Sputum Induction with Hypertonic Saline Has No Benefits over Self-expectorated Sputum in the Bacteriologic Confirmation of Pulmonary Tuberculosis
의약학 > 내과학
( Jaechun Lee ) , ( Gil Myeong Seong ) , ( Su Hee Kim ) , ( Jong Hoo Lee ) , ( Miok Kim )
대한결핵 및 호흡기학회
대한결핵및호흡기학회 추계학술발표초록집 2012년, 제114권 279(총1페이지)
0y910055.pdf [무료 PDF 뷰어 다운로드]
  • ※ 본 자료는 참고용 논문으로 수정 및 텍스트 복사가 되지 않습니다.
  • 구매가격
    30원 (구매자료 3% 적립)
    이메일 발송  스크랩 하기
    자료 다운로드  네이버 로그인
    Backgrounds: The bacteriologic diagnosis in pulmonary tuberculosis is confirmative, even though successful rates in self-ex-pectorated sputum are limited. In the previous studies, sputum specimens induced by hypertonic saline nebulization facilitated bacteriologic diagnosis with higher sensitivity over those from self-expectorated sputum. The benefits of the sputum induction were investigated in the diagnosis of pulmonary tuberculosis. Methods: A prospective randomized case-control study in one hospital. The subjects highly suspicious of pulmonary tuber-culosis were asked to provide 3 pairs of sputum specimens in 3 consecutive days. The first pairs of the specimens were obtained either by self-expectoration (SE) from the next day of the visit or sputum induction with 7% saline nebulization at presentation (HS) and the other pairs were collected in the same ways. The samples were used for acid fast bacilli staining, mycobacterial culture and PCR. The outcomes of bacteriologic detections were compared. Results: Seventy one patients were assigned either into SE (35 subjects, age of 52±17, 69% male) and HS (36, 54±17, 47%). Forty one subjects with pulmonary tuberculosis (57.7%) and 3 with non-tuberculous mycobacterial infection (4.2%) were diagnosed. At presentation, 21 (60%) of SE and 20 (55.6%) of HS revealed scanty amounts of sputum (p=0.705). In the myco-bacterial detection, HS (13 subjects, 36.1%) and SE (13, 37.1%) showed no difference (p=0.928). Consequently, 22 (62.9%) of SE and 19 (52.8%) of HS were clinically diagnosed and treated as pulmonary tuberculosis.
    사업자등록번호 220-87-87785 대표.신현웅 주소.서울시 서초구 방배로10길 18, 402호 대표전화.070-8809-9397
    개인정보책임자.박정아 통신판매업신고번호 제2017-서울서초-1765호 이메일 help@reportshop.co.kr
    copyright (c) 2009 happynlife. steel All reserved.