کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4143160 | 1272398 | 2010 | 23 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Conferencia de Consenso sobre Bronquiolitis Aguda (III): diagnóstico en la bronquiolitis aguda. Revisión de la evidencia cientÃfica
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کلمات کلیدی
Virus respiratorio sincitialPulsioximetríaradiografía de tórax - اشعه ایکس قفسه سینهOximetry - اکسیمتریRevisión sistemática - بررسی سیستماتیکChest radiography - رادیوگرافی قفسه سینهinfección bacteriana - عفونت باکتریاییBacterial infections - عفونت های باکتریاییSystematic review - مرور سیستماتیکRespiratory syncytial virus - ویروس سنسیتیال تنفسی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
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چکیده انگلیسی
A review of the evidence on the most commonly used diagnostic procedures in acute bronchiolitis is presented. Rapid diagnostic tests for respiratory syncytial virus infection are acceptably valid. These tests show a moderate to high sensitivity and a high specificity in relation to other reference tests. The tests most commonly used, due to their low complexity and rapid performance (enzyme immunoassay, immunochromatography and optical immunoassay techniques), have lower sensitivity than immunofluorescence. With these, a positive result is valid, but a negative result does not exclude the presence of infection with sufficient certainty. Respiratory specimens obtained by nasopharyngeal aspirate are the most valid for the identification of respiratory syncytial virus. The usefulness of chest radiography in the management of bronchiolitis has not been demonstrated. There is an unfavourable risk-benefit ratio due to the ionizing radiation exposure. There are no specific signs or symptoms to identify patients who will benefit from performing a chest radiograph. The measurement of oxygen saturation is useful in the initial assessment or in the monitoring of clinical changes of patients. Patients with AB have a very low risk of concurrent bacterial infection (particularly urinary tract infection), so the routine use of screening tests for bacterial infection is not useful. There are no clinical criteria with sufficient predictive capacity to select cases that would benefit from such tests.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Anales de PediatrÃa - Volume 72, Issue 4, April 2010, Pages 284.e1-284.e23
Journal: Anales de PediatrÃa - Volume 72, Issue 4, April 2010, Pages 284.e1-284.e23
نویسندگان
C. Ochoa Sangrador, J. González de Dios, Grupo de Revisión del Proyecto aBREVIADo (BRonquiolitis-Estudio de Variabilidad, Idoneidad y Adecuación) Grupo de Revisión del Proyecto aBREVIADo (BRonquiolitis-Estudio de Variabilidad,