Surgical treatment of multiresistant lung tuberculosis.
Keywords:
surgery, multi-drug resistant, pulmonary tuberculosis
Abstract
Drug resistance has become a major problem in the treatment of tuberculosis. Pulmonary resection in combination with chemotherapy appears to be an effective measure for the treatment of multi-drug resistant pulmonary tuberculosis. A retrospective review was performed of the medical and laboratory findings of 28 patients with multi-drug resistant tuberculosis who underwent pulmonary resection for pulmonary tuberculosis between January 1990 and December 2000 at La Maria Hospital, Medellín. Twenty-one of them had medical therapy before surgery; 14 patients underwent upper lobectomy and 10 patients pneumonectomy). The AFB negative sputum conversion rate was 88.9% (25/27) after surgery, during an average of 6 weeks. Bacteriological relapses were confirmed in 6 of 27, 4 of these 6 had AFB negative sputum. Twenty-eight patients had medical therapy after surgery. For selected patients, pulmonary resection in combination with chemotherapy should be considered an effective measure for treatment of multi-drug resistant pulmonary tuberculosis.Downloads
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How to Cite
1.
Tobón A, Paniagua L, Henao M, Arcila V, Maya J, Bedoya F, et al. Surgical treatment of multiresistant lung tuberculosis. Biomed. [Internet]. 2004 Jun. 1 [cited 2025 Apr. 4];24(Sup1):65-72. Available from: https://revistabiomedicaorg.biteca.online/index.php/biomedica/article/view/1304
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Published
2004-06-01
Section
Original articles
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