Skip to main content
SpringerLink
Log in

Intensive Care Treatment of Critical Tuberculosis

  • Chapter
  • First Online:
Handbook of Global Tuberculosis Control

  • 892 Accesses

Abstract

Despite the recent advancements in tuberculosis (TB) treatment, 1–3 % of TB patients still progress to critical TB, which has a high mortality rate. In areas with a heavy TB burden, TB intensive care units should be set up to isolate critical TB patients from general critical patients in order to reduce the nosocomial TB transmission and provide effective care. Respiratory failure is the main reason for TB patients to be treated in ICU. The intensive care focus is on monitoring respiratory function, hemodynamics, and mechanical ventilation in addition to anti-infection treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 299.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 299.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Agarwal, R., Gupta, D., Handa, A., & Aggarwal, A. N. (2005). Noninvasive ventilation in ARDS caused by Mycobacterium tuberculosis: Report of three cases and review of literature. Intensive Care Medicine, 31(12), 1723–1724.

    Google Scholar 

  • Agarwal, M. K., Muthuswamy, P. P., Banner, A. S., Shah, R. S., & Addington, W. W. (1977). Respiratory failure in pulmonary tuberculosis. Chest, 72(5), 605–609.

    Article  CAS  PubMed  Google Scholar 

  • American Thoracic Society. (2003). American Thoracic Society/Centers for Diseases Control and Prevention/Infectious Diseases Society of America: Treatment of tuberculosis. American Journal of Respiratory and Critical Care Medicine, 167, 603–662.

    Article  Google Scholar 

  • American Thoracic Society, & Infectious Disease Society of America. (2005). Infectious Disease Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. American Journal of Respiratory and Critical Care Medicine, 171(4), 388–416.

    Article  Google Scholar 

  • Cai, Y. J. (2006). Intensive care and treatment of severe respiratory diseases. Beijing: Science Press.

    Google Scholar 

  • Chen, Y. Y., & Zhu, M. (2010). Analysis on 53 patients with pulmonary tuberculosis complicated by MODS. Chinese Journal of Antituberculosis, 32(10), 644–647.

    Google Scholar 

  • Confalonieri, M., Potena, A., Carbone, G., Porta, R. D., Tolley, E. A., & Umberto Meduri, G. (1999). Acute respiratory failure in patients with severe community-acquired pneumonia: A prospective randomized evaluation of noninvasive ventilation. American Journal of Respiratory and Critical Care Medicine, 160(5), 1585–1591.

    Article  CAS  PubMed  Google Scholar 

  • Critical Care Medicine Branch of the Chinese Medical Association. (2007). Clinical application guidelines of mechanical ventilation. Chinese Critical Care Medicine, 19(2), 65–72.

    Google Scholar 

  • Deng, G. F., & Guo, R. X. (2005). Clinical observation of BiPAP ventilation in the treatment of severe pulmonary tuberculosis with type II respiratory failure. Chinese Journal of Antituberculosis, 27(4), 270–271.

    Google Scholar 

  • Du, Z. Z., Liu, R., & Xue, H. (2003). Clinical study of low tidaltion in elder respiratory failure complicated by pulmonary tuberculosis. Chinese Journal of Antituberculosis, 25(4), 241–243.

    Google Scholar 

  • Erbes, R., Oettel, K., Raffenberg, M., Mauch, H., Schmidt-Ioanas, M., & Lode, H. (2006). Characteristics and outcome of patients with active pulmonary tuberculosis requiring intensive care. European Respiratory Journal, 27(6), 1223–1228.

    Article  CAS  PubMed  Google Scholar 

  • Frame, R. N., Johnson, M. C., Eichenhorn, M. S., Bower, G. C., & Popovich, J., Jr. (1987). Active tuberculosis in the medical intensive care unit: A 15-year retrospective analysis. Critical Care Medicine, 15(11), 1012–1014.

    Article  CAS  PubMed  Google Scholar 

  • Heyland, D. K., Dhaliwal, R., Drover, J. W., Gramlich, L., & Dodek, P. (2003). Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients. Journal of Parenteral and Enteral Nutrition, 27(5), 355–373.

    Article  PubMed  Google Scholar 

  • Jiang, Z. M. (2008). Nutritional support in critically ill patients. Beijing: People’s Health Publishing House.

    Google Scholar 

  • Jolliet, P., Abajo, B., Pasquina, P., & Chevrolet, J. C. (2001). Non-invasive pressure support ventilation in severe community-acquired pneumonia. Intensive Care Medicine, 27(5), 812–821.

    Article  CAS  PubMed  Google Scholar 

  • Knaus, W. A., Draper, E. A., Wagner, D. P., & Zimmerman, J. E. (1985). APACHE II: A severity of disease classification system. Critical Care Medicine, 13(10), 818–829.

    Article  CAS  PubMed  Google Scholar 

  • Launay-Vacher, V., Izzedine, H., & Deray, G. (2005). Pharmacokinetic considerations in the treatment of tuberculosis in patients with renal failure. Clinical Pharmacokinetics, 44(3), 221–235.

    Article  CAS  PubMed  Google Scholar 

  • Lee, P. L., Jerng, J. S., Chang, Y. L., Chen, C. F., Hsueh, P. R., Yu, C. J., et al. (2003). Patient mortality of active pulmonary tuberculosis requiring mechanical ventilation. European Respiratory Journal, 22(1), 141–147.

    Article  CAS  PubMed  Google Scholar 

  • Levy, H., Kallenbach, J. M., Feldman, C., Thorburn, J. R., & Abramowitz, J. A. (1987). Acute respiratory failure in active tuberculosis. Critical Care Medicine, 15(3), 221–225.

    Article  CAS  PubMed  Google Scholar 

  • Liu, C. W., & Yan, J. (2009). Basic clinical monitoring and disposal for critical patients. Beijing: People’s Health Publishing House.

    Google Scholar 

  • Ma, Y., & Zhu, L. Z. (2006). Tuberculosis. Beijing: People’s Health Publishing House.

    Google Scholar 

  • Men, Z. K., Li, H. N., & Wang, H. (2009). Non-invasive bi-level positive airway pressure treatment of tuberculosis of respiratory failure. Journal of Chinese Practical Medicine, 36(1), 49–50.

    Google Scholar 

  • Nava, S., Confalonieri, M., & Rampulla, C. (1998). Intermediate respiratory intensive care units in Europe: A European perspective. Thorax, 53(9), 798–802.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pablos-Méndez, A., Sterling, T. R., & Frieden, T. R. (1996). The relationship between delayed or incomplete treatment and all-cause mortality in patients with tuberculosis. Journal of the American Medical Association, 276(15), 1223–1228.

    Article  PubMed  Google Scholar 

  • Paton, N. I., Chua, Y. K., Earnest, A., & Chee, C. B. (2004). Randomized controlled trial of nutritional supplementation in patients with newly diagnosed tuberculosis and wasting. The American Journal of Clinical Nutrition, 80(2), 460–465.

    CAS  PubMed  Google Scholar 

  • Rao, V. K., Iademarco, E. P., Fraser, V. J., & Kollef, M. H. (1998). The impact of comorbidity on mortality following in-hospital diagnosis of tuberculosis. Chest, 114(5), 1244–1252.

    Article  CAS  PubMed  Google Scholar 

  • Ryu, Y. J., KOH, W. J., Kang, E. H., Suh, G. Y., Chung, M. P., Kim, H., et al. (2007). Prognostic factors in pulmonary tuberculosis requiring mechanical ventilation for acute respiratory failure. Respirology, 12(3), 406–411.

    Article  PubMed  Google Scholar 

  • Sacks, L. V., & Pendle, S. (1998). Factors related to in-hospital deaths in patients with tuberculosis. Archives of Internal Medicine, 158(17), 1916–1922.

    Article  CAS  PubMed  Google Scholar 

  • Shneerson, J. M. (2004). Respiratory failure in tuberculosis: A modern perspective. Clinical Medicine, 4(1), 72–76.

    Article  PubMed  Google Scholar 

  • Silva, D. R., Menegotto, D. M., Schulz, L. F., Gazzana, M. B., & Dalcin, P. T. (2010). Mortality among patients with tuberculosis requiring intensive care: A retrospective cohort study. BMC Infectious Diseases, 10(1), 54–60.

    Article  PubMed  PubMed Central  Google Scholar 

  • Task Force of the American College of Critical Care Medicine Society of Critical Care Medicine. (1999). Guidelines for intensive care unit admission, discharge, and triage. Critical Care Medicine, 27(3), 633–638.

    Article  Google Scholar 

  • Teasdale, G., & Jennett, B. (1974). Assessment of coma and impaired consciousness. A practical scale. The Lancet, 13(2), 81–84.

    Article  Google Scholar 

  • Wang, C. P., Zeng, Y., & Lu, Q. H. (2006). The application of CSF substitution in the treatment of severe tuberculous meningitis. Chinese Journal of Neurosurgical Disease Research, 5(2), 153–154.

    Google Scholar 

  • Webb, A. R. (1999). Oxford textbook of critical care. Oxford: Oxford University Press.

    Google Scholar 

  • WHO. (1999). Guidelines for the prevention of tuberculosis in health care facilities in resource-limited settings. Geneva: World Health Organization. Retrieved October 21, 2015, from http://www.who.int/tb/publications/who_tb_99_269.pdf.

  • Yu, S. Y. (2008). Clinical practice of mechanical ventilation. Beijing: People’s Military Medical Press.

    Google Scholar 

  • Zahar, J. R., Azoulay, E., Klement, E., De Lassence, A., Lucet, J. C., Regnier, B., et al. (2001). Delayed treatment contributes to mortality in ICU patients with severe active pulmonary tuberculosis and acute respiratory failure. Intensive Care Medicine, 27(3), 513–520.

    Article  CAS  PubMed  Google Scholar 

  • Zhang, X. J. (2004). Clinical analysis of severe pulmonary tuberculosis complicated with multiple organ failure. Journal of Practical Medicine, 21(5), 385–387.

    Google Scholar 

  • Zhang, B., & Gao, H. (2006). Practical manual for mechanical ventilation. Beijing: People’s Military Medical Press.

    Google Scholar 

  • Zhang, Y. T., Qiu, Y. L., Wu, Y. H., Wang, J. B., Yin, J. T., Chen, M. Q., et al. (2002). Mechanical ventilation tactics in treatment of tuberculous respiratory failure. The Journal of the Chinese Antituberculosis Association, 24(1), 12–13.

    Google Scholar 

  • Zhou, J. (2010). Invasive and noninvasive sequential treatment of mechanical ventilation in tuberculosis with severe respiratory failure. Chinese Journal of Antituberculosis, 32(9), 592–593.

    Google Scholar 

  • Zhu, Q. (2006). Clinical observed effects of Bi-level positive airway pressure ventilation treatment in pulmonary tuberculosis patients with respiratory failure. Chinese Journal of Antituberculosis, 28(3), 162–163.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Tuberculosis Division, Hangzhou Red Cross Hospital, 208 East Road, Hangzhou Ring, Hangzhou, Zhejiang, 310003, China

    Min Zhu M.D.

  2. Tuberculosis Intensive Care Unit, Hangzhou Red Cross Hospital, 208 East Road, Hangzhou Ring, Hangzhou, Zhejiang, 310003, China

    Yuanyuan Chen M.D. & Minjie Mao M.D.

Authors
  1. Min Zhu M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yuanyuan Chen M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Minjie Mao M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Min Zhu M.D. .

Editor information

Editors and Affiliations

  1. Haikou VTI Biological Institute, Boston, Massachusetts, USA

    Yichen Lu

  2. Chinese Nat’l Ctr Disease Control and Prevention, Nat’l Center for TB Control & Prevention Chinese Nat’l Ctr Disease Control and Prevention, Beijing, China

    Lixia Wang

  3. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China

    Hongjin Duanmu

  4. Brookline, Massachusetts, USA

    Chris Chanyasulkit

  5. Vaccine Technologies, Inc., Wellesley, Massachusetts, USA

    Amie J. Strong

  6. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China

    Hui Zhang

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Science+Business Media LLC

About this chapter

Cite this chapter

Zhu, M., Chen, Y., Mao, M. (2017). Intensive Care Treatment of Critical Tuberculosis. In: Lu, Y., Wang, L., Duanmu, H., Chanyasulkit, C., Strong, A., Zhang, H. (eds) Handbook of Global Tuberculosis Control. Springer, Boston, MA. https://doi.org/10.1007/978-1-4939-6667-7_16

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-6667-7_16

  • Published:

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4939-6665-3

  • Online ISBN: 978-1-4939-6667-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation