array:23 [
  "pii" => "S0300289615322493"
  "issn" => "03002896"
  "doi" => "10.1016/S0300-2896(15)32249-3"
  "estado" => "S300"
  "fechaPublicacion" => "1984-05-01"
  "aid" => "72319"
  "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
  "copyrightAnyo" => "1984"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 1984;20:118-22"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1171
    "formatos" => array:3 [
      "EPUB" => 56
      "HTML" => 611
      "PDF" => 504
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S030028961532250X"
    "issn" => "03002896"
    "doi" => "10.1016/S0300-2896(15)32250-X"
    "estado" => "S300"
    "fechaPublicacion" => "1984-05-01"
    "aid" => "72320"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 1984;20:123-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1297
      "formatos" => array:3 [
        "EPUB" => 54
        "HTML" => 710
        "PDF" => 533
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Alveolitis alergica por exposicion a polvo de isocianato"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "123"
          "paginaFinal" => "125"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Allergic alveolitis due to the exposure to isocyanate dust"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J. Sala Felix, C. Martinez Gonzalez"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "J."
              "apellidos" => "Sala Felix"
            ]
            1 => array:2 [
              "nombre" => "C."
              "apellidos" => "Martinez Gonzalez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961532250X?idApp=UINPBA00003Z"
    "url" => "/03002896/0000002000000003/v1_201509151156/S030028961532250X/v1_201509151156/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0300289615322481"
    "issn" => "03002896"
    "doi" => "10.1016/S0300-2896(15)32248-1"
    "estado" => "S300"
    "fechaPublicacion" => "1984-05-01"
    "aid" => "72318"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 1984;20:112-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1004
      "formatos" => array:3 [
        "EPUB" => 49
        "HTML" => 549
        "PDF" => 406
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Valoracion del efecto broncodilatador en la curva de flujo-volumen segun diferentes metodos de medida"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "112"
          "paginaFinal" => "117"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Evaluation of the bronchodilator effect in the flow-volume curve by different measuring methods"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "P. Morales Marin, R. Navarro Ivañez, B. Togores Solivellas, J. Gil Carbonell, V. Macian Gisbert, E. Benlloch Garcia, V. Marco Martinez"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "P."
              "apellidos" => "Morales Marin"
            ]
            1 => array:2 [
              "nombre" => "R."
              "apellidos" => "Navarro Ivañez"
            ]
            2 => array:2 [
              "nombre" => "B."
              "apellidos" => "Togores Solivellas"
            ]
            3 => array:2 [
              "nombre" => "J."
              "apellidos" => "Gil Carbonell"
            ]
            4 => array:2 [
              "nombre" => "V."
              "apellidos" => "Macian Gisbert"
            ]
            5 => array:2 [
              "nombre" => "E."
              "apellidos" => "Benlloch Garcia"
            ]
            6 => array:2 [
              "nombre" => "V."
              "apellidos" => "Marco Martinez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322481?idApp=UINPBA00003Z"
    "url" => "/03002896/0000002000000003/v1_201509151156/S0300289615322481/v1_201509151156/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "Tuberculosis pulmonar y pleural diagnosticadas y tratadas en una unidad neumologica de un hospital general. Analisis de eficiencia"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "118"
        "paginaFinal" => "122"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "J.I. Garcia Del Palacio, A. Lopez Encuentra, J.M. Fernandez Sanchez-Alarcos, J.M. Ignacio Garcia, M.R. Melchor Iñiguez, P. Martin Escribano"
        "autores" => array:6 [
          0 => array:2 [
            "nombre" => "J.I."
            "apellidos" => "Garcia Del Palacio"
          ]
          1 => array:2 [
            "nombre" => "A."
            "apellidos" => "Lopez Encuentra"
          ]
          2 => array:2 [
            "nombre" => "J.M."
            "apellidos" => "Fernandez Sanchez-Alarcos"
          ]
          3 => array:2 [
            "nombre" => "J.M."
            "apellidos" => "Ignacio Garcia"
          ]
          4 => array:2 [
            "nombre" => "M.R."
            "apellidos" => "Melchor Iñiguez"
          ]
          5 => array:2 [
            "nombre" => "P."
            "apellidos" => "Martin Escribano"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Neumología. Ciudad Sanitaria 1.° de Octubre. Madrid"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Lung and pleural tuberculosis diagnosed and treated in a chest service of a general hospital. Efficiency analysis"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "1983-07-11"
    "fechaAceptado" => "1983-12-06"
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se han analizado 108 pacientes de tuberculosis pleuropulmonar tratados de forma inicial en una unidad neumol&#243;gica de un hospital general&#46; La poblaci&#243;n tuberculosa recibida en esta unidad ten&#237;a como caracter&#237;stica especial un significativo porcentaje de enfermedades asociadas&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En el 89&#37; de los casos el tratamiento propuesto fue el ternario de 9 meses que incluye la rifampicina&#46; El 55&#37; de los pacientes efectuaron un inicial ingreso hospitalario&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; un correcto tratamiento en dosis&#44; combinaci&#243;n y tiempos totales&#44; en el 89&#37; de los casos&#46; En el 8&#37; se han efectuado tratamientos incorrectos&#44; la mayor&#237;a &#40;5&#44;6&#37;&#41;&#44; no imputables a pacientes&#46; En un 3&#37; de casos no exist&#237;an datos de seguimiento tras el diagn&#243;stico&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La vigilancia toxicol&#243;gica de la terap&#233;utica ha sido efectuada en la mayor&#237;a&#44; detect&#225;ndose anormalidades enzim&#225;ticas hep&#225;ticas en un 5-8&#37; de pacientes en los primeros ocho meses de tratamiento&#46; La toxicidad inherente al tratamiento oblig&#243; en seis casos a cambio terap&#233;utico&#44; diferente al dise&#241;o inicial&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A nuestro parecer no existen limitaciones te&#243;ricas ni pr&#225;cticas al tratamiento de estos pacientes en un hospital general&#44; habi&#233;ndose descartado la indiscriminada necesidad del ingreso hospitalario&#44; pero considerando imprescindible el seguimiento de una norma terap&#233;utica previamente admitida por todos los m&#233;dicos qu&#233; se dedican al cuidado de estos pacientes&#44; y que se base sobre datos seguros de curaci&#243;n en el tratamiento de la tuberculosis pleuropulmonar&#46;</p></span>"
      ]
      "en" => array:1 [
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">108 patients with pleuropulmonary tuberculosis initially treated in a chest Service of a general hospital were analyzed&#46; The patients with tuberculosis treated in this Service had a significantly higher percentage of associated diseases&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Treatment with three drugs for nine months including rifampicin was used in 89&#37; of the cases&#46; 55&#37; of the patients were initially hospitalized&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">89&#37; of the cases followed corred treatment &#40;dosage&#44; combination of drugs&#44; and total time of therapy&#41;&#46; 8&#37; of the patients followed and incorrect treatment and most of the times &#40;5&#37;&#41; this was not due to the patients&#46; Follow up data was not obtained after making the diagnosis in 3&#37; of the patients&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Surveillance to detect side effects of therapy was done in most of the patients and hepatic enzymatic abnormalities were detected in 5-8&#37; of patients during the first 8 months of therapy&#46; The initial therapeutical regimen had to be changed in 6 patients due to its toxicity&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">We do not think that there are any theoretical or practical limitations to the treatment of these patients in a general hospital and we do not recommend the indiscriminate hospitalization of these patients but it is absolutely necessary to follow a therapeutical regimen accepted previously by all physicians taking care of these patients and based on reliable data on its success for curing pleuropulminary tuberculosis&#46;</p></span>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliografia"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:26 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Poblaci&#243;n enferma vista en una unidad neumol&#243;gica m&#233;dica de un hospital general"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "P&#46; Mart&#237;n Escribano"
                            1 => "J&#46; Palomera Frade"
                            2 => "A&#46; L&#243;pez Encuentra"
                            3 => "C&#46; Barbosa Ayucar"
                            4 => "J&#46; D&#237;az de Atauri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "1980"
                        "volumen" => "16"
                        "paginaInicial" => "95"
                        "paginaFinal" => "100"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculosis case-finding and chemotherapy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "K&#46; Toman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:5 [
                        "fecha" => "1979"
                        "paginaInicial" => "177"
                        "paginaFinal" => "178"
                        "editorial" => "World Health Organization"
                        "editorialLocalizacion" => "Geneve"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;A&#46; Sbarbaro"
                            1 => "Tuberculosis"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "Current Pulmonology"
                        "edicion" => "3&#46;<span class="elsevierStyleSup">a</span>"
                        "serieFecha" => "1981"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Successful supervised ambulatory manegement of tuberculosis treatment failures"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;J&#46; Macdonald"
                            1 => "A&#46;M&#46; Memon"
                            2 => "Reichman LB&#58;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "1982"
                        "volumen" => "96"
                        "paginaInicial" => "297"
                        "paginaFinal" => "302"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7059091"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patient compliance&#59; the most serious remaining problem in the control of tuberculosis in the United States"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "W&#46;W&#46; Addington"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1979"
                        "volumen" => "76"
                        "numero" => "suppl"
                        "paginaInicial" => "741"
                        "paginaFinal" => "743"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/510021"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Why patient don&#8217;t take pills"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;L&#46; Dudley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1979"
                        "volumen" => "76"
                        "numero" => "suppl"
                        "paginaInicial" => "744"
                        "paginaFinal" => "749"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/510022"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Follow-up of patients with tuberculosis treated in a general hospital program"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46;K&#46; Dutt"
                            1 => "D&#46;L&#46; Miller"
                            2 => "W&#46;P&#46; Reagan"
                            3 => "H&#46;S&#46; Swindoll"
                            4 => "L&#46;S&#46; Jomes"
                            5 => "W&#46;W&#46; Stead"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1978"
                        "volumen" => "74"
                        "paginaInicial" => "19"
                        "paginaFinal" => "23"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/668430"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Studies in short-course chemotherapy for tuberculosis BTA short-course chemotherapy studies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Angel JM&#58;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1981"
                        "volumen" => "80"
                        "paginaInicial" => "722"
                        "paginaFinal" => "724"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7030654"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The chemotherapy of pulmonary tuberculosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "W&#46; Fox"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "A review&#44; Chest"
                        "fecha" => "1979"
                        "volumen" => "76"
                        "numero" => "suppl"
                        "paginaInicial" => "785"
                        "paginaFinal" => "796"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Short-course chemotherapy in pulmonary tuberculosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "British Thoracic&#44; Tuberculosis Association"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1976"
                        "paginaInicial" => "1102"
                        "paginaFinal" => "1104"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of tuberculosis by the nonpulmonary phisician"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46;B&#46; Byrd"
                            1 => "B&#46;R&#46; Horn"
                            2 => "D&#46;A&#46; Solomon"
                            3 => "G&#46;A&#46; Griggs"
                            4 => "N&#46;J&#46; Wilber"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "1977"
                        "volumen" => "86"
                        "paginaInicial" => "799"
                        "paginaFinal" => "802"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/869361"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Current status of general hospital use for patients with tuberculosis in the United States"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "S&#46; Dandoy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1982.126.2.270"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1982"
                        "volumen" => "126"
                        "paginaInicial" => "270"
                        "paginaFinal" => "273"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7103253"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculosis case-finding and chemotherapy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "K&#46; Toman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:5 [
                        "fecha" => "1979"
                        "paginaInicial" => "122"
                        "paginaFinal" => "129"
                        "editorial" => "World Health Organization"
                        "editorialLocalizacion" => "Geneve"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Singapore Tuberculosis Service&#47;Medical Research Council"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1979.119.4.579"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1979"
                        "volumen" => "119"
                        "paginaInicial" => "579"
                        "paginaFinal" => "585"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/375787"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A controlled trial of six months chemotherapy in pulmonary tuberculosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "British Thoracic Association"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1982.126.3.460"
                      "Revista" => array:6 [
                        "tituloSerie" => "Second report&#46; Am Rev Respir Dis"
                        "fecha" => "1982"
                        "volumen" => "126"
                        "paginaInicial" => "460"
                        "paginaFinal" => "462"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6751175"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Successful intermitent treatment of smear-positive pulmonary tuberculosis in six months"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Cooperative study in Poland"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1982.125.2.265"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1982"
                        "volumen" => "125"
                        "paginaInicial" => "265"
                        "paginaFinal" => "267"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7065534"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Liver alterations in antituberculosis regimens containing pyrazinamide"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;A&#46; Pilh&#8217;eu"
                            1 => "M&#46;C&#46; De Salvo"
                            2 => "O&#46; Koch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1981"
                        "volumen" => "80"
                        "paginaInicial" => "720"
                        "paginaFinal" => "722"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7307595"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;D&#46; Iseman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1980"
                        "editorial" => "Houghton Mifflin Prof Publishers"
                        "editorialLocalizacion" => "Boston"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Short-course chemotherapy&#44; the Arkansas experience"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;K&#46; Dutt"
                            1 => "W&#46;W&#46; Stead"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1981"
                        "volumen" => "80"
                        "paginaInicial" => "724"
                        "paginaFinal" => "727"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7030655"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;A&#46; Sbarbaro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "D&#46;H&#46;Simmons"
                        "serieVolumen" => "Vol&#46; 1"
                        "serieTitulo" => "Current Pulmonology"
                        "serieFecha" => "1979"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The cost of antituberculosis drug regimens"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "W&#46; Fox"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1979.120.3.503"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1979"
                        "volumen" => "120"
                        "paginaInicial" => "503"
                        "paginaFinal" => "509"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/114072"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Short-course chemotherapy-use of combination tablets of isoniazid and rifampicin"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;S&#46; Moulding"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1980.122.1.170a"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1980"
                        "volumen" => "122"
                        "paginaInicial" => "170"
                        "paginaFinal" => "171"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7406337"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculosis chemotherapy practices in major metropolitan health departments"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;R&#46; Leff"
                            1 => "D&#46;R&#46; Leff"
                            2 => "A&#46; Brewin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1981.123.2.176"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1981"
                        "volumen" => "123"
                        "paginaInicial" => "176"
                        "paginaFinal" => "180"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7235356"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Isoniazid"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46; Kucers"
                            1 => "N&#46;M&#46; Bennett"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:5 [
                        "edicion" => "Third Edition"
                        "titulo" => "The use of antibiotics"
                        "fecha" => "1979"
                        "editorial" => "William Heinemann Medical Books"
                        "editorialLocalizacion" => "London"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rifampcin-isoniazid therapy of alcoholic and non-alcoholic tuberculosis patients in a U&#46;S Public Health Service"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Cooperative Therapy Trial"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1980.122.2.349"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1980"
                        "volumen" => "122"
                        "paginaInicial" => "349"
                        "paginaFinal" => "353"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6998337"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hepatotoxic antituberculosis drug combinations are not contraindicated in patients with pre-existing liver disease or alcoholism&#46; A preliminary report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "F&#46; Blackman"
                            1 => "D&#46; Lin"
                            2 => "P&#46; Zwiel"
                            3 => "P&#46; Costanzo"
                            4 => "M&#46; Cohen"
                            5 => "L&#46;B&#46; Reichman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1982"
                        "volumen" => "125"
                        "paginaInicial" => "171"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/03002896/0000002000000003/v1_201509151156/S0300289615322493/v1_201509151156/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9277"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000002000000003/v1_201509151156/S0300289615322493/v1_201509151156/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322493?idApp=UINPBA00003Z"
]
Share
Journal Information
Vol. 20. Issue 3.
Pages 118-122 (May - June 1984)
Share
Share
Download PDF
More article options
Vol. 20. Issue 3.
Pages 118-122 (May - June 1984)
Full text access
Tuberculosis pulmonar y pleural diagnosticadas y tratadas en una unidad neumologica de un hospital general. Analisis de eficiencia
Lung and pleural tuberculosis diagnosed and treated in a chest service of a general hospital. Efficiency analysis
Visits
3018
J.I. Garcia Del Palacio, A. Lopez Encuentra, J.M. Fernandez Sanchez-Alarcos, J.M. Ignacio Garcia, M.R. Melchor Iñiguez, P. Martin Escribano
Servicio de Neumología. Ciudad Sanitaria 1.° de Octubre. Madrid
This item has received
Article information

Se han analizado 108 pacientes de tuberculosis pleuropulmonar tratados de forma inicial en una unidad neumológica de un hospital general. La población tuberculosa recibida en esta unidad tenía como característica especial un significativo porcentaje de enfermedades asociadas.

En el 89% de los casos el tratamiento propuesto fue el ternario de 9 meses que incluye la rifampicina. El 55% de los pacientes efectuaron un inicial ingreso hospitalario.

Se realizó un correcto tratamiento en dosis, combinación y tiempos totales, en el 89% de los casos. En el 8% se han efectuado tratamientos incorrectos, la mayoría (5,6%), no imputables a pacientes. En un 3% de casos no existían datos de seguimiento tras el diagnóstico.

La vigilancia toxicológica de la terapéutica ha sido efectuada en la mayoría, detectándose anormalidades enzimáticas hepáticas en un 5-8% de pacientes en los primeros ocho meses de tratamiento. La toxicidad inherente al tratamiento obligó en seis casos a cambio terapéutico, diferente al diseño inicial.

A nuestro parecer no existen limitaciones teóricas ni prácticas al tratamiento de estos pacientes en un hospital general, habiéndose descartado la indiscriminada necesidad del ingreso hospitalario, pero considerando imprescindible el seguimiento de una norma terapéutica previamente admitida por todos los médicos qué se dedican al cuidado de estos pacientes, y que se base sobre datos seguros de curación en el tratamiento de la tuberculosis pleuropulmonar.

108 patients with pleuropulmonary tuberculosis initially treated in a chest Service of a general hospital were analyzed. The patients with tuberculosis treated in this Service had a significantly higher percentage of associated diseases.

Treatment with three drugs for nine months including rifampicin was used in 89% of the cases. 55% of the patients were initially hospitalized.

89% of the cases followed corred treatment (dosage, combination of drugs, and total time of therapy). 8% of the patients followed and incorrect treatment and most of the times (5%) this was not due to the patients. Follow up data was not obtained after making the diagnosis in 3% of the patients.

Surveillance to detect side effects of therapy was done in most of the patients and hepatic enzymatic abnormalities were detected in 5-8% of patients during the first 8 months of therapy. The initial therapeutical regimen had to be changed in 6 patients due to its toxicity.

We do not think that there are any theoretical or practical limitations to the treatment of these patients in a general hospital and we do not recommend the indiscriminate hospitalization of these patients but it is absolutely necessary to follow a therapeutical regimen accepted previously by all physicians taking care of these patients and based on reliable data on its success for curing pleuropulminary tuberculosis.

Full text is only aviable in PDF
Bibliografia
[1.]
P. Martín Escribano, J. Palomera Frade, A. López Encuentra, C. Barbosa Ayucar, J. Díaz de Atauri.
Población enferma vista en una unidad neumológica médica de un hospital general.
Arch Bronconeumol, 16 (1980), pp. 95-100
[2.]
K. Toman.
Tuberculosis case-finding and chemotherapy.
World Health Organization, (1979), pp. 177-178
[3.]
J.A. Sbarbaro, Tuberculosis.
Current Pulmonology, 3.a,
[4.]
R.J. Macdonald, A.M. Memon, Reichman LB:.
Successful supervised ambulatory manegement of tuberculosis treatment failures.
Ann Intern Med, 96 (1982), pp. 297-302
[5.]
W.W. Addington.
Patient compliance; the most serious remaining problem in the control of tuberculosis in the United States.
Chest, 76 (1979), pp. 741-743
[6.]
D.L. Dudley.
Why patient don’t take pills.
Chest, 76 (1979), pp. 744-749
[7.]
A.K. Dutt, D.L. Miller, W.P. Reagan, H.S. Swindoll, L.S. Jomes, W.W. Stead.
Follow-up of patients with tuberculosis treated in a general hospital program.
Chest, 74 (1978), pp. 19-23
[8.]
Angel JM:.
Studies in short-course chemotherapy for tuberculosis BTA short-course chemotherapy studies.
Chest, 80 (1981), pp. 722-724
[9.]
W. Fox.
The chemotherapy of pulmonary tuberculosis.
A review, Chest, 76 (1979), pp. 785-796
[10.]
British Thoracic, Tuberculosis Association.
Short-course chemotherapy in pulmonary tuberculosis.
Lancet, (1976), pp. 1102-1104
[11.]
R.B. Byrd, B.R. Horn, D.A. Solomon, G.A. Griggs, N.J. Wilber.
Treatment of tuberculosis by the nonpulmonary phisician.
Ann Intern Med, 86 (1977), pp. 799-802
[12.]
S. Dandoy.
Current status of general hospital use for patients with tuberculosis in the United States.
Am Rev Respir Dis, 126 (1982), pp. 270-273
[13.]
K. Toman.
Tuberculosis case-finding and chemotherapy.
World Health Organization, (1979), pp. 122-129
[14.]
Singapore Tuberculosis Service/Medical Research Council.
Am Rev Respir Dis, 119 (1979), pp. 579-585
[15.]
British Thoracic Association.
A controlled trial of six months chemotherapy in pulmonary tuberculosis.
Second report. Am Rev Respir Dis, 126 (1982), pp. 460-462
[16.]
Cooperative study in Poland.
Successful intermitent treatment of smear-positive pulmonary tuberculosis in six months.
Am Rev Respir Dis, 125 (1982), pp. 265-267
[17.]
J.A. Pilh’eu, M.C. De Salvo, O. Koch.
Liver alterations in antituberculosis regimens containing pyrazinamide.
Chest, 80 (1981), pp. 720-722
[18.]
M.D. Iseman.
Tuberculosis.
Houghton Mifflin Prof Publishers, (1980),
[19.]
A.K. Dutt, W.W. Stead.
Short-course chemotherapy, the Arkansas experience.
Chest, 80 (1981), pp. 724-727
[20.]
J.A. Sbarbaro.
Tuberculosis.
[21.]
W. Fox.
The cost of antituberculosis drug regimens.
Am Rev Respir Dis, 120 (1979), pp. 503-509
[22.]
T.S. Moulding.
Short-course chemotherapy-use of combination tablets of isoniazid and rifampicin.
Am Rev Respir Dis, 122 (1980), pp. 170-171
[23.]
A.R. Leff, D.R. Leff, A. Brewin.
Tuberculosis chemotherapy practices in major metropolitan health departments.
Am Rev Respir Dis, 123 (1981), pp. 176-180
[24.]
A. Kucers, N.M. Bennett.
Isoniazid.
The use of antibiotics, Third Edition, William Heinemann Medical Books, (1979),
[25.]
Cooperative Therapy Trial.
Rifampcin-isoniazid therapy of alcoholic and non-alcoholic tuberculosis patients in a U.S Public Health Service.
Am Rev Respir Dis, 122 (1980), pp. 349-353
[25.]
F. Blackman, D. Lin, P. Zwiel, P. Costanzo, M. Cohen, L.B. Reichman.
Hepatotoxic antituberculosis drug combinations are not contraindicated in patients with pre-existing liver disease or alcoholism. A preliminary report.
Am Rev Respir Dis, 125 (1982), pp. 171
Copyright © 1984. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?