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INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH

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IJPR included in UGC-Approved List of Journals - Ref. No. is SL. No. 4812 & J. No. 63703

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IJPR 9[3] July - September 2017 Special Issue

July - September 9[3] 2017

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Medical alertness in the treatment of patients with pulmonary tuberculosis without bacteriological and histological confirmation of the diagnosis

Author: N.A. SAMORODOV, ZH.KH. SABANCHIEVA, L.B. TLAPSHOKOVA, M.ZH. CHOCHAEVA, KH.A. SABANCHIEVA, M.H. TLAKADUGOVA, A.M. SHOMAKHOVA, S.KH. SIZHAZHEVA
Abstract: Execution responcible biopsy of the lung first diagnosed tuberculosis with negative results of bacteriological and histological examination (ICD-10, A16.0) made it possible to get a usable studies (biological and morphological) material in 100% of cases. In 63,0% of cases, the application of this technique made it possible to verify the diagnosis, including: bacteriologically – in 42,3%, histologically – in 37,8%, bacteriologically and histologically – in 17,1% of cases. At the same time, confirmation of the diagnosis of tuberculosis was obtained in 41.9% of cases, including: only bacteriologically – in 35.4%, only histologically – in 0.4%, bacteriologically and histologically – in 6.1% of cases. Nontubercular pathology (erroneous diagnosis) was detected in 23.6% of cases (58 patients), more than half of them (33 patients) – malignant tumors of the lung, which emphasizes the importance of responcible biopsy of the lung in this category of patients as early as possible after diagnosis. These data confirm the need and the possibility of using responcible biopsy of the lung in the algorithm of examination of this category of patients to verify the diagnosis and identify patients with non-tuberculous pathology of the lungs.
Keyword: first-diagnosed TB patients; responcibly lung biopsy.
DOI: https://doi.org/10.31838/ijpr/2019.11.03.099
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