The regulations of additional diagnostic endobronchial procedures for the diagnosis of tuberculous lesions in bronchoscopy practice
M.L. SHTEINER1,2, A.V. ZHESTKOV2
1Samara State Medical University, 89 Chapaevskaya St., Samara, Russian Federation 443099
2Samara State Hospital №4, 125 Michurina St., Samara, Russian Federation 443056
Shteyner M.L. —D.Med.Sc., doctor-endoscopist of theSamara State Hospital №4, Assistant of the Course of Endoscopy of the Surgery Department of the Institute of Postgraduate Education, tel. +7-927-207-71-18, e-mail:ishte@mail.ru1,2
Zhestkov A.V. —D. Med. Sc., Professor, Head of the Department of General and Clinical Microbiology, Immunology and Allergy, tel. (846) 260-33-61, e-mail:zhestkovav@yandex.ru2
The article explains the minimum required volume of additional diagnostic endobronchial manipulations needed to identify pulmonary tuberculosis during bronchoscopy. Indications to identify mycobacterium tuberculosis in bronchoalveolar fluid and in biopsy material are separately provided. The baseline methods are offered: diagnostic bronchoalveolar lavage, excisional and brush biopsy accompanied by microscopy of biomaterial obtained by method of Ziehl – Nielsen.
Key words: pulmonary tuberculosis, bronchoscopy, bronchoalveolar fluid, diagnostic bronchoalveolar lavage, mycobacterium tuberculosis, biopsy.
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