Tuberculosis and Respiratory Diseases

  • 제67권6호
  • /
  • Pages.517-527
  • /
  • 2009
  • /
  • 1738-3536(pISSN)
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  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
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기관지확장증 환자의 객담 균주 분석: 울산지역의 일개 대학병원 보고

Bacteriologic Analysis of Expectorated Sputum in Patient with Bronchiectasis

  • 서광원 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 황세진 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 성시정 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 김세진 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 도기원 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 허성재 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 임경훈 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 홍순형 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 김동민 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 전재범 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 제갈양진 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 최승원 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 권운정 (울산대학교 의과대학 울산대학교병원 영상의학교실) ;
  • 정윤성 (울산대학교 의과대학 울산대학교병원 진단검사의학교실) ;
  • 안종준 (울산대학교 의과대학 울산대학교병원 내과학교실)
  • Seo, Kwang Won (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Hwang, Se Jin (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Sung, Shi Jung (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kim, Se Jin (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Do, Gi Won (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Hur, Seong Jae (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Lim, Kyung Hun (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Hong, Soon Hyung (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kim, Dong Min (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Jeon, Jae Bum (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Jegal, Yangjin (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Choi, Seung Won (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kwon, Woon Jung (Department of Diagnostic Radiology, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Jeong, Joseph (Department of Laboratory Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Ahn, Jong Joon (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine)
  • 투고 : 2009.09.07
  • 심사 : 2009.10.06
  • 발행 : 2009.12.30
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초록

Background: Bronchiectasis (BE) remains a rare respiratory disease in Korea. This retrospective study was done to investigate the potential pathogenic microorganisms (PPMs) that cause in patients with BE, through the use of sputum specimens. Methods: One hundred eleven adult patients, who had undergone chest computed tomography (CT), sputum gram stain/culture, and BE detected by chest CT, were included in this study. Sputum adequacy was determined by using Murray-Washington classification. Results: The mean (${\pm}$SD) age of patients was 60.9 (${\pm}$14.0). The number of PPMs was 167 (67%) in the total 248 isolated organisms. The most frequent PPMs were P. aeruginosa (23.4%), K. pneumoniae (10.5%), and S. aureus (8.4%). The proportion of adequate sputum (AS) was 25.8% in the total sputum specimens. The patients with AS were 41 (37%) and the patients with inadequate sputum (IS) were 70 (63%). The proportion of P. aeruginosa was higher in AS compared to that of IS (44% vs. 19%, p=0.004). The BE score was also higher in P. aeruginosa (+) patients compared to that of P. aeruginosa (-) patients (10.8 vs. 7.6, p=0.001). Conclusion: Although the proportion of AS in the total sputum was low, PPMs were isolated in most patients with BE. It is likely that P. aeruginosa was isolated in AS and AS patients had higher BE scores.

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피인용 문헌

  1. Consensus document on the diagnosis and treatment of chronic bronchial infection in chronic obstructive pulmonary disease vol.56, pp.10, 2009, https://doi.org/10.1016/j.arbr.2020.08.006