The use of bronchoalveolar lavage in diagnosis of infectious pulmonary complications in immunocompromised patients.

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SKŘIČKOVÁ Jana MAYER Jiří MERTA Zdeněk VORLÍČEK Jiří ŠPELDA Stanislav BURGETOVÁ Dagmar DRAŠAR V. KUNDEROVÁ H. KUBÁLEK Vojtěch MEZENSKÝ Lev ŠEVČÍKOVÁ Alena ŠTROBLOVÁ H. VOTAVA Miroslav

Rok publikování 2000
Druh Článek v odborném periodiku
Časopis / Zdroj Journal of Health Management and Public Health
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Obor Pneumologie
Klíčová slova Immunocompromised patient - pulmonary infection - bronchoscopy - bronchoalveolar lavage - bronchoalveolar fluid
Popis In 151 immunocompromised patients (haematological malignancies with pulmonary disease) bronchoalveolar fluid was examined obtained with bronchoalveolar lavage. In 124 (82.1 %) patinets this contributed to the determination of the etiology of pulmonary disease, we changed or started treatment in 111 (73.5 %) patients and the validity of ongoing therapy was confirmed in 12 (7.9 %) patients. Treatment with antibiotics was started or changed in 79 (52.3 %) patients, with antimycotics in 36 (23.8 %), with antituberculotics in 2 (1.3 %), and with virostatics in 19 (12.6 %) patients; antipneumocystic treatment was started in 19 (12.6 %) patients. In 25 (16.6 %) patients the cytostatic treatment was started or changed. Bronchoalveolar lavage and examination of bronchoalveolar fluid contributed substantially to the diagnostics of pulmonary, chiefly infectious diseases in immunocompromised patients.
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