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Egyptian Journal of Chest Disease and Tuberculosis
Article . 2021 . Peer-reviewed
Data sources: Crossref
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Screening for pulmonary mycosis

sputum versus bronchoalveolar lavage
Authors: Rajesh Gupta; Puneet Singla; Nidhi Goel; Anupama Gupta; Pardeep Singh; Raghav Gupta;

Screening for pulmonary mycosis

Abstract

Introduction Prevalence of pulmonary mycosis is increasing because of increase in the number of susceptible people, increasing awareness toward these infections, and improved methods of laboratory diagnosis. Inflammation of airway and microbiology of various respiratory infections can be studied using sputum and bronchoalveolar lavage (BAL). The advantage of sputum examination is that it is a noninvasive procedure as compared with BAL. Objective To explore the pulmonary mycosis and compare the yield of induced sputum and BAL for detecting pulmonary mycosis. Patients and methods The present study was conducted on 98 patients of all age groups and sex who underwent bronchoscopy in the Department of Respiratory Medicine, in association with the Department of Microbiology. Sputum/induced sputum and BAL were collected in sterile vials and sent to the microbiology for examination for fungal species. In microbiology, sputum/BAL samples were subjected to direct microscopy and cultured on Sabouraud dextrose agar. Culture was observed daily until 21 days for any fungal growth. Discussion Of 98 patients, 60 were detected with fungal infection via sputum, whereas 64 of 98 patients were detected positive for fungal infection via BAL. Yield of sputum compared with the BAL for diagnosis of fungal infection showed sensitivity of 85.93%, specificity of 85.29%, positive predictive value of 91.66%, negative predictive value of 76.31%, and accuracy of 85.71%. Conclusion Results were slightly better with BAL, but the difference was not much significant.

Keywords

Diseases of the respiratory system, RC705-779, bronchoalveolar lavage, sputum, pulmonary mycosis

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
gold