Transtracheal aspiration in diagnosis of sputum-smear--negative tuberculosis

Autor:	H, Thadepalli, K, Rambhatla, A H, Niden
Rok vydání:	1977
Předmět:	Trachea Tuberculin Test Antitubercular Agents Sputum Humans Anaerobiosis Bacterial Infections Mycobacterium tuberculosis General Medicine Suction Tuberculosis Pulmonary Aerobiosis Anti-Bacterial Agents
Zdroj:	JAMA: The Journal of the American Medical Association. 238:1037-1040
ISSN:	1538-3598 0098-7484
DOI:	10.1001/jama.238.10.1037
Popis:	Of 4,200 patients admitted to an acute-care county hospital, 126 (3%) were proved to have pulmonary tuberculosis, among whom 35 (28%) had several sputum smears negative for acid-fast bacilli. On transtracheal aspiration, 31 to 35 had acid-fast bacilli in the aspirate. Eighteen of these 35 (51%) patients had associated infections caused by aerobic or anaerobic bacteria. Tuberculin skin tests were negative in 14 of 35 patients with negative sputum specimens (40%). Ten of 18 patients (56%) with associated bacterial infections had negative skin tests to purified protein derivative. Smear and culture of transtracheal aspirate for tubercle bacilli may be invaluable in establishing the diagnosis when pulmonary tuberculosis is suspected.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fbf1feae6d5b0e3eabb444597875a785 https://doi.org/10.1001/jama.238.10.1037 Zobrazit plný text záznamu