Review Article

Management of multidrug-resistant tuberculosis: main recommendations of the Brazilian guidelines

Manejo da tuberculose multirresistente: elementos centrais das recomendações brasileiras

Jaqueline Garcia de Almeida Ballestero1, Juliana Masini Garcia2, Valdes Roberto Bollela3, Antonio Ruffino-Netto4, Margareth Maria Pretti Dalcolmo5, Ana Carolina Scarpel Moncaio6, Nicoly Sanches Miguel7, Isabela Zaccaro Rigolin7, Pedro Fredemir Palha1

J Bras Pneumol.2020;46(2):e20190290

Special Article

Brazilian Thoracic Association recommendations for the management of post-tuberculosis lung disease

Recomendações da Sociedade Brasileira de Pneumologia e Tisiologia para o manejo da doença pulmonar pós-tuberculose

Denise Rossato Silva1, Ana Paula Santos2,3, Dina Visca4,5, Sidney Bombarda6, Margareth Maria Pretti Dalcolmo7, Tatiana Galvão8, Silvana Spíndola de Miranda9, Ana Alice Amaral Ibiapina Parente10, Marcelo Fouad Rabahi11, Roberta Karla Barbosa de Sales12, Giovanni Battista Migliori13, Fernanda Carvalho de Queiroz Mello2

J Bras Pneumol.2023;49(6):e20230269

2020 Brazilian Thoracic Association recommendations for the management of asthma

Recomendações para o manejo da asma da Sociedade Brasileira de Pneumologia e Tisiologia - 2020

Marcia Margaret Menezes Pizzichini1, Regina Maria de Carvalho-Pinto2, José Eduardo Delfini Cançado3, Adalberto Sperb Rubin,4,5, Alcindo Cerci Neto6,7, Alexandre Pinto Cardoso8, Alvaro Augusto Cruz9,10, Ana Luisa Godoy Fernandes11, Daniella Cavalet Blanco12, Elcio Oliveira Vianna13, Gediel Cordeiro Junior14,15, José Angelo Rizzo16, Leandro Genehr Fritscher12, Lilian Serrasqueiro Ballini Caetano11, Luiz Fernando Ferreira Pereira17, Marcelo Fouad Rabahi18, Maria Alenita de Oliveira19, Marina Andrade Lima20, Marina Buarque de Almeida21, Rafael Stelmach2, Paulo Márcio Pitrez22, Alberto Cukier2

J Bras Pneumol.2020;46(1):e20190307

Brazilian Thoracic Association recommendations for the management of lymphangioleiomyomatosis

Recomendações da Sociedade Brasileira de Pneumologia e Tisiologia para a abordagem da linfangioleiomiomatose

Bruno Guedes Baldi1, Paulo Henrique Ramos Feitosa2, Adalberto Sperb Rubin3, Alexandre Franco Amaral1, Carolina Salim Gonçalves Freitas4, Cláudia Henrique da Costa5, Eliane Viana Mancuzo6, Ellen Caroline Toledo do Nascimento7, Mariana Sponholz Araujo8, Marcelo Jorge Jacó Rocha9, Martina Rodrigues de Oliveira1, Tatiana Senna Galvão10, Pedro Paulo Teixeira e Silva Torres11, Carlos Roberto Ribeiro Carvalho1

J Bras Pneumol.2025;51(1):e20240378

2021 Brazilian Thoracic Association recommendations for the management of severe asthma

Recomendações para o manejo da asma grave da Sociedade Brasileira de Pneumologia e Tisiologia – 2021

Regina Maria de Carvalho-Pinto1, José Eduardo Delfini Cançado2, Marcia Margaret Menezes Pizzichini3, Jussara Fiterman4, Adalberto Sperb Rubin5,6, Alcindo Cerci Neto7,8, Álvaro Augusto Cruz9,10, Ana Luisa Godoy Fernandes11, Ana Maria Silva Araujo12, Daniela Cavalet Blanco13, Gediel Cordeiro Junior14,15, Lilian Serrasqueiro Ballini Caetano11, Marcelo Fouad Rabahi16, Marcelo Bezerra de Menezes17, Maria Alenita de Oliveira18, Marina Andrade Lima19, Paulo Márcio Pitrez20

J Bras Pneumol.2021;47(6):e20210273

Erratum

2018 recommendations for the management of community acquired pneumonia

Recomendações para o manejo da pneumonia adquirida na comunidade 2018

J Bras Pneumol.2018;44(6):532

2018 recommendations for the management of community acquired pneumonia

Recomendações para o manejo da pneumonia adquirida na comunidade 2018

J Bras Pneumol.2019;45(2):

Special Article

2018 recommendations for the management of community acquired pneumonia

Recomendações para o manejo da pneumonia adquirida na comunidade 2018

Ricardo de Amorim Corrêa1,a, Andre Nathan Costa2,b, Fernando Lundgren3.c, Lessandra Michelim4,d, Mara Rúbia Figueiredo5,e, Marcelo Holanda6,f, Mauro Gomes7,g, Paulo José Zimermann Teixeira8,h, Ricardo Martins9,i, Rodney Silva10,j, Rodrigo Abensur Athanazio2,k, Rosemeri Maurici da Silva11,l, Mônica Corso Pereira12,m

J Bras Pneumol.2018;44(5):405-423

Brazilian guidelines for the diagnosis and treatment of cystic fibrosis

Diretrizes brasileiras de diagnóstico e tratamento da fibrose cística

Rodrigo Abensur Athanazio1, Luiz Vicente Ribeiro Ferreira da Silva Filho2,3, Alberto Andrade Vergara4, Antônio Fernando Ribeiro5, Carlos Antônio Riedi6, Elenara da Fonseca Andrade Procianoy7, Fabíola Villac Adde2, Francisco José Caldeira Reis4, José Dirceu Ribeiro5, Lídia Alice Torres8, Marcelo Bicalho de Fuccio9, Matias Epifanio10, Mônica de Cássia Firmida11, Neiva Damaceno12, Norberto Ludwig-Neto13,14, Paulo José Cauduro Maróstica7,15, Samia Zahi Rached1, Suzana Fonseca de Oliveira Melo4, Grupo de Trabalho das Diretrizes Brasileiras de Diagnóstico e Tratamento da Fibrose Cística.

J Bras Pneumol.2017;43(3):219-245

Opinion

Diagnosis of tuberculosis in individuals with respiratory symptoms. Commentary on the II Guidelines of the Brazilian Society of Pulmonology and Phthisiology and the Ministry of Health

Diagnóstico da tuberculose em sintomáticos respiratórios. Comentários a respeito das II Diretrizes da Sociedade Brasileira de Pneumologia e Tisiologia e Ministério da Saúde

Nelson Morrone

J Bras Pneumol.2005;31(4):350-355

Original Article

Comparison between the drug treatment used in children up to five years of age treated in an emergency room and the guidelines established in the III Brazilian Consensus on Asthma Management

Comparação entre o tratamento farmacológico aplicado em crianças de zero a cinco anos atendidas em uma unidade de emergência e as diretrizes do III Consenso Brasileiro no Manejo da Asma

Ana Paula Ochoa Santos, Luciane Soares de Lima, Almir Gonçalves Wanderley

J Bras Pneumol.2007;33(1):7-14

Objective: To evaluate the management of asthma attacks in children up to five years of age treated in the pediatric emergency room of a hospital in the metropolitan area of the city of Recife, Brazil, as well as to determine whether the way in which asthma attacks are managed can influence the duration of emergency room visits for such children. Methods: A descriptive, exploratory study employing a quantitative, cross-sectional approach. The study sample comprised 246 children treated for asthma attacks in an emergency room. The approach used was evaluated in comparison with the approach recommended in the III Brazilian Consensus on Asthma Management, as was the length of time each child spent in the emergency room. Results: In 69 (28.1%) of the cases, the medications were used in accordance with the Consensus guidelines. In 34 (13.8%) of the cases, the doses used were those recommended in the Consensus guidelines, and the guidelines regarding nebulization procedures were followed in 33 cases (13.4%). No correlation was found between the approach taken and the length of the emergency room visit. In the logistic regression analysis, we observed that the adjusted risk of being released from the emergency room sooner than recommended in the Consensus guidelines (a length of time sufficient to allow the response to the treatment to be analyzed) was four times and fifteen times greater, respectively, for children with mild persistent asthma and for those with intermittent asthma. Conclusion: Although there are obstacles to using the asthma management approach recommended in the Consensus guidelines (such obstacles including the lack of familiarity with the guidelines on the part of the multidisciplinary team, as well as the lack of recommended material and therapeutic resources), the duration of emergency room visits was found to be related to the degree of asthma severity.

Keywords: Emergency medicine; Pediatrics; Asthma; Status asthmaticus

Special Article

Brazilian Thoracic Society recommendations for the diagnosis and treatment of chronic thromboembolic pulmonary hypertension

Recomendações para o diagnóstico e tratamento da hipertensão pulmonar tromboembólica crônica da Sociedade Brasileira de Pneumologia e Tisiologia

Caio Julio Cesar dos Santos Fernandes1 , Jaquelina Sonoe Ota-Arakaki2, Frederico Thadeu Assis Figueiredo Campos3, Ricardo de Amorim Correa4, Marcelo Basso Gazzana5, Carlos Vianna Poyares Jardim1, Fábio Biscegli Jatene1, Jose Leonidas Alves Junior1, Roberta Pulcheri Ramos2, Daniela Tannus6, Carlos Teles2, Mario Terra Filho1, Daniel Waetge7, Rogerio Souza1

J Bras Pneumol.2020;46(4):e20200204

Brazilian Thoracic Society recommendations for the diagnosis and monitoring of asbestos-exposed individuals

Recomendações da Sociedade Brasileira de Pneumologia e Tisiologia para diagnóstico e monitoramento de indivíduos expostos ao amianto

Ubiratan Paula Santos1, Eduardo Algranti2, Eduardo Mello De Capitani3, Gustavo Faibischew Prado4, Ana Paula Scalia Carneiro5, Sílvia Carla Sousa Rodrigues6, Jefferson Benedito Pires de Freitas1,7, Rodrigo Caruso Chate8,9, Rafael Futoshi Mizutani1, Hermano Albuquerque de Castro10, Marcos Abdo Arbex11, Patrícia Canto Ribeiro12, Carlos Nunes Tietboehl Filho13, Maria Vera Cruz de Oliveira Castellano6, Guilherme Ward Leite1, Gustavo Corrêa de Almeida14, Committee on Environmental and Occupational Diseases

J Bras Pneumol.2024;50(3):e20240156

Original Article

Community-acquired pneumonia in elderly patients: adherence to Brazilian guidelines for the treatment of pneumonia

Pneumonias adquiridas na comunidade em pacientes idosos: aderência ao Consenso Brasileiro sobre Pneumonias

José Roberto de Almeida, Olavo Franco Ferreira Filho

J Bras Pneumol.2004;30(3):229-236

Background: Pneumonia is a common disease with a high mortality rate, being the sixth leading cause of death among elderly people in the USA and the fifth among those in Brazil. Initial treatment of pneumonia is usually empirical since the ethiological agent is identified in only approximately 50% of cases. Therefore, several scientific societies have defined some guidelines for initial antimicrobial therapies. Objectives: This study evaluated adherence to the guidelines set forth by the Consenso Brasileiro sobre Pneumonias (Brazilian Consensus on Pneumonia) for treatment of community-acquired pneumonia in hospitalized elderly patients. Method: Fifty-four patients, aged 60 or over, hospitalized at Londrina University Hospital with community-acquired pneumonia between 2 August 1999 and 2 August 2000 were evaluated. Whether their treatment adhered or did not adhere to guidelines, the patients were compared in terms of 30-day mortality, average time for clinical stabilization, average length of hospital stay, cost of treatment and severity score. Results: The average age was 74.1, and 61.1% of the patients were treated in accordance with the Brazilian guidelines for treatment of community-acquired pneumonia. There were no differences in length of hospital stays, cost of treatment, time to clinical stability and severity score between the two groups (adherent and non-adherent). However, there was a difference in mortality. The rate of mortality was higher in patients with pneumonia severity index (PSI) scores of IV or V who were treated according to the guidelines than in those with the same score whose treatment was non-adherent (p = 0.04). In general, PSI score was related to mortality. The mortality rate among patients with scores of II and III was 9.5%, compared with 30.3% in patients with scores of IV and V. Conclusion: Adherence to the Brazilian guidelines for treatment of community-acquired pneumonia in elderly patients was satisfactory, and there was no difference in results between both groups, except for the higher mortality rate found for patients with higher PSI scores who were treated according to the guidelines. A positive correlation was found between PSI score and mortality.

Keywords: Pneumonia. Health Planning Guidelines. Community-Acquired Infections. Health Services for the Aged.

Special Article

Highlights of the Brazilian Thoracic Association Guidelines for Interstitial Lung Diseases

Destaques das Diretrizes de Doenças Pulmonares Intersticiais da Sociedade Brasileira de Pneumologia e Tisiologia

Bruno Guedes Baldi, Carlos Alberto de Castro Pereira, Adalberto Sperb Rubin, Alfredo Nicodemos da Cruz Santana, André Nathan Costa, Carlos Roberto Ribeiro Carvalho, Eduardo Algranti, Eduardo Mello de Capitani, Eduardo Pamplona Bethlem, Ester Nei Aparecida Martins Coletta, Jaquelina Sonoe Ota Arakaki, José Antônio Baddini Martinez, Jozélio Freire de Carvalho, Leila John Marques Steidle, Marcelo Jorge Jacó Rocha, Mariana Silva Lima, Maria Raquel Soares, Marlova Luzzi Caramori, Miguel Abidon Aidé, Rimarcs Gomes Ferreira, Ronaldo Adib Kairalla, Rudolf Krawczenko Feitoza de Oliveira, Sérgio Jezler, Sílvia Carla Sousa Rodrigues, Suzana Pinheiro Pimenta

J Bras Pneumol.2012;38(3):282-291

Editorial

Recommendations and implementation of guidelines for community-acquired pneumonia: more problems than solutions

Recomendações e implementação de diretrizes sobre pneumonia adquirida na comunidade: mais problemas do que soluções

Jorge Luiz Pereira-Silva

J Bras Pneumol.2012;38(2):148-157

Brief Communication

Bottlenecks and recommendations for the incorporation of new technologies in the tuberculosis laboratory network in Brazil

Gargalos e recomendações para a incorporação de novas tecnologias na rede pública laboratorial de tuberculose no Brasil

Maria Alice da Silva Telles, Alexandre Menezes, Anete Trajman

J Bras Pneumol.2012;38(6):766-770

Special Article

Brazilian recommendations of mechanical ventilation 2013. Part I

Recomendações brasileiras de ventilação mecânica 2013. Parte I

AMIB/SBPT

J Bras Pneumol.2014;40(4):327-363

Brazilian recommendations of mechanical ventilation 2013. Part 2

Recomendações brasileiras de ventilação mecânica 2013. Parte 2

Essas recomendações são uma iniciativa conjunta do Comitê de Ventilação Mecânica da Associação de Medicina Intensiva Brasileira (AMIB) e da Comissão de Terapia Intensiva da Sociedade Brasileira de Pneumologia e Tisiologia (SBPT).

J Bras Pneumol.2014;40(5):458-486

Lung cancer screening in Brazil: recommendations from the Brazilian Society of Thoracic Surgery, Brazilian Thoracic Association, and Brazilian College of Radiology and Diagnostic Imaging

Recomendações da Sociedade Brasileira de Cirurgia Torácica, Sociedade Brasileira de Pneumologia e Tisiologia e Colégio Brasileiro de Radiologia e Diagnóstico por Imagem para o rastreamento do câncer de pulmão no Brasil

Luiz Fernando Ferreira Pereira1, Ricardo Sales dos Santos2,3, Daniel Oliveira Bonomi4, Juliana Franceschini3,5, Ilka Lopes Santoro6, André Miotto7, Thiago Lins Fagundes de Sousa8, Rodrigo Caruso Chate9, Bruno Hochhegger10, Artur Gomes Neto11, Airton Schneider12, César Augusto de Araújo Neto3,13, Dante Luiz Escuissato14, Gustavo Faibischew Prado15, Luciana Costa-Silva16, Mauro Musa Zamboni17,18, Mario Claudio Ghefter2,19, Paulo César Rodrigues Pinto Corrêa20, Pedro Paulo Teixeira e Silva Torres21, Ricardo Kalaf Mussi22, Valdair Francisco Muglia23, Irma de Godoy24, Wanderley Marques Bernardo25

J Bras Pneumol.2024;50(1):e20230233

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