Bronchoscopic Strategies to Improve Diagnostic Yield in Pulmonary Tuberculosis Patients

被引:1
作者
Kim, Saerom [1 ,2 ]
Eom, Jung Seop [1 ,2 ,3 ]
Mok, Jeongha [1 ,2 ,3 ]
机构
[1] Pusan Natl Univ Hosp, Dept Internal Med, 179 Gudeok Ro, Busan 49241, South Korea
[2] Pusan Natl Univ Hosp, Biomed Res Inst, Busan, South Korea
[3] Pusan Natl Univ, Sch Med, Dept Internal Med, Busan, South Korea
关键词
achieve specimen acquisition closer to tuberculosis (TB) lesions. Third; it highlights; by-nc/4.0/); MYCOBACTERIUM-TUBERCULOSIS; BRONCHOALVEOLAR LAVAGE; BRONCHIAL WASHINGS; MTB/RIF ASSAY; SPUTUM; MICROSCOPY; INFECTION; ACCURACY; PEOPLE;
D O I
10.4046/trd.2024.0020
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
In cases where pulmonary tuberculosis (PTB) is not microbiologically diagnosed via sputum specimens, bronchoscopy has been the conventional method to enhance diagnostic rates. Although the additional benefit of bronchoscopy in diagnosing PTB is well-known, its overall effectiveness remains suboptimal. This review introduces several strategies for improving PTB diagnosis via bronchoscopy. First, it discusses how bronchoalveolar lavage or an increased number of bronchial washings can increase specimen abundance. Second, it explores how thin or ultrathin bronchoscopes can bronchoscopic specimens, including the Xpert MTB/RIF assay and the Xpert MTB/RIF Ultra assay. Finally, it surveys the implementation of endobronchial ultrasound with a guide sheath for tuberculomas, collection of post-bronchoscopy sputum, and reduced
引用
收藏
页码:10 / 10
页数:1
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