ABSTRACT
Background: The bronchoalveolar lavage [BAL] cellular analysis is an invasive method of exploration of the lung. Its diagnostic value in interstitial lung disease [ILD] is integrated to a multi-disciplianry approach implicating clinicians, radiologists and pathologists
Aim: We targeted to evaluate the diagnostic value of the BAL
Methods: We reported a retrospective study about patients hospitalized for an ILD since the 1st January 2011 to the 31th December 2013. Thirty three patients were admitted in the Department of Pulmonology and the BAL analyses were studied in the Department of Pathology of the same hospital. The different cell patterns were compared to the final diagnostics
Results: our study contained 4 non specific interstitial pneumonia [NSIP], 10 usual interstitial pneumoniae [UIP], 4 organizing pneumoniae [COP], 8 sarcoidosis, 2 hypersensitivity pneumonitis, 3 infectious pneumonitis, 1 lymphoma and a pulmonary adenocarcinoma. We considered positive results those that were compatible with the final diagnosis. The profile lavage was typical in 1 NSIP, 3 UIP, 3 COP, 1 hypersensitivity pneumonitis, 6 sarcoidosis, 3 infectious pneumonitis and 1 adenocarcinoma. Among the 17 cases with an atypical profile lavage, radiological features were diagnostic in 10 cases. This finding highlights the fact that 7 cases/ 33 presented simultaneously an atypical profile lavage and non specific radiological findings
Conclusion: Our results put emphasis on the diagnostic value of BAL especially when it is integrated to a multi-disciplinary approach. Its value in the follow up, the evaluation of the activity of the disease and the prognosis is being more and more reported
ABSTRACT
Smoking is one of the most serious threats to public health worldwide. Health srtuctures are the cornerstone of each program against smoking, or some studies have shown a prevalence of smoking as high in hospitals than in the general population. To assess the prevalence of smoking, smoking behavior and attitudes of health professionals towards smoking within the A Mami Ariana Hospital This is a cross-sectional survey conducted among 700 health professionals [doctors, nurses, workers, technicians and administrative staff] in the first quarter of 2010, based on a detailed questionnaire containing 15 closed-end items. The average age was 37 years and the sex ratio 0,5. Response rate to questionnaire was 81,4% and overall smoking prevalence 24,8%, five times higher in men [52,5% vs 9,8% p< 0,001]. Smoking was greater among workers, night health professionals employees and employees of technical services, administration and intensive care services and only 13% among doctors. 50% of the surveyed have already tried at least once to quit, twice as many women than men. Former smokers accounted for 5,5% of all health professionals. Although our hospital has been declared non-smoking area since 2009, 75% of professionals continue to smoke at the scene of their work. Strengthening of existing measures against smoking as smoking bans in the hospital, and improving training of health professionals on the dangers of smoking and ways of weaning are needed now
ABSTRACT
Tobacco smoking is frequent in the world affecting 20 a 50% of the population but with a decrease in occidental countries due to a huge effort based on sensiblisation and anti-tobacco decisions. To review the impact of tobacco on bronchopulmonary affections. A narrative review of literature. In the next future, yearly tobacco-related deaths could increase from 4.2 millions in 2000 to 10 millions in 2025-2030 making smoking as the main evitable cause of deaths by respiratory diseases. Lung cancer is the leading killer cancer. Tobacco is the most frequent cause of respiratory diseases. It is responsible of 80 to 90% of deaths by chronic obstructive pneumobronchopathiy [COPD] and 80 to 85% deaths by bronchopulmonary cancer. Tobacco is a " chronic disease " necessitating management with advices and medical treatment