Needle aspiration techniques in the diagnosis of pneumonia.

نویسندگان

  • F Manresa
  • J Dorca
چکیده

There is a need for improved diagnostic methods in pneumonia in view of the low bacteriological yield from conventional diagnostic methods (Gram stain and culture of bronchial secretions, pleural fluid and blood culture), the difficulty of identifying the cause of common pulmonary infections on clinical grounds, the increasing number of bacteria that are resistant to commonly used broad spectrum antibiotics (which complicates an empirical approach to treatment), and the clinical importance of correctly identifying the causative organisms of pulmonary infection and favourable cost-benefit ratio.'2 The aim of needle aspiration is to obtain a respiratory sample that is not contaminated by oropharyngeal flora, the isolation of the organisms causing pulmonary infections thus being permitted. Of the different needle aspiration techniques that have been introduced to obtain an aetiological diagnosis of pulmonary infections, only two are considered to be of clinical value, transtracheal needle aspiration and transthoracic needle aspiration. Before any needle aspiration procedure patients should have their prothrombin time and platelet count checked. Contraindications to needle biopsy are detailed below.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Fine Needle Aspiration Cytology versus Fine Needle Capillary Sampling in Cytological Diagnosis of Thyroid Lesions

Background and Objectives: Fine needle aspiration cytology (FNAC) is an established out- patient procedure used in primary diagnosis of palpable thyroid lesions. A modified technique fine needle capillary sampling (FNCS) obviates the need of suction, is less painful, patient friendly and reported to overcome the problem of inadequate and bloody specimens. The aim of our study was to compare the...

متن کامل

VALUE OF FINE NEEDLE ASPIRATION IN DIAGNOSING ABDOMINAL AND RETROPERITONEAL MASSES OF CHILDREN

The aim of this study was to evaluate the role of fine needle aspiration cytology in the diagnosis of abdominal and retroperitoneal masses in children on this study. In 53 cases of childhood abdominal and retroperitoneal masses within a 4 year period (1998- 2001) preoperative fine needle aspiration was done under the guide of CT scan. 2 pathologists reviewed fine needle aspiration smears. I...

متن کامل

Combination of aspiration and non-aspiration fine needle biopsy for cytological diagnosis of thyroid nodules

Background: Good cytological sample is very important for the cytological diagnosis of thyroid nodules. The aim of this study was to evaluate the adequacy of prepared samples by the combination of aspiration and non- aspiration fine needle biopsy. Methods: In this descriptive – analytical study, sampling was done simultaneously for each patient in fine needle aspiration and non-aspiration biops...

متن کامل

Diagnostic Fine Needle Aspiration in a Case of Riedel’s Thyroiditis

In Riedel’s thyroiditis, a rare chronic inflammatory disease of thyroid gland, fine needle aspiration is usually non-diagnostic because most often only follicular cells are obtained and not the fibrous material characteristic of this type of thyroiditis. Therefore the diagnosis is often only established by histopathologic study of the surgically obtained biopsy. The illustrated case is a 46-yea...

متن کامل

Comparison of fine needle aspiration and direct skin smear in the diagnosis of acute cutaneous leishmaniasis: polymerase chain reaction as a reference method

Background: Accurate diagnosis of cutaneous leishmaniasis wouldavoid unnecessary treatment and scar formation. Direct smear isthe most common method for the diagnosis of this disease but itsnegative result could not rule out the infection; so, the need formore sensitive methods is obvious. We conducted this study tocompare the efficiency of direct skin smear with smears preparedby fine needle a...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Thorax

دوره 46 8  شماره 

صفحات  -

تاریخ انتشار 1991