痰液质量对不同类型鸟分枝杆菌复合群肺病诊断及开始治疗的影响

Effect of sputum quality on Mycobacterium avium-intracellulare complex lung disease diagnosis and treatment initiation according to disease type.

作者信息

Yoshida Shiomi, Tsuyuguchi Kazunari, Kobayashi Takehiko, Shimatani Yasuaki, Inoue Yoshikazu

机构信息

Clinical Research Center, National Hospital Organization Kinki-chuo Chest Medical Center, Sakai, Osaka, Japan.

出版信息

Diagn Microbiol Infect Dis. 2022 Nov;104(3):115773. doi: 10.1016/j.diagmicrobio.2022.115773. Epub 2022 Jul 22.

DOI:10.1016/j.diagmicrobio.2022.115773

PMID:35985099

Abstract

We evaluated sputum quality to establish a diagnostic and treatment strategy for Mycobacterium avium-intracellulare complex lung disease (MAC-LD). Of all 905 MAC-LD patients, 564 (62.3%) had nonpurulent sputum. Furthermore, 88 treated patients were associated with purulent sputum. Therefore, sputum quality may be useful for diagnosing MAC-LD and deciding treatment initiation.

摘要

我们评估了痰液质量，以制定鸟分枝杆菌-胞内分枝杆菌复合群肺病（MAC-LD）的诊断和治疗策略。在905例MAC-LD患者中，564例（62.3%）痰液为非脓性。此外，88例接受治疗的患者痰液为脓性。因此，痰液质量可能有助于MAC-LD的诊断及决定是否开始治疗。