WAYS TO OPTIMIZE DETECTION OF TUBERCULOSIS IN A PULMONOLOGY UNIT
The objective: to optimize detection of tuberculosis in a pulmonology unit.Subjects and methods. In a pulmonology unit, patients suspected of having tuberculosis had a minimum number of diagnostic tests: a skin test with tuberculous recombinant allergen, three consecutive Ziel-Nelson microscopies of...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2018-06-01
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| Series: | Туберкулез и болезни лёгких |
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| Online Access: | https://www.tibl-journal.com/jour/article/view/1126 |
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| author | E. A. Borodulina A. T. Inkova B. E. Borodulin L. V. Povalyaeva |
| author_facet | E. A. Borodulina A. T. Inkova B. E. Borodulin L. V. Povalyaeva |
| author_sort | E. A. Borodulina |
| collection | DOAJ |
| description | The objective: to optimize detection of tuberculosis in a pulmonology unit.Subjects and methods. In a pulmonology unit, patients suspected of having tuberculosis had a minimum number of diagnostic tests: a skin test with tuberculous recombinant allergen, three consecutive Ziel-Nelson microscopies of sputum and fluids of bronchoalveolar lavage, and in the laboratory of TB services they performed GeneXpert MTB/RIF, Bactec MGIT. Results of the diagnostics were analyzed in 70 patients with etiologic confirmation of diagnosis.Results. A targeted inquiry and taking the patient's history were informative in 4% of cases, skin test with TRA – in 27.1%, GeneXpert MTB/RIF – в in 100%, and Bactec MGIT – in 97.1%. Introduction of express diagnostic methods to a pulmonology unit reduced the average number of bed-days from admission to diagnostics of tuberculosis and transfer to a TB in-patient unit down to 9.80 ± 4.72 days. Molecular genetic methods can be recommended for introduction to general medical services as a diagnostic minimum when examining patients with a high risk of tuberculosis. |
| format | Article |
| id | doaj-art-c8d31b14a8204a62811a133ca3a3a8a3 |
| institution | OA Journals |
| issn | 2075-1230 2542-1506 |
| language | Russian |
| publishDate | 2018-06-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Туберкулез и болезни лёгких |
| spelling | doaj-art-c8d31b14a8204a62811a133ca3a3a8a32025-08-20T02:15:59ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062018-06-01965222610.21292/2075-1230-2018-96-5-22-261126WAYS TO OPTIMIZE DETECTION OF TUBERCULOSIS IN A PULMONOLOGY UNITE. A. Borodulina0A. T. Inkova1B. E. Borodulin2L. V. Povalyaeva3Samara State Medical UniversitySamara State Medical UniversitySamara State Medical UniversitySamara State Medical UniversityThe objective: to optimize detection of tuberculosis in a pulmonology unit.Subjects and methods. In a pulmonology unit, patients suspected of having tuberculosis had a minimum number of diagnostic tests: a skin test with tuberculous recombinant allergen, three consecutive Ziel-Nelson microscopies of sputum and fluids of bronchoalveolar lavage, and in the laboratory of TB services they performed GeneXpert MTB/RIF, Bactec MGIT. Results of the diagnostics were analyzed in 70 patients with etiologic confirmation of diagnosis.Results. A targeted inquiry and taking the patient's history were informative in 4% of cases, skin test with TRA – in 27.1%, GeneXpert MTB/RIF – в in 100%, and Bactec MGIT – in 97.1%. Introduction of express diagnostic methods to a pulmonology unit reduced the average number of bed-days from admission to diagnostics of tuberculosis and transfer to a TB in-patient unit down to 9.80 ± 4.72 days. Molecular genetic methods can be recommended for introduction to general medical services as a diagnostic minimum when examining patients with a high risk of tuberculosis.https://www.tibl-journal.com/jour/article/view/1126tuberculosistuberculous mycobacteriamicroscopyfluids of bronchoalveolar lavagemolecular genetic methodsbactec mgitgenexpert mtb/rif |
| spellingShingle | E. A. Borodulina A. T. Inkova B. E. Borodulin L. V. Povalyaeva WAYS TO OPTIMIZE DETECTION OF TUBERCULOSIS IN A PULMONOLOGY UNIT Туберкулез и болезни лёгких tuberculosis tuberculous mycobacteria microscopy fluids of bronchoalveolar lavage molecular genetic methods bactec mgit genexpert mtb/rif |
| title | WAYS TO OPTIMIZE DETECTION OF TUBERCULOSIS IN A PULMONOLOGY UNIT |
| title_full | WAYS TO OPTIMIZE DETECTION OF TUBERCULOSIS IN A PULMONOLOGY UNIT |
| title_fullStr | WAYS TO OPTIMIZE DETECTION OF TUBERCULOSIS IN A PULMONOLOGY UNIT |
| title_full_unstemmed | WAYS TO OPTIMIZE DETECTION OF TUBERCULOSIS IN A PULMONOLOGY UNIT |
| title_short | WAYS TO OPTIMIZE DETECTION OF TUBERCULOSIS IN A PULMONOLOGY UNIT |
| title_sort | ways to optimize detection of tuberculosis in a pulmonology unit |
| topic | tuberculosis tuberculous mycobacteria microscopy fluids of bronchoalveolar lavage molecular genetic methods bactec mgit genexpert mtb/rif |
| url | https://www.tibl-journal.com/jour/article/view/1126 |
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