Martins Soares Valéria, Da Silva Carvalho Wania, Spindola De Miranda Silvana
Microbiology, Julia Kubitschek Hospital, Fundação Hospitalar de Minas Gerais, Rua Doutor Cristiano Resende, 2745 - Araguaia Belo Horizonte - MG, 30620-470, Brazil.
Rev Argent Microbiol. 2012 Jul-Sep;44(3):173-6.
The purpose of this study was to assess the increase in positive results of bacteriological diagnostic tests for tuberculosis with the utilization of culture at a referral hospital for tuberculosis (TB). A retrospective analysis was conducted based on the positive bacteriological results obtained at the Júlia Kubistchek Hospital. The number of bacteriological diagnoses was increased by 24.6 % with the utilization of culture of sputum samples and by 56.1% of bronchoalveolar lavage samples. With regard to pleural fluid, all six positive cultures were negative for bacilloscopy. Mycobacterium tuberculosis was isolated in 59.6 % of positive cultures. Since mycobacterial culture was not undertaken for all clinical samples, this procedure is an important laboratory routine at the Júlia Kubistchek Hospital in order to learn the real TB prevalence.
本研究的目的是评估在一家结核病转诊医院利用培养法对结核病进行细菌学诊断检测时阳性结果的增加情况。基于在朱莉娅·库比施泰克医院获得的细菌学阳性结果进行了回顾性分析。使用痰液样本培养后，细菌学诊断数量增加了24.6%，使用支气管肺泡灌洗样本培养后增加了56.1%。对于胸腔积液，所有6份阳性培养物的涂片检查均为阴性。在59.6%的阳性培养物中分离出结核分枝杆菌。由于并非对所有临床样本都进行分枝杆菌培养，因此该程序是朱莉娅·库比施泰克医院一项重要的实验室常规操作，以便了解结核病的实际患病率。
