Role of fibreoptic bronchoscopy and CT guided FNAC in diagnostic evaluation of Non resolving Pneumonia with special emphasis on clinical outcome
Background: Nonresolving pneumonia is a pneumonia with a delayed or slow resolution of radiographic infiltrates or clinical symptoms despite adequate treatment with antibiotics for a minimum period of 10 days. Fibreoptic bronchoscopy (FOB) and CT guided FNAC has a specific role in diagnosis of Non r...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2014-11-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/10727 |
| _version_ | 1818990412962988032 |
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| author | Bhupendra Kumar Jain |
| author_facet | Bhupendra Kumar Jain |
| author_sort | Bhupendra Kumar Jain |
| collection | DOAJ |
| description | Background: Nonresolving pneumonia is a pneumonia with a delayed or slow resolution of radiographic infiltrates or clinical symptoms despite adequate treatment with antibiotics for a minimum period of 10 days. Fibreoptic bronchoscopy (FOB) and CT guided FNAC has a specific role in diagnosis of Non resolving pneumonia.
Aims and Objectives: To assess the diagnostic efficacy of fibreoptic bronchoscopy (FOB) and computed tomography (CT)- guided fi ne needle aspiration cytology (FNAC) in evaluation of non-resolving or slowly resolving pneumonia with special emphasis on clinical outcome.
Material and Methods: The study was designed as a prospective observational study. We reviewed FOB in Sixty-five consecutive patients of Non-resolving pneumonia admitted under Respiratory Medicine unit of Sri aurobindo medical college and PG Institute Indore from June 2012 to May 2014. We also reviewed role of CT guided FNAC in selected case where FOB result was inconclusive.
Result: Out of total Sixty-five case of non resolving pneumonia, Fifty-two patient (81%) were diagnosed with the help of FOB and Eleven patients (91%) were diagnosed with help of CT guided FNAC out of Twelve patient subjected for procedure.
Conclusion: FOB should be the first option before CT-guided FNAC in evaluating non-resolving pneumonia. Both the procedures were safe and no major complication was observed. |
| first_indexed | 2024-12-20T19:53:58Z |
| format | Article |
| id | doaj.art-8b673a06bc7b45eaabfbd5c42ca7e569 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-12-20T19:53:58Z |
| publishDate | 2014-11-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-8b673a06bc7b45eaabfbd5c42ca7e5692022-12-21T19:28:13ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762014-11-01636671https://doi.org/10.3126/ajms.v6i3.10727Role of fibreoptic bronchoscopy and CT guided FNAC in diagnostic evaluation of Non resolving Pneumonia with special emphasis on clinical outcomeBhupendra Kumar Jain 0Assistant Professor, Department of Respiratory Medicine Sri Aurobindo Medical College and PG InstituteBackground: Nonresolving pneumonia is a pneumonia with a delayed or slow resolution of radiographic infiltrates or clinical symptoms despite adequate treatment with antibiotics for a minimum period of 10 days. Fibreoptic bronchoscopy (FOB) and CT guided FNAC has a specific role in diagnosis of Non resolving pneumonia. Aims and Objectives: To assess the diagnostic efficacy of fibreoptic bronchoscopy (FOB) and computed tomography (CT)- guided fi ne needle aspiration cytology (FNAC) in evaluation of non-resolving or slowly resolving pneumonia with special emphasis on clinical outcome. Material and Methods: The study was designed as a prospective observational study. We reviewed FOB in Sixty-five consecutive patients of Non-resolving pneumonia admitted under Respiratory Medicine unit of Sri aurobindo medical college and PG Institute Indore from June 2012 to May 2014. We also reviewed role of CT guided FNAC in selected case where FOB result was inconclusive. Result: Out of total Sixty-five case of non resolving pneumonia, Fifty-two patient (81%) were diagnosed with the help of FOB and Eleven patients (91%) were diagnosed with help of CT guided FNAC out of Twelve patient subjected for procedure. Conclusion: FOB should be the first option before CT-guided FNAC in evaluating non-resolving pneumonia. Both the procedures were safe and no major complication was observed.https://www.nepjol.info/index.php/AJMS/article/view/10727non resolving pneumoniafibreoptic bronchoscopy (fob)ct guided fine needle aspiration cytology (ct guided fnac)transbronchial lung biopsy (tblb) |
| spellingShingle | Bhupendra Kumar Jain Role of fibreoptic bronchoscopy and CT guided FNAC in diagnostic evaluation of Non resolving Pneumonia with special emphasis on clinical outcome Asian Journal of Medical Sciences non resolving pneumonia fibreoptic bronchoscopy (fob) ct guided fine needle aspiration cytology (ct guided fnac) transbronchial lung biopsy (tblb) |
| title | Role of fibreoptic bronchoscopy and CT guided FNAC in diagnostic evaluation of Non resolving Pneumonia with special emphasis on clinical outcome |
| title_full | Role of fibreoptic bronchoscopy and CT guided FNAC in diagnostic evaluation of Non resolving Pneumonia with special emphasis on clinical outcome |
| title_fullStr | Role of fibreoptic bronchoscopy and CT guided FNAC in diagnostic evaluation of Non resolving Pneumonia with special emphasis on clinical outcome |
| title_full_unstemmed | Role of fibreoptic bronchoscopy and CT guided FNAC in diagnostic evaluation of Non resolving Pneumonia with special emphasis on clinical outcome |
| title_short | Role of fibreoptic bronchoscopy and CT guided FNAC in diagnostic evaluation of Non resolving Pneumonia with special emphasis on clinical outcome |
| title_sort | role of fibreoptic bronchoscopy and ct guided fnac in diagnostic evaluation of non resolving pneumonia with special emphasis on clinical outcome |
| topic | non resolving pneumonia fibreoptic bronchoscopy (fob) ct guided fine needle aspiration cytology (ct guided fnac) transbronchial lung biopsy (tblb) |
| url | https://www.nepjol.info/index.php/AJMS/article/view/10727 |
| work_keys_str_mv | AT bhupendrakumarjain roleoffibreopticbronchoscopyandctguidedfnacindiagnosticevaluationofnonresolvingpneumoniawithspecialemphasisonclinicaloutcome |