Comparison of quantitative cultures to semiquantitative loop cultures of bronchoscopic protected specimen brush samples

Chest

Volumn 109, Issue 5, 1996, Pages 1204-1209

  Middleton III, Robert M ^a,b   Huff, William ^b   Brickey, David A ^b   Kirkpatrick, Michael B ^b  

^a Pulmonary and Critical Care Division   (United States)

^b SW Mississippi Reg Medical Center ^*

Author keywords

bronchoscopy; culture; infection; microbiology; pneumonia; protected specimen brush

Indexed keywords

ARTICLE; BACTERIAL GROWTH; BACTERIUM CULTURE; BRONCHOSCOPY; BRONCHUS BIOPSY; CLINICAL ARTICLE; CONTROLLED STUDY; DILUTION; FREEZING; HUMAN; HUMAN TISSUE; LOWER RESPIRATORY TRACT INFECTION; PRIORITY JOURNAL; TISSUE CULTURE; YEAST;

EID: 0029928110     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.109.5.1204     Document Type: Article

References (22)

1. Wimberley N, Faling LJ, Bartlett JG. A fiberoptic bronchoscopy technique to obtain uncontaminated lower airway secretions for bacterial culture. Am Rev Respir Dis 1979; 119:337-43
2. Wimberley N, Bass JB, Boyd BW, et al. Use of a bronchoscopic protected catheter brush for the diagnosis of pulmonary infections. Chest 1982; 81:556-62
3. Pollock HM, Hawkins EL, Bonner JR, et al. Diagnosis of bacterial pulmonary infections with quantitative catheter cultures obtained during bronchoscopy. J Clin Microbiol 1983; 17:255-59
4. Kirkpatrick MB, Haynes J, Bass JB. Results of bronchoscopically obtained lower airway cultures from adult sickle cell disease patients with the acute chest syndrome. Am J Med 1991;90:206-10
5. Middleton RM, Kirkpatrick MB, Bass JB Jr. The role of bacterial superinfection in extensive pulmonary tubereulosis. Tuber Lung Dis 1993; 74:187-90
6. Kirkpatrick MB, Middleton RM, Broughton WA, et al. Utility of bronchoscopy in the diagnosis and management of adult patients with bronchiectasis. Am Rev Respir Dis 1992; 145(A):241
7. Chastre J, Vian F. Brun P, et al. Prospective evaluation of the protected specimen brush for the diagnosis of pulmonary infections in ventilated patients. Am Rev Respir Dis 1984; 130: 924-29
8. Fagon JY, Chastre J, Domart Y, et al. Nosocomial pneumonia in patients receiving continuons mechanical ventilation: prospective analysis of 52 episodes with use of a protective specimen brush and quantitative culture techniques. Am Rev Respir Dis 1989; 139:877-84
9. Higuchi JH, Coalson JJ, Johanson WG Jr. Bacterial diagnosis of nosocomial pneumonia in primates: usefulness of the protected specimen brush. Am Rev Respir Dis 1982; 125:53-7
10. Meduri GU, Ventilator-associated pneumonia in patients with respiratory failure: a diagnostic approach. Chest 1990; 97:1208-19
11. Montravers P, Fagon JY, Chastre J, et al. Follow-up protected specimen brushes to assess treatment in nosocomial pneumonia. Am Rev Respir Dis 1993; 147:38-44
12. El-Ebiary M, Torres A, Gonzalez J, et al. Quantitative cultures of endotracheal aspirates for the diagnosis of ventilator-associated pneumonia. Am Rev Respir Dis 1993; 148:1552-57
13. Middleton RM, Broughton WA, Kirkpatrick MB. Comparison of four methods of assessing airway bacteriology in intubated, mechanically ventilated patients. Am J Med Sci 1992; 304: 239-45
14. Meduri GU, Johansen WG Jr, eds. International Consensus Conference: clinical investigators of ventilator associated pneumonia. Chest 1992; 102(suppl):551S-88S
15. Broughton WA, Bass JB, Kirkpatrick MB. The technique of protected specimen brush catheter bronchoscopy. J Crit Illness 1987; 2:63-70
16. Middleton RM, Shah A, Kirkpatrick MB. Topical anesthesia for flexible bronchoscopy: a comparison of four methods in normal subjects and in patients undergoing transnasal bronchoscopy. Chest 1991; 99:1093-96
17. Meduri GU, Wunderink RC, Leeper KU, et al. Management of bacterial pneumonia in ventilated patients: protected bronchoalveolar lavage as a diagnostic tool. Chest 1992; 101:500-08
18. Rouby JL, De Lassale EM, Poete P, et al. Nosocomial bronchopneumonia in the critically ill: histologic and bacteriologic aspects. Am Rev Respir Dis 1992; 146:1059-66
19. Pham LH, Brun-Buisson C, Legrand P, et al. Diagnosis of nosocomial pneumonia in mechanically ventilated patients: comparison of a plugged telescoping catheter With the protected specimen brush. Am Rev Respir Dis 1991; 143:1055-61
20. Torres A, DeLa Bellacasa JP, Rodriquez-Roisin R, et al. Diagnostic value of telescoping plugged catheters in mechanically ventilated patients with bacterial pneumonia using the Metras catheter. Am Rev Respir Dis 1988; 138:117-20
21. Balows A, Hauser WJ, Herrman KL, et al. eds. Haemophilus. In: Manual of clinical microbiology. 5th ed. 1991; 463-70
22. Middleton RM, Huff W, Kirkpatrick MB. Utiliy of direct Grams stain from the protected specimen brush in the management of patients with presumed lower respiratory tract infection: a prospective study. Am Rev Respir Dis 1993; 147:(A)651