Ventilator associated pneumonia (VAP) is a common complication of ventilatory support for patients with acute respiratory failure, currently related to high mortality rate. Therefore, this complication of mechanical ventilation requires a prompt diagnosis and adequate antibiotic treatment. The study aimed to investigate the role of endotracheal aspirate (ETA) surveillance cultures in identifying the aetiology of VAP earlier. The study was ... Read more

Objectives. To highlight the possible complications of medical thoracoscopy (MT) and how to avoid them. Methods. A retrospective and prospective analysis of 127 patients undergoing MT in Nagoya Medical Center (NMC) and Toyota Kosei Hospital. Te data about complications was obtained from the patients, notes on the computer system, and radiographs. Results. Te median age was 71.0 (range, 33.0–92.0) years ... Read more

BACKGROUND: Exposure to flour dust is associated with development of respiratory symptoms and varying degree of reduction in lung function. These depend on work environment and duration of exposure. OBJECTIVE: The aim of the study was to assess the effect of Exposure to flour dust on respiratory symptoms and lung function of flour mill workers in Sohag Gavernorate and to ... Read more

BACKGROUND: Apart from right ventricular (RV) dysfunction, patients with idiopathic pulmonary fibrosis (IPF) also exhibit left ventricular (LV) impairment, which may affect disease progression and prognosis. The aim of this study was to evaluate LV performance in IPF patients using color Doppler echocardiography (ECHO). METHODS: Fifty patients with IPF (mean age 57.8±6.3yrs) and 50 matched control subjects (57.1±5.9 yrs) were ... Read more

_BACKGROUND:_Although the main pathological changes have been defined in the pulmonary vascular bed in Chronic Obstructive Pulmonary Disease (COPD), we postulated that the retrobulbar hemodynamics might also be changed in those patients. _AIM OF THE WORK_:_AIM OF THE WORK_: to evaluate the retrobulbar arterial blood flow changes in COPD patients by color Doppler ultrasonography._Methods:_ Fifteen stage I COPD, 16 stage ... Read more

PURPOSE: To identify the causative bacteria, antibiotic sensitivity and antibiotic resistance in patients with ventilator associated pneumonia (VAP) in Upper Egypt METHODS: A multicentre prospective study was performed in Assiut, El-Minia and Sohag universities. Sampling was done for all patients including, sputum and /or tracheal aspirate for gram stain and culture, and serum sample for serology. The validated sputum as ... Read more

Thoracoscopy offers great advantages when compared with open surgery in terms of postoperative pain and pulmonary complications. Thoracoscopy is safe and feasible with minimal morbidity. The purpose of this study is to evaluate the indications, surgical procedures, complications, and failure rates of VATS in the diagnosis and treatment of intrathoracic diseases. MATERIAL AND METHOD: One hundred seventy consecutive patients, 112 ... Read more

Purpose : To evaluate the accuracy of fluorescence bronchoscopy by precise histological analysis of the photodynamic therapy (PDT) treated lesions. Methods : A retrospective study was conducted on thirteen patients (16 lesions) with centrally located early lung cancer (CLELC) had been undergone photodynamic therapy and had been followed up by fluorescence bronchoscopy. Fluorescence bronchoscopy was performed between 1 and 60 ... Read more

BACKGROUND: Drug-resistant mycobacterium tuberculosis isolates are a major public health concern worldwide. Multidrug resistant tuberculosis (MDR-TB) is a threat to tuberculosis control programmes. OBJECTIVES: This study was conducted to evaluate the drug resistance patterns of mycobacterium tuberculosis and To assess risk factors for drug-resistant TB (including multidrug-resistance (MDR-TB). METHODS: The drug resistance patterns of 80 mycobacterium tuberculosis isolates from pulmonary ... Read more

BACKGROUND: Detection of latent tuberculosis infection is a cost-effective procedure in patients at high risk of developing tuberculosis later and who could benefit from preventive treatment. OBJECTIVE: To investigate the risk of latent TB infection (LTBI) among household contacts of newly diagnosed patients with pulmonary tuberculosis in our locality. POPULATION AND METHODS: 256 household contact to 73 consecutive patients with ... Read more