Diagnostic accuracy and distress associated with oropharyngeal suction in cystic fibrosis

Journal of Cystic Fibrosis

Volumn 15, Issue 4, 2016, Pages 473-478

  Doumit, Michael ^a,b   Belessis, Yvonne ^a,b   Stelzer Braid, Sacha ^b,c   Mallitt, Kylie Ann ^b   Rawlinson, William ^b,c   Jaffe, Adam ^a,b  

^a SYDNEY CHILDREN'S HOSPITAL   (Australia)

^b UNIVERSITY OF NEW SOUTH WALES   (Australia)

^c PRINCE OF WALES HOSPITAL   (Australia)

Author keywords

Bacteria; Bronchoalveolar lavage; Cystic fibrosis; Diagnostic accuracy; Sputum; Suction

Indexed keywords

ANXIETY ASSESSMENT; ARTICLE; ASPERGILLUS FUMIGATUS; BACTERIAL INFECTION; BACTERIUM CULTURE; BACTERIUM DETECTION; CHILD; CLINICAL ARTICLE; CONTROLLED STUDY; COUGHING; CYSTIC FIBROSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DISTRESS SYNDROME; FEMALE; FLEXIBLE BRONCHOSCOPE; GRONINGEN DISTRESS SCALE; HAEMOPHILUS INFLUENZAE; HUMAN; LUNG LAVAGE; MALE; METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS; OROPHARYNGEAL SUCTION; PREDICTIVE VALUE; PREVALENCE; PSEUDOMONAS AERUGINOSA; RESPIRATORY TRACT INFECTION; SENSITIVITY AND SPECIFICITY; STAPHYLOCOCCUS AUREUS; STENOTROPHOMONAS MALTOPHILIA; SUCTION; AUSTRALIA; DIMENSIONAL MEASUREMENT ACCURACY; EARLY DIAGNOSIS; INFANT; ISOLATION AND PURIFICATION; MICROBIOLOGY; OROPHARYNX; PRESCHOOL CHILD; PROCEDURES; PSEUDOMONAS INFECTION; PSYCHOLOGY; RESTLESSNESS; SPECIMEN HANDLING; SPUTUM;

AUSTRALIA; BRONCHOALVEOLAR LAVAGE; CHILD, PRESCHOOL; CYSTIC FIBROSIS; DIMENSIONAL MEASUREMENT ACCURACY; EARLY DIAGNOSIS; FEMALE; HUMANS; INFANT; MALE; OROPHARYNX; PSEUDOMONAS AERUGINOSA; PSEUDOMONAS INFECTIONS; PSYCHOMOTOR AGITATION; RESPIRATORY TRACT INFECTIONS; SPECIMEN HANDLING; SPUTUM; SUCTION;

EID: 84942055700     PISSN: 15691993     EISSN: 18735010     Source Type: Journal    
DOI: 10.1016/j.jcf.2015.09.001     Document Type: Article

References (26)

1. [1] O'Sullivan, B.P., Freedman, S.D., Cystic fibrosis. Lancet 373:9678 (2009), 1891–1904.
2. [2] Kerem, E., Conway, S., Elborn, S., Heijerman, H., Standards of care for patients with cystic fibrosis: a European consensus. J Cyst Fibros 4:1 (2005), 7–26.
3. [3] Jung, A., Kleinau, I., Schonian, G., et al. Sequential genotyping of Pseudomonas aeruginosa from upper and lower airways of cystic fibrosis patients. Eur Respir J 20:6 (2002), 1457–1463.
4. [4] Aaron, S.D., Kottachchi, D., Ferris, W.J., et al. Sputum versus bronchoscopy for diagnosis of Pseudomonas aeruginosa biofilms in cystic fibrosis. Eur Respir J 24:4 (2004), 631–637.
5. [5] Wainwright, C.E., Vidmar, S., Armstrong, D.S., et al. Effect of bronchoalveolar lavage-directed therapy on Pseudomonas aeruginosa infection and structural lung injury in children with cystic fibrosis: a randomized trial. Jama 306:2 (2011), 163–171.
6. [6] Rosenfeld, M., Emerson, J., Accurso, F., et al. Diagnostic accuracy of oropharyngeal cultures in infants and young children with cystic fibrosis. Pediatr Pulmonol 28:5 (1999), 321–328.
7. [7] Armstrong, D.S., Grimwood, K., Carlin, J.B., Carzino, R., Olinsky, A., Phelan, P.D., Bronchoalveolar lavage or oropharyngeal cultures to identify lower respiratory pathogens in infants with cystic fibrosis. Pediatr Pulmonol 21:5 (1996), 267–275.
8. [8] Kidd, T.J., Ramsay, K.A., Vidmar, S., et al. Pseudomonas aeruginosa genotypes acquired by children with cystic fibrosis by age 5-years. J Cyst Fibros 14:3 (2015), 361–369.
9. [9] Equi, A.C., Pike, S.E., Davies, J., Bush, A., Use of cough swabs in a cystic fibrosis clinic. Arch Dis Child 85:5 (2001), 438–439.
10. [10] Hoppe, J.E., Towler, E., Wagner, B.D., Accurso, F.J., Sagel, S.D., Zemanick, E.T., Sputum induction improves detection of pathogens in children with cystic fibrosis. Pediatr Pulmonol 50:7 (2015), 638–646.
11. [11] Maiya, S., Desai, M., Baruah, A., Weller, P., Clarke, J.R., Gray, J., Cough plate versus cough swab in patients with cystic fibrosis; a pilot study. Arch Dis Child 89:6 (2004), 577–579.
12. [12] Rosenfeld, M., Bernardo-Ocampo, C., Emerson, J., Genatossio, A., Burns, J., Gibson, R., Prevalence of cystic fibrosis pathogens in the oropharynx of healthy children and implications for cystic fibrosis care. J Cyst Fibros 11:5 (2012), 456–457.
13. [13] Carlson, D., McKeen, E., Mitchell, M., et al. Oropharyngeal flora in healthy infants: observations and implications for cystic fibrosis care. Pediatr Pulmonol 44:5 (2009), 497–502.
14. [14] Blau, H., Linnane, B., Carzino, R., et al. Induced sputum compared to bronchoalveolar lavage in young, non-expectorating cystic fibrosis children. J Cyst Fibros 13:1 (2014), 106–110.
15. [15] Avital, A., Uwyyed, K., Picard, E., Godfrey, S., Springer, C., Sensitivity and specificity of oropharyngeal suction versus bronchoalveolar lavage in identifying respiratory tract pathogens in children with chronic pulmonary infection. Pediatr Pulmonol 20:1 (1995), 40–43.
16. [16] Ward, C.M., Brinkman, T., Slifer, K.J., Paranjape, S.M., Using behavioral interventions to assist with routine procedures in children with cystic fibrosis. J Cyst Fibros 9:2 (2010), 150–153.
17. [17] Belessis, Y., Dixon, B., Hawkins, G., et al. Early cystic fibrosis lung disease detected by bronchoalveolar lavage and lung clearance index. Am J Respir Crit Care Med 185:8 (2012), 862–873.
18. [18] Humphrey, G.B., Boon, C.M., van Linden van den Heuvell, G.F., van de Wiel, H.B., The occurrence of high levels of acute behavioral distress in children and adolescents undergoing routine venipunctures. Pediatrics 90:1 Pt 1 (1992), 87–91.
19. [19] Herd, D.W., McAnulty, K.A., Keene, N.A., Sommerville, D.E., Conscious sedation reduces distress in children undergoing voiding cystourethrography and does not interfere with the diagnosis of vesicoureteric reflux: a randomized controlled study. AJR Am J Roentgenol 187:6 (2006), 1621–1626.
20. [20] Buderer, N.M.F., Statistical methodology: I. Incorporating the prevalence of disease into the sample size calculation for sensitivity and specificity. Acad Emerg Med 3:9 (1996), 895–900.
21. [21] Genders, T.S., Spronk, S., Stijnen, T., Steyerberg, E.W., Lesaffre, E., Hunink, M.M., Methods for calculating sensitivity and specificity of clustered data: a tutorial. Radiology 265:3 (2012), 910–916.
22. [22] Ramsey, B.W., Wentz, K.R., Smith, A.L., et al. Predictive value of oropharyngeal cultures for identifying lower airway bacteria in cystic fibrosis patients. Am Rev Respir Dis 144:2 (1991), 331–337.
23. [23] Rosenfeld, M., Gibson, R.L., McNamara, S., et al. Early pulmonary infection, inflammation, and clinical outcomes in infants with cystic fibrosis*. Pediatr Pulmonol 32:5 (2001), 356–366.
24. [24] Casier, A., Goubert, L., Vervoort, T., et al. Spirometry-related pain and distress in adolescents and young adults with cystic fibrosis: the role of acceptance. Pain Res Manag 18:6 (2013), 286–292.
25. [25] Ayers, S., Muller, I., Mahoney, L., Seddon, P., Understanding needle-related distress in children with cystic fibrosis. Br J Health Psychol 16:Pt 2 (2011), 329–343.
26. [26] Phillips, D., Watson, A.R., Collier, J., Distress and radiological investigations of the urinary tract in children. Eur J Pediatr 155:8 (1996), 684–687.