Hepatitis B Virus (HBV)

Category: Disease (Page 4)

Diagnostic Fiberoptic Bronchoscopy and Protected Brush Culture: DISCUSSION part 2

In two of the remaining 11 patients, the result of FOB was considered as possibly false negative. One patient (No. 2) recovered only after a change of treatment from oral penicillin to cefuroxime and from another (No. 10), pneumococcal antigen was detected in sputum after bronchoscopy had been performed. It is possible that an increased […]

Diagnostic Fiberoptic Bronchoscopy and Protected Brush Culture: DISCUSSION

In this prospective study, we tried to evaluate the usefulness of diagnostic FOB in patients with CAP A significant decline in arterial oxygen pressure (Pa02) is common following FOB, with a subsequent risk of cardiac arrhythmia in particular. This could be especially hazardous in patients with pneumonia, in whom fever, tachycardia, and an already lowered […]

Diagnostic Fiberoptic Bronchoscopy and Protected Brush Culture: RESULTS part 2

Bronchoscopy Before Start of Antibiotic Therapy A presumptive etiologic diagnosis, valuable for the management of the patients, was obtained in all of the six patients examined before the start of antibiotic therapy (Table 4). The PB culture was positive in four of the patients, whereas in one patient (No. 21), S pneumoniae was found only […]

Diagnostic Fiberoptic Bronchoscopy and Protected Brush Culture: RESULTS

Demographic Data The mean age of the 24 patients, 13 women and 11 men, undergoing bronchoscopy was 53 years (SD ± 16). Ten were smokers and one was a known alcoholic. Eight patients had a known pre-existing medical condition, and two of these were immunocom­promised. Patient Compliance and Complications Consent was given by all patients […]

Diagnostic Fiberoptic Bronchoscopy and Protected Brush Culture: MATERIALS AND METHODS part 2

Contraindications to Bronchoscopy Absolute contraindications were bleeding abnormalities, severe cardiac disease, acute asthma, and allergy to local anesthetics. High age (>=70 years) and severe hypoxia (PaOz<8kPa) were relative contraindications. Bronchoscopy Procedure Before the bronchoscopy, the patient fasted for at least three hours. Prothrombin value and blood platelets were measured and a blood-gas analysis was performed. […]

Diagnostic Fiberoptic Bronchoscopy and Protected Brush Culture: MATERIALS AND METHODS

Patients with CAP treated in the Department for Infectious Diseases at Danderyd Hospital were included in the study. Pilot study: to test the planned bronchoscopy procedure, seven CAP patients received bronchoscopy between October 1985 and December 1986. Main study: during a ten-month period in 1987, all adult (>=18 years) patients (HIV patients excluded for technical […]

Diagnostic Fiberoptic Bronchoscopy and Protected Brush Culture

Community-acquired pneumonia remains one of the most common causes of morbidity and hos­pitalization, especially among elderly people. Although Streptococcus pneumoniae is still the most common causative agent among adults who are hos­pitalized because of CAP, there are a number of less common pathogens for which treatment with penicil­lin is not adequate. Therefore, the precise identifi­cation […]

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