Diagnostic fiberoptic bronchoscopy and protected brush culture in patients with community-acquired pneumonia - PubMed (original) (raw)
Diagnostic fiberoptic bronchoscopy and protected brush culture in patients with community-acquired pneumonia
A Ortqvist et al. Chest. 1990 Mar.
Abstract
A model for performing fiberoptic bronchoscopy as a supplement to noninvasive diagnostic methods, in patients with community-acquired pneumonia, was prospectively studied. Twenty-four patients underwent bronchoscopy, seven pilot patients and 17 of 277 (6 percent) consecutive patients with CAP. Indications for FOB were early therapy failure (less than or equal to 72h)(n = 7), late therapy failure (greater than 72h)(n = 11), or before start of antibiotic therapy in severely ill or immunocompromised patients (n = 6). Samples were obtained by aspiration of bronchial secretion and with a protected brush catheter from which quantitative cultures with a detection level of 10(4) colony forming units per ml were performed. Results concluded that FOB, with the use of quantitative PB-cultures, offered a safe and specific diagnostic tool, which on special indications, can be of great value in the management of patients with CAP.
Similar articles
- Diagnostic accuracy of protected specimen brush and bronchoalveolar lavage in nosocomial pneumonia: impact of previous antimicrobial treatments.
Souweine B, Veber B, Bedos JP, Gachot B, Dombret MC, Regnier B, Wolff M. Souweine B, et al. Crit Care Med. 1998 Feb;26(2):236-44. doi: 10.1097/00003246-199802000-00017. Crit Care Med. 1998. PMID: 9468159 - Non-Ventilator ICU-Acquired Pneumonia After Cardiothoracic Surgery: Accuracy of Diagnostic Tools and Outcomes.
Stéphan F, Zarrouki Y, Mougeot C, Imbert A, Kortchinsky T, Pilorge C, Rézaiguia-Delclaux S. Stéphan F, et al. Respir Care. 2016 Mar;61(3):324-32. doi: 10.4187/respcare.04059. Epub 2015 Dec 23. Respir Care. 2016. PMID: 26701366 - Diagnostic fiberoptic bronchoscopy in patients with community-acquired pneumonia. Comparison between bronchoalveolar lavage and telescoping plugged catheter cultures.
Jiménez P, Saldías F, Meneses M, Silva ME, Wilson MG, Otth L. Jiménez P, et al. Chest. 1993 Apr;103(4):1023-7. doi: 10.1378/chest.103.4.1023. Chest. 1993. PMID: 8131433 - Invasive diagnostic techniques for pneumonia: protected specimen brush, bronchoalveolar lavage, and lung biopsy methods.
Torres A, el-Ebiary M. Torres A, et al. Infect Dis Clin North Am. 1998 Sep;12(3):701-22. doi: 10.1016/s0891-5520(05)70206-3. Infect Dis Clin North Am. 1998. PMID: 9779386 Review. - Invasive procedures in the diagnosis of pneumonia.
Busk MF, Rosenow EC 3rd, Wilson WR. Busk MF, et al. Semin Respir Infect. 1988 Jun;3(2):113-22. Semin Respir Infect. 1988. PMID: 3041512 Review.
Cited by
- [Guidelines for the management of community pneumonia in adult who needs hospitalization].
Álvarez-Rocha L, Alós JI, Blanquer J, Álvarez-Lerma F, Garau J, Guerrero A, Torres A, Cobo J, Jordá R, Menéndez R, Olaechea P, Rodríguez de Castro F; Grupo de Estudio de la Neumonía Comunitaria Grave. Álvarez-Rocha L, et al. Med Intensiva. 2005 Feb;29(1):21-62. doi: 10.1016/S0210-5691(05)74199-1. Epub 2009 Jan 6. Med Intensiva. 2005. PMID: 38620135 Free PMC article. Spanish. - E-cigarette, or vaping, product use associated lung injury (EVALI): case series and diagnostic approach.
Kalininskiy A, Bach CT, Nacca NE, Ginsberg G, Marraffa J, Navarette KA, McGraw MD, Croft DP. Kalininskiy A, et al. Lancet Respir Med. 2019 Dec;7(12):1017-1026. doi: 10.1016/S2213-2600(19)30415-1. Epub 2019 Nov 8. Lancet Respir Med. 2019. PMID: 31711871 Free PMC article. - Use of an innovative and non-invasive device for virologic sampling of cough aerosols in patients with community and hospital acquired pneumonia: a pilot study.
Patrucco F, Gavelli F, Ravanini P, Daverio M, Statti G, Castello LM, Andreoni S, Balbo PE. Patrucco F, et al. J Breath Res. 2019 Mar 1;13(2):021001. doi: 10.1088/1752-7163/aaf010. J Breath Res. 2019. PMID: 30523983 Free PMC article. - The significance of oral streptococci in patients with pneumonia with risk factors for aspiration: the bacterial floral analysis of 16S ribosomal RNA gene using bronchoalveolar lavage fluid.
Akata K, Yatera K, Yamasaki K, Kawanami T, Naito K, Noguchi S, Fukuda K, Ishimoto H, Taniguchi H, Mukae H. Akata K, et al. BMC Pulm Med. 2016 May 11;16(1):79. doi: 10.1186/s12890-016-0235-z. BMC Pulm Med. 2016. PMID: 27169775 Free PMC article. - Community-acquired pneumonia: identification and evaluation of nonresponders.
Gonçalves-Pereira J, Conceição C, Póvoa P. Gonçalves-Pereira J, et al. Ther Adv Infect Dis. 2013 Feb;1(1):5-17. doi: 10.1177/2049936112469017. Ther Adv Infect Dis. 2013. PMID: 25165541 Free PMC article. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous