Gastric lavage in the diagnosis of pulmonary tuberculosis in children: a systematic review
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2010 |
| Outros Autores: | , , , |
| Tipo de documento: | Artigo |
| Idioma: | por eng |
| Título da fonte: | Revista de Saúde Pública |
| Texto Completo: | https://www.revistas.usp.br/rsp/article/view/32825 |
Resumo: | OBJECTIVE: To analyze standardization of gastric lavage protocols in the diagnosis of pulmonary tuberculosis in children. METHODS: A systematic review was conducted for the period between 1968 and 2008 in the following databases: LILACS, SCIELO and MEDLINE. The search strategy included the following terms: "gastric lavage and tuberculosis" or "gastric washing and tuberculosis" with the restriction of "children aged up to 15 years;" "gastric lavage and tuberculosis and childhood" or "gastric washing and tuberculosis and childhood." There were retrieved 80 articles and their analysis was based on information on the gastric lavage protocol for the diagnosis of pulmonary tuberculosis in children: preparation of children and fasting; time of gastric aspiration; aspiration of gastric residues; total volume of aspirate; solution used for aspiration of gastric contents; decontaminant solution; buffer solution; and time for forwarding samples to the laboratory. After a thorough analysis, 14 articles were selected. RESULTS: No article detailed the whole procedure. Some articles had missing information on: amount of gastric aspirate; aspiration before or after solution injection; solution used for gastric aspiration; buffer solution used; and waiting time between specimen collection and laboratory processing. These results showed inconsistencies of gastric lavage protocols. CONCLUSIONS: Although gastric lavage is a secondary diagnostic approach used only in special cases that did not reach the diagnostic scoring as recommended by the Brazilian Ministry of Health, there is a need to standardize gastric lavage protocols for the diagnosis of pulmonary tuberculosis in children. |
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Gastric lavage in the diagnosis of pulmonary tuberculosis in children: a systematic review Colecta de lavado gástrico para diagnóstico de tuberculosis pulmonar infantil: revisión sistemática Coleta de lavado gástrico para diagnóstico de tuberculose pulmonar infantil: revisão sistemática Lavagem Gástrica^i1^smétoTuberculose^i1^sdiagnóstTécnicas de Diagnóstico do Sistema RespiratórioRevisão sistemáticaLavado Gástrico^i3^smétoTuberculosis^i3^sdiagnóstTécnicas de Diagnóstico del Sistema RespiratorioRevisión sistematicaGastric Lavage^i2^smethTuberculosis^i2^sdiagnoDiagnostic TechniquesRespiratory SystemSystematic review OBJECTIVE: To analyze standardization of gastric lavage protocols in the diagnosis of pulmonary tuberculosis in children. METHODS: A systematic review was conducted for the period between 1968 and 2008 in the following databases: LILACS, SCIELO and MEDLINE. The search strategy included the following terms: "gastric lavage and tuberculosis" or "gastric washing and tuberculosis" with the restriction of "children aged up to 15 years;" "gastric lavage and tuberculosis and childhood" or "gastric washing and tuberculosis and childhood." There were retrieved 80 articles and their analysis was based on information on the gastric lavage protocol for the diagnosis of pulmonary tuberculosis in children: preparation of children and fasting; time of gastric aspiration; aspiration of gastric residues; total volume of aspirate; solution used for aspiration of gastric contents; decontaminant solution; buffer solution; and time for forwarding samples to the laboratory. After a thorough analysis, 14 articles were selected. RESULTS: No article detailed the whole procedure. Some articles had missing information on: amount of gastric aspirate; aspiration before or after solution injection; solution used for gastric aspiration; buffer solution used; and waiting time between specimen collection and laboratory processing. These results showed inconsistencies of gastric lavage protocols. CONCLUSIONS: Although gastric lavage is a secondary diagnostic approach used only in special cases that did not reach the diagnostic scoring as recommended by the Brazilian Ministry of Health, there is a need to standardize gastric lavage protocols for the diagnosis of pulmonary tuberculosis in children. OBJETIVO: Analizar la estandarización de la colecta del lavado gástrico para diagnóstico de tuberculosis en niños. MÉTODOS: Estudio de revisión sistemático referente a los años de 1968 a 2008. El levantamiento de artículos científicos fue hecho en las bases de datos Lilacs, SciELO y Medline, utilizándose la estrategia de búsqueda ("gastric lavage and tuberculosis" o "gastric washing and tuberculosis", con el límite "niños con edad hasta 15 años"; y "gastric lavage and tuberculosis and childhood" o "gastric washing and tuberculosis and childhood"). El análisis de los 80 artículos recuperados se basó en las informaciones sobre el protocolo de colecta de lavado gástrico para diagnóstico de la tuberculosis en niños: preparo del niño y horas de ayuno, horario de la colecta, aspiración del residuo gástrico, volumen total aspirado, solución usada para aspiración del contenido gástrico, solución descontaminante, solución tampón, y tiempo de envío de las muestras al laboratorio Posterior al análisis con los criterios, de estos, fueron seleccionados 14 artículos. RESULTADOS: Ningún artículo explicaba detalladamente todo el procedimiento. En algunos artículos no constaban: cantidad de aspirado gástrico, aspiración antes o después de insuflar una solución, solución usada en la aspiración gástrica, solución tampón utilizada, tiempo de espera entre colecta y procesamiento del material. Estos resultados muestran inconsistencias entre los protocolos de colecta de lavado gástrico. CONCLUSIONES: A pesar de que este sea un método secundario en Brasil, reservado a casos que no alcanzaron puntuación diagnóstica por el sistema recomendado por el Ministerio de la Salud, es necesario estandarizar la colecta de lavado gástrico para diagnóstico de tuberculosis pulmonar en la infancia. OBJETIVO: Analisar a padronização da coleta do lavado gástrico para diagnóstico de tuberculose em crianças. MÉTODOS: Estudo de revisão sistemática referente aos anos de 1968 a 2008. O levantamento de artigos científicos foi feito nas bases de dados Lilacs, SciELO e Medline, utilizando-se a estratégia de busca ("gastric lavage and tuberculosis" ou "gastric washing and tuberculosis", com o limite "crianças com idade até 15 anos"; e "gastric lavage and tuberculosis and childhood" ou "gastric washing and tuberculosis and childhood"). A análise dos 80 artigos recuperados baseou-se nas informações sobre o protocolo de coleta de lavado gástrico para diagnóstico da tuberculose em crianças: preparo da criança e horas de jejum, horário da coleta, aspiração do resíduo gástrico, volume total aspirado, solução usada para aspiração do conteúdo gástrico, solução descontaminante, solução tampão, e tempo de encaminhamento das amostras para o laboratório. Desses, foram selecionados 14 artigos após análise criteriosa. RESULTADOS: Nenhum artigo explicava detalhadamente todo o procedimento. Em alguns artigos não constavam: quantidade de aspirado gástrico, aspiração antes ou após a instilação de uma solução, solução usada na aspiração gástrica, solução tampão utilizada, tempo de espera entre coleta e processamento do material. Esses resultados mostram inconsistências entre os protocolos de coleta de lavado gástrico. CONCLUSÕES: Embora este seja um método secundário no Brasil, reservado a casos que não alcançaram pontuação diagnóstica pelo sistema preconizado pelo Ministério da Saúde, é necessário padronizar a coleta de lavado gástrico para diagnóstico de tuberculose pulmonar na infância. Universidade de São Paulo. Faculdade de Saúde Pública2010-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3282510.1590/S0034-89102010005000019Revista de Saúde Pública; Vol. 44 No. 4 (2010); 735-742 Revista de Saúde Pública; Vol. 44 Núm. 4 (2010); 735-742 Revista de Saúde Pública; v. 44 n. 4 (2010); 735-742 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32825/35354https://www.revistas.usp.br/rsp/article/view/32825/35355Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessMaciel, Ethel Leonor NoiaBrotto, Léia Damasceno de AguiarSales, Carolina Maia MartinsZandonade, ElianaSant'Anna, Clemax Couto2012-07-10T02:25:02Zoai:revistas.usp.br:article/32825Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-10T02:25:02Revista de Saúde Pública - Universidade de São Paulo (USP)false |
| dc.title.none.fl_str_mv |
Gastric lavage in the diagnosis of pulmonary tuberculosis in children: a systematic review Colecta de lavado gástrico para diagnóstico de tuberculosis pulmonar infantil: revisión sistemática Coleta de lavado gástrico para diagnóstico de tuberculose pulmonar infantil: revisão sistemática |
| title |
Gastric lavage in the diagnosis of pulmonary tuberculosis in children: a systematic review |
| spellingShingle |
Gastric lavage in the diagnosis of pulmonary tuberculosis in children: a systematic review Maciel, Ethel Leonor Noia Lavagem Gástrica^i1^sméto Tuberculose^i1^sdiagnóst Técnicas de Diagnóstico do Sistema Respiratório Revisão sistemática Lavado Gástrico^i3^sméto Tuberculosis^i3^sdiagnóst Técnicas de Diagnóstico del Sistema Respiratorio Revisión sistematica Gastric Lavage^i2^smeth Tuberculosis^i2^sdiagno Diagnostic Techniques Respiratory System Systematic review |
| title_short |
Gastric lavage in the diagnosis of pulmonary tuberculosis in children: a systematic review |
| title_full |
Gastric lavage in the diagnosis of pulmonary tuberculosis in children: a systematic review |
| title_fullStr |
Gastric lavage in the diagnosis of pulmonary tuberculosis in children: a systematic review |
| title_full_unstemmed |
Gastric lavage in the diagnosis of pulmonary tuberculosis in children: a systematic review |
| title_sort |
Gastric lavage in the diagnosis of pulmonary tuberculosis in children: a systematic review |
| author |
Maciel, Ethel Leonor Noia |
| author_facet |
Maciel, Ethel Leonor Noia Brotto, Léia Damasceno de Aguiar Sales, Carolina Maia Martins Zandonade, Eliana Sant'Anna, Clemax Couto |
| author_role |
author |
| author2 |
Brotto, Léia Damasceno de Aguiar Sales, Carolina Maia Martins Zandonade, Eliana Sant'Anna, Clemax Couto |
| author2_role |
author author author author |
| dc.contributor.author.fl_str_mv |
Maciel, Ethel Leonor Noia Brotto, Léia Damasceno de Aguiar Sales, Carolina Maia Martins Zandonade, Eliana Sant'Anna, Clemax Couto |
| dc.subject.por.fl_str_mv |
Lavagem Gástrica^i1^sméto Tuberculose^i1^sdiagnóst Técnicas de Diagnóstico do Sistema Respiratório Revisão sistemática Lavado Gástrico^i3^sméto Tuberculosis^i3^sdiagnóst Técnicas de Diagnóstico del Sistema Respiratorio Revisión sistematica Gastric Lavage^i2^smeth Tuberculosis^i2^sdiagno Diagnostic Techniques Respiratory System Systematic review |
| topic |
Lavagem Gástrica^i1^sméto Tuberculose^i1^sdiagnóst Técnicas de Diagnóstico do Sistema Respiratório Revisão sistemática Lavado Gástrico^i3^sméto Tuberculosis^i3^sdiagnóst Técnicas de Diagnóstico del Sistema Respiratorio Revisión sistematica Gastric Lavage^i2^smeth Tuberculosis^i2^sdiagno Diagnostic Techniques Respiratory System Systematic review |
| description |
OBJECTIVE: To analyze standardization of gastric lavage protocols in the diagnosis of pulmonary tuberculosis in children. METHODS: A systematic review was conducted for the period between 1968 and 2008 in the following databases: LILACS, SCIELO and MEDLINE. The search strategy included the following terms: "gastric lavage and tuberculosis" or "gastric washing and tuberculosis" with the restriction of "children aged up to 15 years;" "gastric lavage and tuberculosis and childhood" or "gastric washing and tuberculosis and childhood." There were retrieved 80 articles and their analysis was based on information on the gastric lavage protocol for the diagnosis of pulmonary tuberculosis in children: preparation of children and fasting; time of gastric aspiration; aspiration of gastric residues; total volume of aspirate; solution used for aspiration of gastric contents; decontaminant solution; buffer solution; and time for forwarding samples to the laboratory. After a thorough analysis, 14 articles were selected. RESULTS: No article detailed the whole procedure. Some articles had missing information on: amount of gastric aspirate; aspiration before or after solution injection; solution used for gastric aspiration; buffer solution used; and waiting time between specimen collection and laboratory processing. These results showed inconsistencies of gastric lavage protocols. CONCLUSIONS: Although gastric lavage is a secondary diagnostic approach used only in special cases that did not reach the diagnostic scoring as recommended by the Brazilian Ministry of Health, there is a need to standardize gastric lavage protocols for the diagnosis of pulmonary tuberculosis in children. |
| publishDate |
2010 |
| dc.date.none.fl_str_mv |
2010-08-01 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32825 10.1590/S0034-89102010005000019 |
| url |
https://www.revistas.usp.br/rsp/article/view/32825 |
| identifier_str_mv |
10.1590/S0034-89102010005000019 |
| dc.language.iso.fl_str_mv |
por eng |
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por eng |
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https://www.revistas.usp.br/rsp/article/view/32825/35354 https://www.revistas.usp.br/rsp/article/view/32825/35355 |
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Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
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Copyright (c) 2017 Revista de Saúde Pública |
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openAccess |
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application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
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Universidade de São Paulo. Faculdade de Saúde Pública |
| dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 44 No. 4 (2010); 735-742 Revista de Saúde Pública; Vol. 44 Núm. 4 (2010); 735-742 Revista de Saúde Pública; v. 44 n. 4 (2010); 735-742 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
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Universidade de São Paulo (USP) |
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USP |
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USP |
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Revista de Saúde Pública |
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Revista de Saúde Pública |
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Revista de Saúde Pública - Universidade de São Paulo (USP) |
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revsp@org.usp.br||revsp1@usp.br |
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1787713231170568192 |