Avaliaçao da utilidade diagnóstica da fibrobroncoscopia óptica na tuberculose pulmonar BAAR negativa na prática clínica de rotina

A. Soto; D. Salazar; V. Acurio; P. Segura; P. Van der Stuyft

doi:10.1590/S1806-37132012000600011

Avaliaçao da utilidade diagnóstica da fibrobroncoscopia óptica na tuberculose pulmonar BAAR negativa na prática clínica de rotina

Translated title of the contribution: Avaliaçao da utilidade diagnóstica da fibrobroncoscopia óptica na tuberculose pulmonar BAAR negativa na prática clínica de rotina

A. Soto, D. Salazar, V. Acurio, P. Segura, P. Van der Stuyft

Research output: Contribution to journal › A2: International peer reviewed article (not A1-type) › peer-review

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Abstract

We evaluated the diagnostic yield of fiberoptic bronchoscopy for the diagnosis of smear-negative pulmonary tuberculosis in patients treated at a referral hospital in Lima, Peru. Of the 611 patients who underwent the procedure, 140 (23%) were diagnosed with tuberculosis based on the analysis of BAL samples. Being young and being male were significantly associated with positive cultures. In addition, 287 patients underwent post-bronchoscopic sputum smear testing for AFB, the results of which increased the diagnostic yield by 22% over that obtained through the analysis of BAL samples alone. We conclude that the analysis of BAL samples and post-bronchoscopic sputum samples provides a high diagnostic yield in smear-negative patients suspected of having pulmonary tuberculosis.

Translated title of the contribution	Avaliaçao da utilidade diagnóstica da fibrobroncoscopia óptica na tuberculose pulmonar BAAR negativa na prática clínica de rotina
Original language	Other
Journal	Jornal Brasileiro de Pneumologia
Volume	38
Issue number	6
Pages (from-to)	757-760
Number of pages	4
ISSN	1806-3713
DOIs	https://doi.org/10.1590/S1806-37132012000600011
Publication status	Published - 2012

Keywords

Bacterial diseases
Pulmonary
Tuberculosis
Mycobacterium tuberculosis
Routine
Clinical management
Smear-negative
Sputum
Diagnosis
Evaluation
Bronchoscopy
Peru
America-Latin

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title = "Avalia{\c c}ao da utilidade diagn{\'o}stica da fibrobroncoscopia {\'o}ptica na tuberculose pulmonar BAAR negativa na pr{\'a}tica cl{\'i}nica de rotina",

abstract = "We evaluated the diagnostic yield of fiberoptic bronchoscopy for the diagnosis of smear-negative pulmonary tuberculosis in patients treated at a referral hospital in Lima, Peru. Of the 611 patients who underwent the procedure, 140 (23%) were diagnosed with tuberculosis based on the analysis of BAL samples. Being young and being male were significantly associated with positive cultures. In addition, 287 patients underwent post-bronchoscopic sputum smear testing for AFB, the results of which increased the diagnostic yield by 22% over that obtained through the analysis of BAL samples alone. We conclude that the analysis of BAL samples and post-bronchoscopic sputum samples provides a high diagnostic yield in smear-negative patients suspected of having pulmonary tuberculosis.",

keywords = "Bacterial diseases, Pulmonary, Tuberculosis, Mycobacterium tuberculosis, Routine, Clinical management, Smear-negative, Sputum, Diagnosis, Evaluation, Bronchoscopy, Peru, America-Latin",

author = "A. Soto and D. Salazar and V. Acurio and P. Segura and {Van der Stuyft}, P.",

note = "M1 - J Bras Pneumol",

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language = "Other",

volume = "38",

pages = "757--760",

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TY - JOUR

T1 - Avaliaçao da utilidade diagnóstica da fibrobroncoscopia óptica na tuberculose pulmonar BAAR negativa na prática clínica de rotina

AU - Soto, A.

AU - Salazar, D.

AU - Acurio, V.

AU - Segura, P.

AU - Van der Stuyft, P.

N1 - M1 - J Bras Pneumol

PY - 2012

Y1 - 2012

N2 - We evaluated the diagnostic yield of fiberoptic bronchoscopy for the diagnosis of smear-negative pulmonary tuberculosis in patients treated at a referral hospital in Lima, Peru. Of the 611 patients who underwent the procedure, 140 (23%) were diagnosed with tuberculosis based on the analysis of BAL samples. Being young and being male were significantly associated with positive cultures. In addition, 287 patients underwent post-bronchoscopic sputum smear testing for AFB, the results of which increased the diagnostic yield by 22% over that obtained through the analysis of BAL samples alone. We conclude that the analysis of BAL samples and post-bronchoscopic sputum samples provides a high diagnostic yield in smear-negative patients suspected of having pulmonary tuberculosis.

AB - We evaluated the diagnostic yield of fiberoptic bronchoscopy for the diagnosis of smear-negative pulmonary tuberculosis in patients treated at a referral hospital in Lima, Peru. Of the 611 patients who underwent the procedure, 140 (23%) were diagnosed with tuberculosis based on the analysis of BAL samples. Being young and being male were significantly associated with positive cultures. In addition, 287 patients underwent post-bronchoscopic sputum smear testing for AFB, the results of which increased the diagnostic yield by 22% over that obtained through the analysis of BAL samples alone. We conclude that the analysis of BAL samples and post-bronchoscopic sputum samples provides a high diagnostic yield in smear-negative patients suspected of having pulmonary tuberculosis.

KW - Bacterial diseases

KW - Pulmonary

KW - Tuberculosis

KW - Mycobacterium tuberculosis

KW - Routine

KW - Clinical management

KW - Smear-negative

KW - Sputum

KW - Diagnosis

KW - Evaluation

KW - Bronchoscopy

KW - Peru

KW - America-Latin

U2 - 10.1590/S1806-37132012000600011

DO - 10.1590/S1806-37132012000600011

M3 - A2: International peer reviewed article (not A1-type)

C2 - 23288121

SN - 1806-3713

VL - 38

SP - 757

EP - 760

JO - Jornal Brasileiro de Pneumologia

JF - Jornal Brasileiro de Pneumologia

IS - 6

ER -

Avaliaçao da utilidade diagnóstica da fibrobroncoscopia óptica na tuberculose pulmonar BAAR negativa na prática clínica de rotina

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Keywords

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