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conferenceseries
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Volume 5, Issue 6(Suppl)
J Infect Dis Ther, an open access journal
ISSN: 2332-0877
Euro Infectious Diseases 2017
September 07-09, 2017
September 07-09, 2017 | Paris, France
Infectious Diseases
6
th
Euro-Global Conference on
Success in obtaining sputum samples in TB suspect patients with no sputum
B Hawramy, L Carmichael
and
Z Hall Bradford Royal Infirmary
Bradford Teaching Hospital Foundation Trust- Bradford(united kingdom)
Introduction:
Alternative method of obtaining sputum specimens e.g. bronchoscopy is frequently needed in patients with
suspected TB who report no sputum. In our TB service in Bradford Royal Infirmary, UK, we provided 3 sputum pots to this
group of patients to encourage them to produce sputum before proceeding to Bronchoscopy.
Aim:
To evaluate the success in obtaining sputum sample in this group of patients before proceeding to an invasive approach
in diagnosing pulmonary TB (PTB).
Method:
A retrospective case review was carried out on patients with confirmed PTB on our TB registry from January 2016 to
December 2016. Medical records, radiology reports, sputum and bronchoscopy results were reviewed electronically.
Result:
44 patients were diagnosed with PTB during this period. Of those, 10 (22.7%) patients reported dry cough or no cough,
among these 9 (90%) patients (median age 48 {23-73}, all male, 7 South Asian and 2 Eastern European) were able to produce
sputum when offered 3 sputum pots. Sputum smear and culture were positive for AAFB in 7 and all 9 patients respectively.
Only 2 of patients underwent bronchoscopy; one for clinical urgency and the other one for smear negative (later culture
positive). In 7 patients diagnosis was made without bronchoscopy.
Conclusion:
we avoided bronchoscopy in 7 patients who reported no sputum by offering them sputum pots .This study
highlights the importance of attempting to obtain sputum samples in suspected PTB patients who report no sputum before
proceeding to invasive sampling. Further studies are needed to determine why some patients are not declaring sputum
production in spite of its presence.
Bana@doctors.org.ukJ Infect Dis Ther 2017, 5:6(Suppl)
DOI: 10.4172/2332-0877-C1-033