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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Con el objeto de conocer la implantaci&#243;n de las pruebas de provocaci&#243;n bronquial &#40;PPB&#41; inespec&#237;ficas en nuestro pa&#237;s&#44; se remitieron 147 cuestionarios dirigidos a los hospitales que dispon&#237;an de servicio o unidad de neumolog&#237;a&#46; &#201;ste recog&#237;a aspectos generales t&#233;cnicos&#44; metodol&#243;gicos as&#237; como de valoraci&#243;n e interpretaci&#243;n de esta t&#233;cnica diagn&#243;stica&#46; Se recibieron 42 cuestionarios procedentes fundamentalmente de hospitales de grandes ciudades&#44; 34 de los cuales realizaban PPB&#46; El criterio m&#225;s generalizado de indicaci&#243;n de &#233;sta&#44; fue la presencia de cl&#237;nica at&#237;pica de asma &#40;33&#47;34&#41; y el est&#237;mulo m&#225;s utilizado&#44; la inhalaci&#243;n de metacolina &#40;33&#47;34&#41;&#46; Se detect&#243; una gran uniformidad en los aspectos t&#233;cnicos de preparaci&#243;n del f&#225;rmaco&#44; pero una gran heterogeneidad en cuanto a la forma de administrarlo y el protocolo seguido&#46; Del mismo modo&#44; se observ&#243; una gran diversidad en cuanto al valor de PC20&#47;PD20 indicativo de hiperreactividad bronquial&#46; Este trabajo nos aporta un mayor conocimiento de cu&#225;l es la realidad de las PPB inespec&#237;ficas en nuestro pa&#237;s&#44; destacando la necesidad de conseguir una mayor homogeneidad en la metodolog&#237;a de realizaci&#243;n&#44; que nos permita valorar e interpretar los resultados de esta t&#233;cnica diagn&#243;stica con criterios m&#225;s uniformes&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">With the aim of determining the current use of non-specific bronchial inhalation challenge &#40;BIC&#41; testing in Spain&#44; 147 questionnaires were sent to hospitals with pneumology departments or units&#46; The questionnaire covered general&#44; technical and methodological aspects of this diagnostic procedure&#44; as well as its assessment and interpretation&#46; Of the 42 informants who returned questionnaires&#44; mainly from large urban hospitals&#44; 34 reported using BIC&#46; The most widespread criterion applied in deciding to use BIC was the presence of atypical asthma symptoms &#40;33&#47;34&#41;&#46; The stimulus most often used was methacholine inhalation &#40;33&#47;34&#41;&#46; We found that technical preparation of the drug was highly standardized&#44; but that administration and follow-up protocols differed greatly&#46; There was also great variety in the PC20&#47;PD20 value assigned to ind&#237;cate bronchial hyperresponsiveness&#46; This study contributes to our better understanding of the current use of BIC in Spain and highlights the need to work toward greater standardization for this diagnostic procedure&#44; to enable us to assess and interpret the results more consistently&#46;</p></span>"
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Journal Information
Vol. 31. Issue 1.
Pages 6-12 (January 1995)
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Vol. 31. Issue 1.
Pages 6-12 (January 1995)
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Implantación, metodología y valoración de las pruebas de provocación bronquial inespecíficas en nuestro país
Current use, methodology and assessment of non-specific bronchial inhalation challenge in Spain
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C. Pellicera,*, B. Galdizb, M. Perpiñác, A. de Diegoc, V. Sobradillob
a Servicios de Neumología. Hospital Francesc de Borja. Gandía
b Servicios de Neumología. Hospital de Cruces. Bilbao
c Servicios de Neumología. Hospital La Fe. Valencia
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Con el objeto de conocer la implantación de las pruebas de provocación bronquial (PPB) inespecíficas en nuestro país, se remitieron 147 cuestionarios dirigidos a los hospitales que disponían de servicio o unidad de neumología. Éste recogía aspectos generales técnicos, metodológicos así como de valoración e interpretación de esta técnica diagnóstica. Se recibieron 42 cuestionarios procedentes fundamentalmente de hospitales de grandes ciudades, 34 de los cuales realizaban PPB. El criterio más generalizado de indicación de ésta, fue la presencia de clínica atípica de asma (33/34) y el estímulo más utilizado, la inhalación de metacolina (33/34). Se detectó una gran uniformidad en los aspectos técnicos de preparación del fármaco, pero una gran heterogeneidad en cuanto a la forma de administrarlo y el protocolo seguido. Del mismo modo, se observó una gran diversidad en cuanto al valor de PC20/PD20 indicativo de hiperreactividad bronquial. Este trabajo nos aporta un mayor conocimiento de cuál es la realidad de las PPB inespecíficas en nuestro país, destacando la necesidad de conseguir una mayor homogeneidad en la metodología de realización, que nos permita valorar e interpretar los resultados de esta técnica diagnóstica con criterios más uniformes.

Palabras clave:
Pruebas de provocación bronquial
Hiperreactividad bronquial

With the aim of determining the current use of non-specific bronchial inhalation challenge (BIC) testing in Spain, 147 questionnaires were sent to hospitals with pneumology departments or units. The questionnaire covered general, technical and methodological aspects of this diagnostic procedure, as well as its assessment and interpretation. Of the 42 informants who returned questionnaires, mainly from large urban hospitals, 34 reported using BIC. The most widespread criterion applied in deciding to use BIC was the presence of atypical asthma symptoms (33/34). The stimulus most often used was methacholine inhalation (33/34). We found that technical preparation of the drug was highly standardized, but that administration and follow-up protocols differed greatly. There was also great variety in the PC20/PD20 value assigned to indícate bronchial hyperresponsiveness. This study contributes to our better understanding of the current use of BIC in Spain and highlights the need to work toward greater standardization for this diagnostic procedure, to enable us to assess and interpret the results more consistently.

Key words:
Bronchial inhalation challenge
Bronchial hyperresponsiveness
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Copyright © 1995. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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