Cribado

Cribado
  • 文章类型: Case Reports
    背景:当怀疑结核病(TB)爆发时,没有筛查血液肿瘤患儿的指南。
    方法:在对患有活动性结核病的成年人进行阐述后,根据免疫抑制状态和暴露时间对血液肿瘤科暴露儿童进行筛查.直到最后一次暴露8-12周后进行评估,异烟肼适用于初始检查阴性的患者。
    结果:经过210次干预,我们发现了一例肺结核,另一个患有潜伏性结核感染。在某些患者中,肺部检查结果和治疗方法具有挑战性。
    结论:肿瘤患儿的结核病筛查需要多学科方法,和临床医生管理具有挑战性的情况。
    BACKGROUND: There are no guidelines to screen haemato-oncologic children when a tuberculosis (TB) outbreak is suspected.
    METHODS: After exposition to an adult with active TB, children exposed from a haemato-oncology unit were screened according to immunosuppression status and time of exposure. Until an evaluation after 8-12 weeks from last exposure, isoniazid was indicated to those with negative initial work-up.
    RESULTS: After 210 interventions, we detected a case of pulmonary TB, and another with latent TB infection. Pulmonary findings and treatment approach were challenging in some patients.
    CONCLUSIONS: The TB screening of oncologic children required a multidisciplinary approach, and clinicians managed challenging situations.
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  • 文章类型: Journal Article
    背景:当怀疑结核病(TB)爆发时,没有筛查血液肿瘤患儿的指南。
    方法:在对患有活动性结核病的成年人进行阐述后,根据免疫抑制状态和暴露时间对血液肿瘤科暴露儿童进行筛查.直到最后一次暴露8-12周后进行评估,异烟肼适用于初始检查阴性的患者。
    结果:经过210次干预,我们发现了一例肺结核,另一个患有潜伏性结核感染。在某些患者中,肺部检查结果和治疗方法具有挑战性。
    结论:肿瘤患儿的结核病筛查需要多学科方法,和临床医生管理具有挑战性的情况。
    BACKGROUND: There are no guidelines to screen haemato-oncologic children when a tuberculosis (TB) outbreak is suspected.
    METHODS: After exposition to an adult with active TB, children exposed from a haemato-oncology unit were screened according to immunosuppression status and time of exposure. Until an evaluation after 8-12 weeks from last exposure, isoniazid was indicated to those with negative initial work-up.
    RESULTS: After 210 interventions, we detected a case of pulmonary TB, and another with latent TB infection. Pulmonary findings and treatment approach were challenging in some patients.
    CONCLUSIONS: The TB screening of oncologic children required a multidisciplinary approach, and clinicians managed challenging situations.
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  • 文章类型: Case Reports
    结肠直肠癌是西班牙癌症死亡的第二大原因。筛查计划的主要目标是早期发现,甚至预防发展,结肠癌,以及由此导致的死亡率。如果抓得早,它很容易治疗,治愈的机会很高。2009年,西班牙只有六个地区,其中包括加那利群岛自治社区,开始了这个筛选程序。我们报告了一个病人的病例,在筛查结直肠癌后,被诊断为直肠乙状结肠腺癌.
    Colorectal cancer is the second leading cause of cancer death in Spain. The main objective of screening programs is the early detection, or even prevention of the development, of colon cancer, as well as the mortality that results from it. If caught early, it is easy to treat and the chances of cure are high. In 2009 only six regions in Spain, among which included the Autonomous Community of the Canary Islands, started this screening program. We report the case of a patient, who after screening for colorectal cancer, was diagnosed with adenocarcinoma of the rectosigmoid.
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