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Broncoscopia por fibra ótica em pacientes com tuberculose com baciloscopia negativa by Saif Quaiser

Broncoscopia por fibra ótica em pacientes com tuberculose com baciloscopia negativa

by Saif Quaiser , Anil Agarwal , Ruhi Khan
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Book cover type: Paperback
  • ISBN13: 9786209101199
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Edicoes Nosso Conhecimento
  • Publisher Imprint: Edicoes Nosso Conhecimento
  • Publication Date:
  • Pages: 72
  • Original Price: GBP 47.76
  • Language: Portuguese
  • Edition: N/A
  • Item Weight: 109 grams
  • BISAC Subject(s): General

A OMS recomenda a confirma��o bacteriol�gica da tuberculose pulmonar (PTB) atrav�s da dete��o de bacilos �lcool-�cido resistentes (BAAR) em amostras respirat�rias. No entanto, cerca de 40-60% dos pacientes com suspeita cl�nica ou radiol�gica de PTB podem n�o produzir escarro ou, quando dispon�vel, o AFB pode ser negativo em exames repetidos de esfrega�o. Esses pacientes com esfrega�o de escarro negativo e aqueles que n�o produzem escarro podem ser diagnosticados por broncoscopia flex�vel por fibra �tica (FOB). O nosso estudo foi uma tentativa de analisar o papel da FOB em pacientes com PTB com esfrega�o de escarro negativo no que diz respeito � sua associa��o com o perfil cl�nico e radiol�gico. Neste estudo prospectivo, aberto e observacional, 40 casos de PTB com esfrega�o de escarro negativo foram submetidos a exame broncosc�pico ap�s obten��o do consentimento informado e foram coletadas amostras como aspirado br�nquico, lavagem broncoalveolar e escarro p�s-broncoscopia. Do total de 40 pacientes, o diagn�stico geral foi confirmado em 24 (60%) pacientes. Destes 24 pacientes, 17 foram confirmados com PTB, enquanto 7 tiveram outros diagn�sticos. O estudo conclui que a FOB � uma ferramenta �til no diagn�stico de pacientes com PTB com esfrega�o de escarro negativo, mesmo em um est�gio inicial.

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