Evaluation of diagnostic outcomes of non-resolving pneumonia by fiberoptic bronchoscopy
Journal Title: IP Indian Journal of Immunology and Respiratory Medicine - Year 2018, Vol 3, Issue 2
Abstract
Background Nonresolving pneumonia NRP is a cause of concern among treating physicians due to its diagnostic dilemma Bronchoalveolar lavage BAL is an important tool in diagnosing non resolving pneumonia This study was undertaken to evaluate non resolving pneumonia by fiberoptic bronchoscopy and BAL to find the etiological diagnosisMethodology A prospective observational study was done at a tertiary care centre Rajarajeshwari Medical College and Hospital Bangalore over the period of one and a half year Total 64 cases of nonresolving pneumonia were included and patients were evaluated thoroughly by history clinical examination radiological tests like chest Xray and CTchest laboratory investigations like white blood cell count sputum culture and brochoscopic BAL culture were obtained in all patientsResults 64 patients enrolled in the study out of which 46 7187 male and 1828125 female mean age of the patients was 526 plusmn112 unilateral lung involvement was in 4875 of the patients and right lung was most commonly involved in 396093 patients The bronchoscopic findings of mucosal inflammation and purulent secretion were most common findings in 365625 Bacterial culture was positive in 528125 in BAL analysis among that Klebsiellae pneumoniae was most common organism in 233593 BAL AFB smear was positive in 71093 and 91406 positive for CBNAAT testConclusions NRP is difficult to treat and diagnostic dilemma for physicians Bronchoscopic interventions like BAL show significant results in etiological diagnosis of nonresolving pneumonia Timely intervention of FOB BAL helps in treating patients of nonresolving pneumoniaKeywords Fiberoptic bronchoscopy Non resolving pneumonia
Authors and Affiliations
MD Majeed Pasha, Kolla Vinod, Shivalinga Swamy Salimath, Sujith Halappa
Keywords
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- EP ID EP490562
- DOI 10.18231/2581-4222.2018.0016
- Views 109
- Downloads 0
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