Chouaid C, Housset B
Service de Pneumologie, Hôpital Intercommunal de Créteil, France.
Rev Mal Respir. 1996 Jul;13(3):265-72.
P. carinii pneumonia is one of the most frequent opportunistic infections in HIV-infected patients. Clinical and radiological manifestations are non-specific and reference diagnostic procedure remains broncho-alveolar lavage which is costly and invasive. Alternative diagnostic strategies have been proposed. We report here our experience as well as literature date in this field with the purpose to show the usefulness of decision analysis techniques in choosing an optimal cost-effective strategy.
卡氏肺孢子虫肺炎是HIV感染患者中最常见的机会性感染之一。其临床和影像学表现不具有特异性,参考诊断方法仍然是支气管肺泡灌洗,该方法成本高且具有侵入性。已提出了替代诊断策略。我们在此报告我们在该领域的经验以及文献数据,目的是展示决策分析技术在选择最佳成本效益策略中的有用性。