title: [Surgical treatment of multiresistant lung tuberculosis].
abstract: Drug resistance has become a major problem in the treatment of tuberculosis. Pulmonary resection in combination with chemotherapy appears to be an effective measure for the treatment of multi-drug resistant pulmonary tuberculosis. A retrospective review was performed of the medical and laboratory findings of 28 patients with multi-drug resistant tuberculosis who underwent pulmonary resection for pulmonary tuberculosis between January 1990 and December 2000 at La Maria Hospital, Medellín. Twenty-one of them had medical therapy before surgery; 14 patients underwent upper lobectomy and 10 patients pneumonectomy). The AFB negative sputum conversion rate was 88.9% (25/27) after surgery, during an average of 6 weeks. Bacteriological relapses were confirmed in 6 of 27, 4 of these 6 had AFB negative sputum. Twenty-eight patients had medical therapy after surgery. For selected patients, pulmonary resection in combination with chemotherapy should be considered an effective measure for treatment of multi-drug resistant pulmonary tuberculosis.
authors.affiliation: Hospital La María, Medellín, Colombia.
authors.forename: Angela
authors.initials: A
authors.lastname: Tobón
authors.forename: Lizeth
authors.initials: L
authors.lastname: Paniagua
authors.forename: Marcela
authors.initials: M
authors.lastname: Henao
authors.forename: Vivian
authors.initials: V
authors.lastname: Arcila
authors.forename: José
authors.initials: J
authors.lastname: Maya
authors.forename: Fernando
authors.initials: F
authors.lastname: Bedoya
authors.forename: Bernardo
authors.initials: B
authors.lastname: Muñoz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy / Q000601:surgery*