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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Proposed criteria for EVALI

Proposed criteria for EVALI
Confirmed case
  • Use of an e-cigarette ("vaping") or "dabbing" in the previous 90 days*
  • Lung opacities on chest radiograph or computed tomography
  • Exclusion of lung infection based on:
    • Negative influenza PCR or rapid test (unless out of season)
    • Negative respiratory viral panel
    • Negative testing for clinically-indicated respiratory infections (eg, urine antigen test for Legionella and Streptococcus pneumoniae, blood cultures, sputum cultures if producing sputum, and bronchoalveolar lavage if performed)
    • Negative testing for HIV-related opportunistic respiratory infections (if appropriate)
  • Absence of a plausible alternative diagnosis (eg, cardiac, neoplastic, rheumatologic)
Probable case
  • Use of an e-cigarette ("vaping") or "dabbing" in the previous 90 days*
  • Lung opacities on chest radiograph (diffuse hazy or consolidative opacities) or computed tomography (ground glass or consolidative opacities)
  • Infection identified via culture or PCR, but clinical team believes this infection is not the sole cause of the underlying lung injury
  • OR
  • Minimum criteria to rule out pulmonary infection not met (testing not performed) and clinical team believes infection is not the sole cause of the underlying lung injury
  • Absence of a plausible alternative diagnosis (eg, cardiac, neoplastic, rheumatologic)
EVALI: E-cigarette, or Vaping, product use Associated Lung Injury; PCR: polymerase chain reaction; THC: tetrahydrocannabinol; CBD: cannabidiol.
* Using an electronic device (eg, electronic nicotine delivery system [ENDS], electronic cigarette, e-cigarette, vaporizer, vape[s], vape pen, dab pen, or other device) or dabbing (eg, nicotine, marijuana, THC, THC concentrates, CBD, synthetic cannabinoids, flavorings, or other substances). Dabbing refers to the use of a pipe to smoke substances (eg, nicotine, THC) that have been concentrated into a wax.
Adapted from:
  1. Schier JG, Meiman JG, Layden J, et al. Severe Pulmonary Disease Associated with Electronic-Cigarette-Product Use - Interim Guidance. MMWR Morb Mortal Wkly Rep 2019; 68:787.
  2. Layden JE, Ghinai I, Pray I, et al. Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - Preliminary Report. N Engl J Med 2019.
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