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Abstract: Poster Presentations |

USE OF SALBUTAMOL TO INCREASE THE YIELD OF SMEAR POSITIVE PULMONARY TUBERCULOSIS CASES AMONGST CHEST SYMPTOMATICS FREE TO VIEW

Nirmal Chand, MD*; Swarnjeet S. Bhullar, MBBS; Mandeep Singh, MBBS; Sandeep Gupta, MD; Deepak Aggarwal, MD; Ramesh Chander, MD
Author and Funding Information

Government Medical College, Amritsar, Punjab, India


Chest


Chest. 2009;136(4_MeetingAbstracts):75S. doi:10.1378/chest.136.4_MeetingAbstracts.75S
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Abstract

PURPOSE:  To assess the role of sputum induction using levosalbutamol nebulisation in patients having dry cough of 3 weeks or more in the bacteriological diagnosis of pulmonary TB.

METHODS:  In the study, 50 patients were included presenting with dry cough of 3 weeks or more suggestive of pulmonary TB. Sputum induction was performed using levosalbutamol nebulization. The induced sputum was stained with Ziehl Neelson staining method and examined for Mycobacterium tuberculosis.

RESULTS:  Out of total 50 patients having dry cough, the sputum induction was successful in producing adequate specimen in 22 (44%) cases (x2 = 28.263; p < 0.001). Out of these 22 cases, 10 were found to be sputum smear positive for AFB. Thus in 10(45%) cases bacteriological diagnosis could be confirmed.

CONCLUSION:  The bacteriological confirmation could be achieved in higher number of cases, false negativity rate can be decreased & time taken by laboratory technician to declare positive slide can be reduced.

CLINICAL IMPLICATIONS:  Sputum induction using levosalbutamol nebulization is a safe, economical method, not requiring much of expertise and can be used in field conditions, for confirmation of diagnosis of patients presenting with dry cough.

DISCLOSURE:  Nirmal Chand, No Financial Disclosure Information; No Product/Research Disclosure Information

Tuesday, November 3, 2009

12:45 PM - 2:00 PM


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