The diagnostic value of gram stain of bronchoalveolar lavage samples in patients with suspected ventilator-associated pneumonia

Scandinavian Journal of Infectious Diseases

Volumn 30, Issue 1, 1998, Pages 43-47

  Prekates, Athanasios ^a   Nanas, Serafim ^a   Argyropoulou, Athina ^b   Margariti, Georgia ^b   Kyprianou, Theodoros ^a   Papagalos, Evangelos ^a   Paniara, Olga ^b   Roussos, Charis ^a  

^a UNIVERSITY OF ATHENS   (Greece)

^b EVANGELISMOS HOSPITAL   (Greece)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BACTERIUM CULTURE; CELL COUNT; DIAGNOSTIC ACCURACY; DIAGNOSTIC APPROACH ROUTE; FIBEROPTIC BRONCHOSCOPY; GRAM STAINING; HOSPITAL INFECTION; HUMAN; HUMAN TISSUE; INTENSIVE CARE; LUNG LAVAGE; MAJOR CLINICAL STUDY; MULTIPLE TRAUMA; NEUTROPHIL; PNEUMONIA; PREDICTION; SQUAMOUS EPITHELIUM; SURGICAL PATIENT; VENTILATOR;

ADOLESCENT; ADULT; AGED; BRONCHOALVEOLAR LAVAGE FLUID; FEMALE; HUMANS; MALE; MIDDLE AGED; PNEUMONIA, BACTERIAL; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; SENSITIVITY AND SPECIFICITY; STAINING AND LABELING;

EID: 0031838239     PISSN: 00365548     EISSN: None     Source Type: Journal    
DOI: 10.1080/003655498750002295     Document Type: Article

References (20)

1. Fagon JY, Chastre J, Domart Y, Trouillet JL, Pierre J, Darne C, Gibert C. Nosocomial pneumonia in patients receiving continues mechanical ventilation: prospective analysis of 52 episodes with use of a protected specimen brush and quantitative culture techniques. Am Rev Respir Dis 1989; 139: 877-84.
2. Prekates A, Nanas S, Nakos G, Floras J, Argyropoulou A, Paniara O, Roussos Ch. Conditional evaluation of bronchoalveoalar lavage in mechanically ventilated patients with suspected unilateral lobar pneumonia. S Afr Med J (Crit Care Supplement) 1997; 87: 643-8.
3. Celis R, Torres A, Gatell JM, Almela M, Rodriguez-Roisin R, Agusti-Vidal A. Nosocomial pneumonia: a multivariate analysis of risk and prognosis. Chest 1988; 93: 318-23.
4. Johanson WGJr, Pierce AK, Sanford JP, Thomas GD. Nosocomial respiratory infections with gram-negative bacilli: the significance of colonization of the respiratory tract. Ann Int Med 1972; 77: 701-6.
5. Fagon JY, Chastre J, Hance AJ, Domart Y, Trouillet JL, Gibert C. Evaluation of clinical judgment in the identification and treatment of nosocomial pneumonia in ventilated patients. Chest 1993; 103: 547-53.
6. Lefcoe MS, Fox GA, Leasa DJ, Sparrow KR, McCormack DG. Accuracy of portable chest radiography in the critical care setting; Diagnosis of pneumonia based on quantitative cultures obtained from protected brush catheter. Chest 1994; 105: 885-7.
7. Johanson Jr WG, Seidefeld JJ, Gomez P, Santos RDL, Coalson JJ. Bacteriologic diagnosis of nosocomial pneumonia following prolonged mechanical ventilation. Am Rev Respir Dis 1988; 137: 259-64.
8. Salata RA, Ledermam MM, Shlaes DM, Jacobs MR, Eckstein E, Tweardy D, et al. Diagnosis of nosocomial pneumonia in intubated, intensive care unit patients. Am Rev Respir Dis 1987; 135: 426-32.
9. Meduri GU, Beals DH, Maijub AG, Baselski V. Protected bronchoalveolar lavage: a new bronchoscopic technique to retrieve uncontaminated distal airway secretions. Am Rev Respir Dis 1991; 143: 855-64.
10. Chastre J, Fagon J-Y, Soler P, Bornet M, Domart Y, Trouillet JL, et al. Diagnosis of nosocomial bacterial pneumonia in intubated patients undergoing ventilation: comparison of the usefulness of bronchoalveolar lavage and protected specimen brush. Am J Med 1988; 85: 499-506.
11. Sole-Violan J, Castro FR, Rev A, Martin-Gonzalez JC, Cabrera-Navarro P. Usefulness of microscopic examination of intracellular organisms in lavage fluid in ventilator-associated pneumonia. Chest 1994; 106: 889-94.
12. Delany HM, Berlin AW. Multiple injuries. In: Tinker J, Rapin M, eds. Care of the critically ill patient. Heidelberg: Springer-Verlag, 1983: 611-27.
13. Meduri GU, Mauldin GL, Wunderink RG, Leeper KV, Jones CB, Tolley E, Mayhall G. Causes of fever and pulmonary densities in patients with clinical manifestations of ventilator-associated pneumonia. Chest 1994; 106: 221-35.
14. Hay JG, Turner-Warwick M. Pulmonary hemosiderosis, hemorrhagic syndromes and other rare infiltrative disorders. In: Murray JF, Nadel JA, eds. Textbook of respiratory medicine. 1st ed. Philadelphia: WB Saunders Co, 1988: 1504-14.
15. Marquette CH, Copin MC, Wallet F, Neviere R, Saulnier F, Mathieu D, et al. Diagnostic tests for pneumonia in ventilated patients: Prospective evaluation of diagnostic accuracy using histology as a diagnostic gold standard. Am J Respir Crit Care Med 1995; 151: 1878-88.
16. Aubas S, Aubas P, Capdevila X, Darbas H, Roustan JP, Cailar JD. Bronchoalveolar lavage for diagnosing bacterial pneumonia in mechanically ventilated patients. Am J Respir Crit Care Med 1994; 149: 860-6.
17. Thorpe JE, Baughman RP, Frame PT, Wesseler TA, Staneck JL. Bronchoalveolar lavage for diagnosing acute bacterial pneumonia. J Infect Dis 1987; 155: 855-61.
18. Kahn FW, Jones JM, Diagnosing bacterial respiratory infection by bronchoalveolar lavage. J Infect Dis 1987; 155: 862-9.
19. Marquette CH, Wallet F, Neviere R, Copin MC, Saulnier F, Drault JN, et al. Diagnostic value of direct examination of the protected specimen brush in ventilator-associated pneumonia. Eur Respir J 1994; 7: 105-13.
20. Pugin J, Auckenthaler R, Mili N, Janssens JP, Lew PD, Suter PM. Diagnosis of ventilator-associated pneumonia by bacteriologic analysis of bronchoscopic and nonbronchoscopic 'blind' bronchoalveolar lavage fluid. Am Rev Respir Dis 1991; 143: 1121-9.