临床和成像因素可以预测肺结核的传染性
Markus Unnewehr1,2,3, Florian Meyer-Oschatz4,5, Hendrik Friederichs6
1Faculty of Health, Universität Witten/Herdecke, Alfred-Herrhausen-Straße 50, 58448, Witten, Germany. munnewehr@barbaraklinik.de.
BMC pulmonary medicine
|September 6, 2023
概括
预测肺结核 (PTB) 的传染性至关重要. 临床症状如血,咳,体重减轻,以及放射性发现如空洞化和树中的芽标志,有助于识别高度传染性PTB患者.
科学领域:
- 肺部医学 肺部医学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 在住院患者中预测肺结核 (PTB) 传染性是具有挑战性的.
- 在这种情况下,关于PTB传染性的有效预测因子的知识有限.
研究的目的:
- 评估临床和放射学标准,以预测在入院时PTB传染性.
主要方法:
- 对2008年至2016年期间入院的299名PTB患者的回顾性分析.
- 评估了7个临床,4个胸部X射线 (CXR) 和5个计算机断层扫描 (CT) 标志.
- 高传染性,通过在入院时呈阳性酸敏菌根 (AFB) 染色来定义.
主要成果:
- 高PTB传染性 (AFB+) 的关键预测因素包括血,咳,体重减轻,空洞化 (CT/CXR),树在芽标志 (CT) 和异常听觉.
- 以前的结核病感染与传染性降低有关.
- 放射性透物,军用图案和膜溢出并不是显著的预测因素.
结论:
- 血液溶解,咳,减肥,化和树中的芽标志是预测PTB传染性的有价值指标.
- 这些发现可以改善PTB患者的管理.
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