Incidence of Fever Following Endobronchial Ultrasound–Guided Transbronchial Needle Aspiration / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 45-51, 2017.
Article
in English
| WPRIM
| ID: wpr-124434
ABSTRACT
BACKGROUND:
Endobronchial ultrasound–guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive diagnostic method for mediastinal and hilar lymphadenopathy. This study aimed to investigate the incidence of fever following EBUS-TBNA.METHODS:
A total of 684 patients who underwent EBUS-TBNA from May 2010 to July 2012 at Seoul National University Hospital were retrospectively reviewed. The patients were evaluated for fever by a physician every 6–8 hours during the first 24 hours following EBUS-TBNA. Fever was defined as an increase in axillary body temperature over 37.8℃.RESULTS:
Fever after EBUS-TBNA developed in 110 of 552 patients (20%). The median onset time and duration of fever was 7 hours (range, 0.5–32 hours) after EBUS-TBNA and 7 hours (range, 1–52 hours), respectively, and the median peak body temperature was 38.3℃ (range, 37.8–39.9℃). In most patients, fever subsided within 24 hours; however, six cases (1.1%) developed fever lasting longer than 24 hours. Infectious complications developed in three cases (0.54%) (pneumonia, 2; mediastinal abscess, 1), and all three patients had diabetes mellitus. The number or location of sampled lymph nodes and necrosis of lymph node were not associated with fever after EBUS-TBNA. Multiple logistic regression analysis did not reveal any risk factors for developing fever after EBUS-TBNA.CONCLUSION:
Fever is relatively common after EBUS-TBNA, but is transient in most patients. However, clinicians should be aware of the possibility of infectious complications among patients with diabetes mellitus.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Body Temperature
/
Logistic Models
/
Incidence
/
Retrospective Studies
/
Risk Factors
/
Diabetes Mellitus
/
Abscess
/
Fever
/
Endoscopic Ultrasound-Guided Fine Needle Aspiration
/
Seoul
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Tuberculosis and Respiratory Diseases
Year:
2017
Type:
Article
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