Correlation between the sputum bacteriology and lung function in patients with stable bronchiectasis
Journal Title: The Indian Practitioner - Year 2017, Vol 70, Issue 6
Abstract
Rationale: To study the correlation between the sputum bacteriology and lung function in patients with stable bronchiectasis. Materials and methods: 80 patients suffering from stable bronchiectasis belonging to both the sexes and age above 14 years were included in study. All patients were assessed clinically with detailed history and thorough clinical examination. Patients were subjected to assessment of microbiological flora in their sputum. Lung functions were measured with spirometry and parameters recorded were PEFR in l/ min, FEV1 in litres, FVC in litres, and FEV1/FVC. Sputum samples of +1 and +2 grade were inoculated on blood agar, MacConkey’s agar and chocolate agar at 37°C for 48 hours. Results: P aeruginosa was seen as the most common colonizing bacteria and these patients had de-creased % predicted FEV1, FVC, FEV1/FVC and PEFR with mean values of 43.61±14.6, 51.87±16.8, 79.83±14.6, 42.17±14.6 respectively as compared to patients of non P aeruginosa group. The % predicted FEV1, FVC, FEV1/FVC and PEFR in non P aeruginosa group were 47.67±21.8, 59.32±22.8, 81.89±17.7, 49.58±21.7 respectively. Though the values of FEV1, FVC, FEV1/FVC and PEFR in P aeruginosa group were decreased they were not statistically significant. Conclusion: P aeruginosa was the main colonizing bacteria especially in patients having air fluid levels on radiology which can also be a predictor of bacterial colonization. Lung functions were de-creased in patients having P Aeruginosa in their sputum as compared to non P Aeruginosa group but they were statistically not significant.
Authors and Affiliations
K B Gupta, S Vishvkarma, A S Sandhya, U Choudhary, M Gupta
Keywords
Related Articles
- EP ID EP555669
- DOI -
- Views 56
- Downloads 0
Effect of Unani Formulations on Nephrolithiasis (Hisat-E-Kulyah) – A Case Report
Nephrolithiasis is a common urologic disease worldwide. Despite advanced technology like lithotripsy the management of renal calculi remains a challenge. Most of the Indian patients prefer to take alternative medicine be...
Scenario of H1N1 Influenza in recent outbreak (2015) at Civil Hospital, Ahmedabad
Indian swine flu outbreak of 2015 refers to extension of the outbreak of the 2009 pandemic H1N1 virus in India, which is still ongoing as of April 2015. The states of Gujarat and Rajasthan are the worst affected. At the...
Fever With Rash – a diagnostic Conundrum!
The differential diagnosis of fever and rash in an adult is varied and includes a variety of infectious and non-infectious causes. When confronted with a patient having fever with rash, making a timely and specific diagn...
Seroprevalence of Human Immunodeficiency Virus Infection in Pregnancy in a Tertiary Care Hospital in Mumbai
Background – Estimating the seroprevalence of HIV in a low risk population such as pregnant women provides essential information for an effective implementation of AIDS control programmes and also for monitoring HIV spre...
Yamaguchi Syndrome - An underdiagnosed entity
AHCM [apical hypertrophic cardiomyopathy] has typical findings on electrocardiography, echocardiography and left ventricular angiography. The electrocardiographic changes and symptoms associated with AHCM often mimic acu...