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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아알레르기호흡기학회 Allergy Asthma & Respiratory Diseases Allergy Asthma & Respiratory Diseases 제5권 제5호
- 발행연도
- 2017.1
- 수록면
- 287 - 293 (7page)
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초록· 키워드
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Purpose: To assess the usefulness of flexible bronchoscopy in patients with suspected pulmonary tuberculosis (PTB) who have difficulty in sputum expectoration.
Methods: The subjects of this study were patients who were suspected of PTB and visited the Division of Pediatric Pulmonology at a tertiary hospital from April 2006 to March 2016. PTB suspects were determined by clinical symptoms, radiologic findings, and immunologic studies. We aimed to examine the value and safety of bronchoscopy in diagnosis and differential diagnosis of PTB in PTB-suspected patients. The diagnostic criteria for PTB were defined when Mycobacterium tuberculosis was cultured in the sputum specimen or in the bronchial washing fluid.
Results: A total of 19 PTB suspects were included. One patient was diagnosed with PTB by using the sputum study. However, the remaining 18 patients could not expectorate sputum or showed no evidence of Mycobacterium tuberculosis infection from the sputum study. Of the 18 patients, 15 underwent bronchoscopy. After bronchoscopy, 6 patients were diagnosed with PTB and 9 patients were diagnosed with Mycoplasma, viral, or fungal pneumonia, and tumors. For antituberculous drug resistance, there were 1 case of isoniazid (INH) resistance and 1 case of concurrent resistance to INH and prothionamide. There was no multidrug-resistant tuberculosis. None of the patients had significant complications due to bronchoscopy.
Conclusion: Flexible bronchoscopy appears to be a definitive and safe procedure for the differential diagnosis of patients suspecting PTB in children who have difficulty expectorating sputum.
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참고문헌 (18)
참고문헌 신청
/ / Global tuberculosis report 2015
/ 1997 / Rapid diagnostic tests for tuberculosis: what is the appropriate use? / Am J Respir Crit Care Med 155 : 1804 ~ 1814
Bai GH / 2007 / Trend of anti-tuberculosis drug resistance in Korea, 1994-2004 / Int J Tuberc Lung Dis 11 : 571 ~ 576
Dasgupta K / 2005 / Cost-effectiveness of tuberculosis control strategies among immigrants and refugees / Eur Respir J 25 : 1107 ~ 1116
Dodd PJ / 2014 / Burden of childhood tuberculosis in 22 high-burden countries: a mathematical modelling study / Lancet Glob Health 2 : e453 ~ e459
/ 1997 / Rapid diagnostic tests for tuberculosis: what is the appropriate use? / Am J Respir Crit Care Med 155 : 1804 ~ 1814
Bai GH / 2007 / Trend of anti-tuberculosis drug resistance in Korea, 1994-2004 / Int J Tuberc Lung Dis 11 : 571 ~ 576
Dasgupta K / 2005 / Cost-effectiveness of tuberculosis control strategies among immigrants and refugees / Eur Respir J 25 : 1107 ~ 1116
Dodd PJ / 2014 / Burden of childhood tuberculosis in 22 high-burden countries: a mathematical modelling study / Lancet Glob Health 2 : e453 ~ e459
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