correction of therapy was carried out in a timely manner, the final result of the treatment was satisfactory. The efficiency of the proposed score has been demonstrated by clinical results.

Conclusion: Using the urogenital tuberculosis score for assessing the results of treatment of urogenital tuberculosis allows timely correction of therapy according to objective criteria.

Keywords: efficiency; extrapulmonary tuberculosis; treatment; urogenital tuberculosis.

MeSH terms

  • Antitubercular Agents / therapeutic use
  • Cohort Studies
  • Humans
  • Prospective Studies
  • Tuberculosis, Pulmonary*
  • Tuberculosis, Urogenital / drug therapy*

Substances

  • Antitubercular Agents