Is anyone knows frequency of pneumonia or bronchitis after VFS ? At which time occurs, immediately or 48h later ?
I have very rare infections after VFS,and it dependson the healthy status of the patient or what kind of procedure with diagnostics I make. If I take a lot of specimens for microbiology like BAL or aspiration that there is more often post-bronchoscopy fever. I do not give every one antibiotics, just wait or take CRP and apon that I give it. It comes 1 on 50 patients. Fever itself comes in a few hours, later after 48 h it means that it is bronchitis or pneumonia.
A AHRQ (Agency of healthcare Research and Quality) mostrou que náo há nenhuma evidência sobre a morbi-mortalidade causada pela aspiração de compostos de bário durante o estudo(. AHRQ (Agency of healthcare Research and Quality) Diagnosis and tretament of swallowing disorders (Dysphagia) in acute-cares stroke patients. Evidence report/tecnology assessment 1999.No entanto, Gray, Sivagolanathan e Simpkins revelou duas mortes associadas a broncoaspiraçoa em idoso ,
several conditions must be taken into account when analyzing this data, among them I quote the conditions of the lung parenchyma, the patient's immunity and characteristics as a clearence capacity of aspirated material, cough reflex, etc.
so the answer is not simple and the characteristics of the studied population should be homogenized when trying to assess lung damage
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