The use of fibreoptic bronchoscopy with sterile catheter in the diagnosis of pneumonia
| Autor: | J. M. Yap, Allan R. Glanville, B. J. S. Hartnett, R. A. Bradbury, G. E. Marlin |
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| Rok vydání: | 1985 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.drug_class Antibiotics Catheterization Specimen Handling Colony-Forming Units Assay Diagnosis Differential Internal Medicine Medicine Fiber Optic Technology Humans Sampling (medicine) Aged Asepsis Colony-forming unit business.industry Bacterial pneumonia Exudates and Transudates Pneumonia Middle Aged medicine.disease Fungal pneumonia Surgery Catheter Bronchoscopes Sputum Female medicine.symptom business |
| Zdroj: | Australian and New Zealand journal of medicine. 15(3) |
| ISSN: | 0004-8291 |
| Popis: | The use of fibreoptic bronchoscopy with sterile catheter sampling of pulmonary secretions was evaluated in 70 patients with a provisional diagnosis of pneumonia. In 37 patients quantitative analysis of the sterile catheter isolates was performed (colony forming units (CFU) per ml). Potential bacterial pathogens were isolated in 37 patients and in the quantitative analysis, 14 of 22 isolates were grown in counts ≤ 103 CFU/ml. Sterile catheter increased the bacterial isolation rate as in only 19 patients blood (2) or sputum (18) cultures yielded the same organisms. Sputum cultures showed a 25% false-positive rate in patients with no growth from sterile catheter. Quantitative analysis did not yield any further information in patients receiving antibiotics. Atypical or fungal pneumonia was diagnosed in 22 patients, while ten patients had other pathology simulating pneumonia. Sterile catheter sampling of pulmonary secretions at fibreoptic bronchoscopy proved to be a valuable tool in the diagnosis of bacterial pneumonia. (Aust NZ J Med 1985; 15: 309–319.) |
| Databáze: | OpenAIRE |
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