Authors :
Ashish Kaushik; Jai Kishan; Khushboo Khurana
Volume/Issue :
Volume 7 - 2022, Issue 2 - February
Google Scholar :
http://bitly.ws/gu88
Scribd :
https://bit.ly/3vLDgKB
DOI :
https://doi.org/10.5281/zenodo.6334748
Abstract :
Tuberculosis is an age old infection caused
by Mycobacterium Tuberculosis complex. Early
diagnosis of Pulmonary Tuberculosis is very important in
treatment and decreasing the transmission of
tuberculosis. It is difficult to obtain sample in children
and in adults especially in cases of females. Adequate
sample can be obtained by various methods such as
laryngeal swabs, BAL, sputum. Gastric aspiration is
established method in children but in adults it is usually
not tried. Some adults especially females instead of
expectorating swallow their sputum. In this study, we
have evaluated diagnostic yield of gastric aspirate and
additional yield by bronchoscopy in smear negative and x
ray positive suspects of tuberculosis .
Objective- To see the yield by gastric aspiration and
additional yield on bronchoscopy in smear negative x ray
positive suspects of TB cases
Material and method-Present study was conducted in 200
smear negative X ray suspects. Initially gastric aspiration
was done, those still found negative , bronchoscopy was
done and specimen for brush, Bal, Biopsy taken and
examined by ZN staining, CBNAAT and culture for
Mycobacterium tuberculosis .
Results- It was found Out of 200 X-ray suspected patients
gastric aspirate was found positive for TB in 30 (15%)
(smear AFB/CBNAAT) of the patients. Out of 170 gastric
aspirates negative TB patient’s bronchoscopy could be
carried out in 50 patients only despite of counselling.
Additional yield of 14.7% was observed with
bronchoscopy
Conclusion- The present study concludes that in smear
negative X ray positive suspects of TB patients, gastric
aspiration can be initial tool which can be applied in
peripheral institutions and bronchoscopy can provide
additional yield in high center.
Tuberculosis is an age old infection caused
by Mycobacterium Tuberculosis complex. Early
diagnosis of Pulmonary Tuberculosis is very important in
treatment and decreasing the transmission of
tuberculosis. It is difficult to obtain sample in children
and in adults especially in cases of females. Adequate
sample can be obtained by various methods such as
laryngeal swabs, BAL, sputum. Gastric aspiration is
established method in children but in adults it is usually
not tried. Some adults especially females instead of
expectorating swallow their sputum. In this study, we
have evaluated diagnostic yield of gastric aspirate and
additional yield by bronchoscopy in smear negative and x
ray positive suspects of tuberculosis .
Objective- To see the yield by gastric aspiration and
additional yield on bronchoscopy in smear negative x ray
positive suspects of TB cases
Material and method-Present study was conducted in 200
smear negative X ray suspects. Initially gastric aspiration
was done, those still found negative , bronchoscopy was
done and specimen for brush, Bal, Biopsy taken and
examined by ZN staining, CBNAAT and culture for
Mycobacterium tuberculosis .
Results- It was found Out of 200 X-ray suspected patients
gastric aspirate was found positive for TB in 30 (15%)
(smear AFB/CBNAAT) of the patients. Out of 170 gastric
aspirates negative TB patient’s bronchoscopy could be
carried out in 50 patients only despite of counselling.
Additional yield of 14.7% was observed with
bronchoscopy
Conclusion- The present study concludes that in smear
negative X ray positive suspects of TB patients, gastric
aspiration can be initial tool which can be applied in
peripheral institutions and bronchoscopy can provide
additional yield in high center.
