The value of routine microbial investigation in ventilator-associated pneumonia

American Journal of Respiratory and Critical Care Medicine

Volumn 156, Issue 1, 1997, Pages 196-200

  Rello, Jordi ^a   Gallego, Miguel ^a   Mariscal, Dolors ^a   Soñora, Rosario ^a   Valles, Jordi ^a  

^a HOSPITAL DE SABADELL   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; BACTERIUM CULTURE; BLOOD CULTURE; BRONCHOSCOPY; COST EFFECTIVENESS ANALYSIS; DIAGNOSTIC TEST; ENDOTRACHEAL TUBE; FEMALE; HUMAN; INTUBATION; LABORATORY TEST; LUNG LAVAGE; MAJOR CLINICAL STUDY; MALE; MICROBIOLOGY; PNEUMONIA; PRIORITY JOURNAL;

EID: 0030788929     PISSN: 1073449X     EISSN: None     Source Type: Journal    
DOI: 10.1164/ajrccm.156.1.9607030     Document Type: Article

References (16)

1. Rello, J., and A. Torres. 1996. Microbial causes of ventilator-associated pneumonia. Semin. Respir. Infect. 12:24-31.
2. Niederman, M. S., A. Torres, and W. Summer. 1994. Invasive diagnostic testing is not needed routinely to manage suspected ventilator-associated pneumonia. Am. J. Respir. Crit. Care Med. 150:565-569.
3. Chastre, J., and J. Y. Fagon. 1994. Invasive diagnostic testing should be routinely used to manage ventilated patients with suspected pneumonia. Am. J. Respir. Crit. Care Med. 150:570-574.
4. Wunderink, R., G. Mayhall, and C. Gibert. 1992. Methodology for clinical investigation of ventilator-associated pneumonia. Chest 102(Suppl.): 580S-588S.
5. Woodhead, M. A., J. Arrowsmith, R. Chamberlain-Webber, S. Wooding, and I. Wiliams. 1991. The value of routine microbial investigation in community-acquired pneumonia. Respir. Med. 85:313-317.
6. Rello, J., V. Ausina, M. Ricart, J. Castella, and G. Prats. 1993. Impact of previous antimicrobial therapy on the etiology and outcome of ventilator-associated pneumonia. Chest 104:1230-1235.
7. Luna, C., P. Vujacich, C. Vay, J. Matera, C. Gherardi, E. Jolly, F. Santini, and E. Gonzalez-Mejia. 1995. Impact of BAL culture result on the therapy and outcome of ventilator-associated pneumonia (abstract). Chest 108:1458.
8. Chow, A., C. Hall, J. Klein, R. Kammer, R. Meyer, and J. Remington. 1992. Evaluation of new antiinfective drugs for the treatment of respiratory tract infections. Clin. Infect. Dis. 15(Suppl. 1):S62-S88.
9. Montravers, P., J. Fagon, J. Chatre, M. Lesco, M. C. Dombret, J.-L. Trouillet, and C. Gibert. 1993. Follow-up protected specimen brushes to assess treatment in nosocomial pneumonia. Am. Rev. Respir. Dis. 147:38-44.
10. Fagon, J., J. Chastre, A. Hance, P. Montravers, A. Novara, and C. Gilbert. 1993. Nosocomial pneumonia in ventilated patients: a cohort study evaluating attributable mortality and hospital stay. Am. J. Med. 94:281-288.
11. Lennette, E., A. Bullows, W. Hauster, and H. Shadomy. 1985. Manual of Clinical Microbiology. American Society for Microbiology, Washington, DC.
12. Campbell, G. D., M. S. Niederman, W. A. Broughton, D. E. Craven, A. M. Fein, M. P. Fink, K. Gleeson, D. B. Hornick, J. P. Lynch, III, L. A. Mandell, C. M. Mason, A. Torres, and R. Wunderink. 1996. Hospital-acquired pneumonia in adults: diagnosis, assessment of severity, initial antimicrobial therapy, and preventative strategies. Am. J. Respir. Crit. Care Med. 153:1711-1725.
13. Rello, J. 1995. Community-acquired pneumonia. Curr. Opin. Pulm. Med. 1:183-187.
14. Niederman, M. S., J. B. Bass, Jr., G. D. Campbell, A. M. Fein, R. F. Grossman, L. A. Mandell, T. J. Marrie, G. A. Sarosi, A. Torres, and V. L. Yu. 1993. Guidelines for the initial management of adults with community-acquired pneumonia: diagnosis, assessment of severity, and initial antimicrobial therapy. Am. Rev. Rev. Respir. Dis. 148:1418-1426.
15. Ramirez, J. A. 1995. Switch therapy in adult patients with pneumonia. Clin. Pulm. Med. 2:327-333.
16. Rodriguez de Castro, F., J. Solé-Violan, A. Aranda, J. Blanco, G. Julià-Serdà, P. Cabrera, and J. Bolaños. 1996. Do quantitative cultures of protected brush specimens modify the initial empirical therapy in ventilated patients with suspected pneumonia? Eur. Respir. J. 9:37-41.