지원사업
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
- 발행연도
- 2015.1
- 수록면
- 733 - 736 (4page)
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초록· 키워드
오류제보하기
The evaluation of the quality of a sputum specimen prior to bacterial culture has been an accepted practice. However, optimal sputum criteria for pulmonary tuberculosis (TB) are not well established. We investigated indicators for sputum acceptability in tuberculosis cultures and acid-fast bacilli (AFB) smear. A post-hoc analysis of a randomized trial with 228 sputum specimens from 77 patients was conducted. In the trial, pulmonary TB suspects were requested for collecting three sputum specimens. We performed both TB study (AFB smear and M. tuberculosis culture) and Gram staining in each specimen. By using generalized estimating equations, the association between sputum characteristics and positive TB testings were analyzed. Although acceptable specimens for bacterial pneumonia showed higher TB-culture positive rates than unacceptable specimens (adjusted odds ratio [aOR] = 1.66; 95% confidence interval [CI] = 1.11-2.49), a specimen with ≥ 25 white blood cells/low-power field was the better predictor for positive M. tuberculosis cultures (aOR = 2.30; 95% CI = 1.48-3.58) and acid-fast bacilli smears (aOR = 1.85; 95% CI = 1.05-3.25). Sputum leukocytosis could be an indicator of sputum acceptability for diagnosing pulmonary tuberculosis.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Murray PR / 1975 / Microscopic and baceriologic analysis of expectorated sputum / Mayo Clin Proc 50:339~344
Rosón B / 2000 / Prospective study of the usefulness of sputum Gram stain in the initial approach to community-acquired pneumonia requiring hospitalization / Clin Infect Dis 31:869~874
Diagnostic Standards and Classification of Tuberculosis in Adults and Children / 2000 / This official statement of the American Thoracic Society and the Centers for Disease Control and Prevention was adopted by the ATS Board of Directors, July 1999. This statement was endorsed by the Council of the Infectious Disease Society of America, September 1999 / Am J Respir Crit Care Med 161:1376~1395
Isaac-Renton JL / 1985 / Microscopic evaluation of sputum specimens submitted for Mycobacterium tuberculosis culture / Am J Clin Pathol 84:361~363
Curione CJ Jr / 1977 / Gram stain evaluation of the quality of sputum specimens for mycobacterial culture / J Clin Microbiol 5:381~382
Rosón B / 2000 / Prospective study of the usefulness of sputum Gram stain in the initial approach to community-acquired pneumonia requiring hospitalization / Clin Infect Dis 31:869~874
Diagnostic Standards and Classification of Tuberculosis in Adults and Children / 2000 / This official statement of the American Thoracic Society and the Centers for Disease Control and Prevention was adopted by the ATS Board of Directors, July 1999. This statement was endorsed by the Council of the Infectious Disease Society of America, September 1999 / Am J Respir Crit Care Med 161:1376~1395
Isaac-Renton JL / 1985 / Microscopic evaluation of sputum specimens submitted for Mycobacterium tuberculosis culture / Am J Clin Pathol 84:361~363
Curione CJ Jr / 1977 / Gram stain evaluation of the quality of sputum specimens for mycobacterial culture / J Clin Microbiol 5:381~382
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