Utility of bilateral bronchoalveolar lavage for the diagnosis of ventilator-associated pneumonia in critically ill surgical patients

American Journal of Surgery

Volumn 195, Issue 2, 2008, Pages 159-163

  Jackson, Sha Ron ^a   Ernst, Neil E ^a,b   Mueller, Eric W ^a,b   Butler, Karyn L ^a  

^a UNIVERSITY OF CINCINNATI   (United States)

^b UNIVERSITY OF CINCINNATI MEDICAL CENTER   (United States)

Author keywords

Bronchoalveolar lavage; Bronchoscopy; Critical illness; Surgery

Indexed keywords

ANTIBIOTIC AGENT; CEFEPIME; CEFTRIAXONE; MOXIFLOXACIN; TOBRAMYCIN; VANCOMYCIN;

ADULT; ANTIBIOTIC THERAPY; ARTICLE; BACTERIAL GROWTH; BILATERAL LUNG LAVAGE; BRONCHOSCOPY; CELL INFILTRATION; CLONOGENIC ASSAY; DRUG WITHDRAWAL; FALSE NEGATIVE RESULT; FEMALE; HUMAN; LUNG; LUNG LAVAGE; MAJOR CLINICAL STUDY; MALE; ORGANISM; PRIORITY JOURNAL; SURGICAL PATIENT; THORAX RADIOGRAPHY; VENTILATOR ASSOCIATED PNEUMONIA;

BRONCHOALVEOLAR LAVAGE FLUID; COHORT STUDIES; COLONY COUNT, MICROBIAL; CRITICAL ILLNESS; CROSS INFECTION; FEMALE; HOSPITAL MORTALITY; HUMANS; INCIDENCE; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; PNEUMONIA, BACTERIAL; PROBABILITY; RESPIRATION, ARTIFICIAL; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; SURGICAL PROCEDURES, OPERATIVE; SURVIVAL ANALYSIS;

EID: 38049064829     PISSN: 00029610     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.amjsurg.2007.09.030     Document Type: Article

References (19)

1. Tablan O.C., Anderson L.J., Besser R., et al. Healthcare Infection Control Practices Advisory Committee, Centers for Disease Control and Prevention. Guidelines for preventing health-care-associated pneumonia, 2003: recommendations of the CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR Recomm Rep 53 RR-3 (2004) 1-36
2. Official statement of the American Thoracic Society and the Infectious Diseases Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 171 (2005) 388-416
3. Fabregas N., Ewig S., Torres A., El-Ebiary M., et al. Clinical diagnosis of ventilator associated pneumonia revisited: comparative validation using immediate post-mortem lung biopsies. Thorax 54 (1999) 867-873
4. Wunderink R.G. Clinical criteria in the diagnosis of ventilator-associated pneumonia. Chest 117 4 suppl 2 (2000) 191S-194S
5. Croce M.A., Fabian T.C., Waddle-Smith L., et al. Utility of Gram's stain and efficacy of quantitative cultures for posttraumatic pneumonia: a prospective study. Ann Surg 227 5 (1998) 743-755
6. Kirtland S.H., Corley D.E., Winterbauer R.H., et al. The diagnosis of ventilator-associated pneumonia: a comparison of histologic, microbiologic, and clinical criteria. Chest 112 (1997) 445-457
7. Wermert D., Marquette C.H., Copin M.C., et al. Influence of pulmonary bacteriology and histology on the yield of diagnostic procedures in ventilator-acquired pneumonia. Am J Respir Crit Care Med 158 (1998) 139-147
8. Rouby J.J., Martin D.L., Poete P., et al. Nosocomial bronchopneumonia in the critically ill: histologic and bacteriologic aspects. Am Rev Respir Dis 146 (1992) 1059-1066
9. Trouillet J.L., Guiguet M., Gibert C., et al. Fiberoptic bronchoscopy in ventilated patients: evaluation of cardiopulmonary risk under midazolam sedation. Chest 97 (1990) 8927-8933
10. Baughman R.P. Protected specimen brush technique in the diagnosis of ventilator-associated pneumonia. Chest 117 (2000) 203S-206S
11. Fagon J.Y., Chastre J., Wolff M., et al. Invasive and noninvasive strategies for management of suspected ventilator-associated pneumonia. A randomized trial. Ann Intern Med 132 8 (2000) 621-630 Apr 18
12. Croce M.A., Fabian T.C., Shaw B., et al. Analysis of charges associated with diagnosis of nosocomial pneumonia: can routine bronchoscopy be justified?. J Trauma 37 5 (1994) 721-727
13. Wunderink R.G., Woldenberg L.S., Zeiss J., et al. The radiologic diagnosis of autopsy proven ventilator-associated pneumonia. Chest 101 (1992) 458-463
14. Minei J.P., Nathens A.B., West M., et al., Inflammation and the Host Response to Injury Large Scale Collaborative Research Program Investigators. Inflammation and the Host Response to Injury, a Large-Scale Collaborative Project: patient-oriented research core-standard operating procedures for clinical care. II. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. J Trauma 60 5 (2006) 1106-1113
15. Butler K.L., Sinclair K.E., Henderson V.J., et al. The chest radiograph in critically ill surgical patients is inaccurate in predicting ventilator-associated pneumonia. Am Surg 65 (1999) 805-810
16. Ibrahim E.H., Sherman G., Ward S., et al. The influence of inadequate antimicrobial treatment of bloodstream infections on patient outcomes in the ICU setting. Chest 118 (2000) 146-155
17. Alvarez-Lerma F., and ICU-Acquired Pneumonia Study Group. Modification of empiric antibiotic treatment in patients with pneumonia acquired in the intensive care unit. Intensive Care Med 22 (1996) 387-394
18. Luna C.M., Vujacich P., Niederman M.S., et al. Impact of BAL data on the therapy and outcome of ventilator-associated pneumonia. Chest 111 (1997) 676-685
19. Rello J., Ollendorf D.A., Oster G., et al. VAP Outcomes Scientific Advisory Group. Chest 122 (2002) 2115-2121