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Broncoscopia a fibre ottiche in pazienti affetti da tubercolosi con striscio dell'espettorato negativo by Quaiser, Saif

Broncoscopia a fibre ottiche in pazienti affetti da tubercolosi con striscio dell'espettorato negativo

by Saif Quaiser , Anil Agarwal , Ruhi Khan
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Book cover type: Paperback
  • ISBN13: 9786209096075
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Edizioni Sapienza
  • Publisher Imprint: Edizioni Sapienza
  • Publication Date:
  • Pages: 72
  • Original Price: GBP 47.76
  • Language: Italian
  • Edition: N/A
  • Item Weight: 109 grams
  • BISAC Subject(s): General

L'OMS raccomanda la conferma batteriologica della tubercolosi polmonare (PTB) mediante il rilevamento di bacilli acido-resistenti (AFB) nei campioni respiratori. Tuttavia, circa il 40-60% dei pazienti con sospetta PTB clinica o radiologica pu� non produrre espettorato o, quando disponibile, l'AFB pu� risultare negativo all'esame ripetuto dello striscio. Questi pazienti con striscio dell'espettorato negativo e quelli che non producono espettorato possono essere diagnosticati mediante broncoscopia a fibre ottiche flessibili (FOB). Il nostro studio ha cercato di analizzare il ruolo della FOB nei pazienti con PTB con striscio dell'espettorato negativo in relazione al loro profilo clinico e radiologico. In questo studio prospettico, in aperto, osservazionale, 40 casi di PTB con striscio dell'espettorato negativo sono stati sottoposti a esame broncoscopico dopo aver ottenuto il consenso informato e sono stati raccolti campioni quali aspirato bronchiale, lavaggio broncoalveolare ed espettorato post-broncoscopia. Su un totale di 40 pazienti, la diagnosi complessiva � stata confermata in 24 (60%) pazienti. Di questi 24 pazienti, 17 sono stati confermati affetti da PTB, mentre 7 hanno ricevuto altre diagnosi. Lo studio conclude che la FOB � uno strumento utile nella diagnosi dei pazienti affetti da PTB con striscio dell'espettorato negativo anche in fase iniziale.

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