Bacteriological study of bronchoalveolar lavage in the antibiotic management of suspected ventilator-associated pneumonia of patients in surgical intensive care units;Estudo bacteriológico do lavado broncoalveolar na gestão de antibióticos na pneumonia associada à ventilação mecânica de pacientes em unidades de terapia intensiva cirúrgica

Revista do Colegio Brasileiro de Cirurgioes

Volumn 39, Issue 5, 2012, Pages 353-357

  Tuon, Felipe Francisco ^a   Gortz, Lucas Wagner ^a   Penteado Filho, Sergio Ricardo ^a   Soltoski, Paulo Roberto ^a   Hayashi, Alexandre Yoshio ^a   Miguel, Marcelo Tizzot ^a  

^a HOSPITAL UNIVERSITÁRIO EVANGÉLICO DE CURITIBA   (Brazil)

Author keywords

Gram negative bacilli; Gram positive cocci; Postoperative care; Trauma

Indexed keywords

ANTIINFECTIVE AGENT; CRYSTAL VIOLET; GRAM'S STAIN; PHENAZINE DERIVATIVE;

ADOLESCENT; ADULT; AGED; ARTICLE; CHILD; FEMALE; HUMAN; INTENSIVE CARE UNIT; LUNG LAVAGE; MALE; MICROBIOLOGICAL EXAMINATION; MICROBIOLOGY; MIDDLE AGED; RETROSPECTIVE STUDY; VENTILATOR ASSOCIATED PNEUMONIA; VERY ELDERLY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANTI-BACTERIAL AGENTS; BACTERIOLOGICAL TECHNIQUES; BRONCHOALVEOLAR LAVAGE; CHILD; FEMALE; GENTIAN VIOLET; HUMANS; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; PHENAZINES; PNEUMONIA, VENTILATOR-ASSOCIATED; RETROSPECTIVE STUDIES; YOUNG ADULT;

EID: 84870607696     PISSN: 01006991     EISSN: 18094546     Source Type: Journal    
DOI: 10.1590/S0100-69912012000500002     Document Type: Article

References (15)

1. Shorr AF, Kollef MH. Ventilator-associated pneumonia: insights from recent clinical trials. Chest. 2005;128(5 Suppl 2):583S-91S.
2. Wall RJ, Ely EW, Talbot TR, Weinger MB, Williams MV, Reischel J, et al. Evidence-based algorithms for diagnosing and treating ventilator-associated pneumonia. J Hosp Med. 2008;3(5):409-22.
3. Rello J, Ollendorf DA, Oster G, Vera-Llonch M, Bellm L, Redman R, et al. Epidemiology and outcomes of ventilator-associated pneumonia in a large US database. Chest. 2002;122(6):2115-21.
4. Rello J, Gallego M, Mariscal D, Soñora R, Valles J. The value of routine microbial investigation in ventilator-associated pneumonia. Am J Respir Crit Care Med. 1997;156(1):196-200.
5. Kollef MH, Ward S. The influence of mini-BAL cultures on patient outcomes: implications for the antibiotic management of ventilatorassociated pneumonia. Chest. 1998;113(2):412-20.
6. Allen RM, Dunn WF, Limper AH. Diagnosing ventilator-associated pneumonia: the role of bronchoscopy. Mayo Clin Proc. 1994;69(10):962-8.
7. Croce MA, Fabian TC, Waddle-Smith L, Melton SM, Minard G, Kudsk KA, et al. Utility of Gram's stain and efficacy of quantitative cultures for posttraumatic pneumonia: a prospective study. Ann Surg. 1998;227(5):743-51; discussion 751-5.
8. Navon-Venezia S, Ben-Ami R, Carmeli Y. Update on Pseudomonas aeruginosa and Acinetobacter baumannii infections in the healthcare setting. Curr Opin Infect Dis. 2005;18(4):306-13.
9. Albert M, Friedrich JO, Adhikari NK, Day AG, Verdant C, Heyland DK; Canadian Critical Care Trial Group. Utility of Gram stain in the clinical management of suspected ventilator-associated pneumonia. Secondary analysis of a multicenter randomized trial. J Crit Care. 2008;23(1):74-81.
10. Clinical and Laboratory Standards Institute/NCCLS. Performance Standards for Antimicrobial Susceptibility Testing; Fifteenth Informational Supplement. CLSI/NCCLS document M100-S15. Wayne, PA: CLSI; 2005.
11. Davis KA, Eckert MJ, Reed RL 2nd, Esposito TJ, Santaniello JM, Poulakidas S, et al. Ventilator-associated pneumonia in injured patients: do you trust your Gram's stain? J Trauma. 2005;58(3):462-6; discusison 466-7.
12. Raghavendran K, Wang J, Belber C, Misra SR, Brunton K, Berbary E, et al. Predictive value of sputum gram stain for the determination of appropriate antibiotic therapy in ventilatorassociated pneumonia. J Trauma. 2007;62(6):1377-82; discussion 1382-3.
13. Bouza E, Torres MV, Radice C, Cercenado E, de Diego R, Sánchez-Carrillo C, et al. Direct E-Test (AB Biodisk) of respiratory samples improves antimicrobial use in ventilator-associated pneumonia. Clin Infect Dis. 2007;44(3):382-7.
14. Dupont H, Chalhoub V, Plantefève G, De Vaumas C, Kermarrec N, Paugam-Burtz C, et al. Variation of infected cell count in bronchoalveolar lavage and timing of ventilator-associated pneumonia. Intensive Care Med. 2004;30(8):1557-63.
15. Flanagan PG, Jackson SK, Findlay G. Diagnosis of gram negative, ventilator associated pneumonia by assaying endotoxin in bronchial lavage fluid. J Clin Pathol. 2001;54(2):107-10.