需要测试的非结核性菌根性肺病风险患者使用欧洲专家修改的Delphi过程进行评估
Michael R Loebinger1, Stefano Aliberti2,3, Charles Haworth4,5
1Royal Brompton Hospital and NHLI, Imperial College London, London, UK.
ERJ open research
|September 25, 2024
概括
鉴定患有非结核性菌根性肺病 (NTM-PD) 的患者是困难的. 专家建议在出现特定症状和风险因素时进行NTM-PD测试,以确保及时诊断和管理.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 临床诊断 临床诊断 临床诊断
背景情况:
- 非结核性菌根性肺病 (NTM-PD) 的诊断具有挑战性,延迟导致显著的发病率和死亡率.
- 早期识别患有NTM-PD风险的患者对于有效管理和改善患者的治疗结果至关重要.
研究的目的:
- 建立专家对症状和并发症的共识,这应该促使对非结核性菌根菌进行检测.
- 为临床医生提供有关识别需要NTM-PD评估的患者的指导.
主要方法:
- 一个经过修改的德尔菲过程,涉及12名欧洲NTM-PD专家.
- 专家们对与NTM-PD相关的潜在症状和并发症进行了评分,以确定测试建议.
主要成果:
- 在需要进行NTM-PD测试的症状和并发症方面达成共识.
- 建议对具有多种暗示症状的患者进行测试,特别是那些患有潜在呼吸道疾病的患者,或者当放射学表明NTM-PD时.
- 特殊症状,如持续的唾液,复发性感染和血栓塞,以及诸如支气管切除症或之前的NTM-PD等疾病,增加了测试的可能性.
结论:
- 这个德尔菲共识为NTM-PD评估的临床指标提供了有价值的见解.
- 基于这些标准的及时NTM-PD测试可以促进及时的诊断和管理,可能改善患者的预后.
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