Transcript Slide 1

latenturi tuberkulozuri infeqciiT inficireba da risk
faqtorebi jandacvis
muSakebSi saqarTveloSi:
prospeqtuli longitudinuri kvleva
sponsori: a.S.S.-s jandacvis erovnuli instituti, fogartis saerTaSoriso centri. D43
TW007124
KmkvlevarTa Jgufi
• MTavari mkvlevari – veriko mircxulava
henri m. blumbergi
• Tana mkvelavarebi – arCil salayaia,
Tengiz cercvaZe,
karlos del rio,
maikl leonardi,
ekateriana kurbatova
• kvlevis koordinatori – maia yifiani
• laboratoriaze pasuxismgebeli –nestan tukvaZe
Kkvlevis amocanebi
• latenturi tuebrkulozuri infeqciis (LTBI) insidentobis Seswavla jandacvis muSakebSi
• IGRA (QFT-3G) efeqturobis Sefaseba seriouli kvlevebis dros
• samedicino personalis mimReblobis Seswavla LTBI-s rutinuli skriningisadmi
• samedicino personalis mimReblobis Seswavla LTBI mkurnalobisadmi
• IGRA (QFT-3G) da tuberkulinis kanis sinjis (TST) Sedareba
Kkvelvis meTodebi
• kiTxvari
• tuberkulinis kanis sinji
• QFT-3G
LTBI dgindeba Tu:
• TST induracia > 10 mm (Sefaaseba xdeba 48-72 saaTSi)
Dda/an
• INF-γ concentracia ≥ 0.35 s.e./ml
Kkvelvis meTodebi
• kvlevis farglebSi LTBI-is gamokvleva ganxorcieldeba samjer 6
Tvis intervaliT
• kvlevis monawiles Tu erTxel daudgindeba LTBI TST-is ,
TST ganmeorebiT aRar Cautardeba
sakvlevi populacia
• saqarTveloSi dasaqmebuli jandacvis muSaki
• ganacxada nebayoflobiTi Tanxmoba kvlevaSi monawileobaze
• asaki aRemateba 18 wels
• anmnezSi ar aqvs alergia tuberkulinis kanis sinjze
statistikuri analizi
• monacemTa Seyvana moxdeba Epi Info Version 3.5.1
• monacemTa analizi ganxorcieldaba SAS Software
Version 9.1.3.
informacia kvlevis mimdinareobis Sesaxeb:
kvleva daiwyo 2009 wlis 1 martsK
kvlevaSi ukve CarTulia 183 jandacvis muSaki:
• 143 (78%) CautardaT gamokvleva tuberkulinis kanis sinjiT
• 179 (98%) – QFT-3G testiT
• QFT-3G testi keTdeba Sidsis centis laboratoriaSi
• kvelevis dasrulebis savaraudo TariRia 2010 wlis maisi
latenturi tuberkulozuri infeqciis prevalentoba (2006 weli, zafxuli)
gamokvleul iqna saqarTvelos tuberkulozuri qselis 265 jandacvis muSaki
• 177 (67%) daudginda LTBI tuberkulinis kanis sinjiT
• 159 (60%) __ QFT-3G testiT
• 203 (77%) __ romelime erTi testiT
• 133 (daaxloebiT 50%) __ orive testiT