Role Of Fiber Optic Bronchoscopy (FOB) In The Diagnostic Evaluation Of Non-Resolving Pneumonia

Role Of FOB In Non-Resolving Pneumonia

Abstract

Background: This study aims to evaluate the etiology in cases of non-resolving pneumonia using FOB Non-resolving pneumonia is a challenging clinical condition that requires more investigation. It accounts for 15% of inpatient pulmonary consultations. A delay in diagnosis and treatment may lead to a rise in mortality by 3% to 5%. Material And Methods: A cross-sectional study was done over a period of 22 months. A total of 50 cases of non-resolving pneumonia were included. A complete history was taken and a clinical examination was done. All were subjected to CECT chest and investigations which were required for diagnosis. FOB and guided procedures were done for all patients and samples were sent to the laboratory. Result: In this study, bacterial pneumonia (32%) was found to be the commonest etiology of non-resolving pneumonia, followed by Tuberculosis (22%), malignancy (16%) and fungal pneumonia (6%).In 24% of patients, the results were inconclusive. Conclusion: Non-resolving pneumonia is often an area of clinical dilemma. FOB is an extremely useful investigation. [Patel L Natl J Integr Res Med, 2023; 14(1): 32-36, Published on Dated: 20/01/2023]