Bronchoalveolar Lavage in Diagnosis of Ventilator-Associated Pneumonia in Patients with Burns
| Autor: | Karla S. Ahrns, Mark R. Hemmila, Wendy L. Wahl, Saman Arbabi, Mary-Margaret Brandt, Stephen A. Rowe |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.drug_class Antibiotics Bronchoalveolar Lavage Sensitivity and Specificity Diagnosis Differential Internal medicine medicine Humans False Positive Reactions In patient Antibiotic use Child General Nursing medicine.diagnostic_test business.industry Rehabilitation Ventilator-associated pneumonia Pneumonia Middle Aged respiratory system bacterial infections and mycoses medicine.disease Respiration Artificial respiratory tract diseases Surgery Systemic inflammatory response syndrome Bronchoalveolar lavage General Health Professions Emergency Medicine Female Burns business |
| Zdroj: | Journal of Burn Care & Rehabilitation. 26:57-61 |
| ISSN: | 0273-8481 |
| Popis: | Ventilator-associated pneumonia (VAP) remains a major cause of morbidity and mortality for patients with burns. In nonburn populations, bronchoalveolar lavage (BAL) excludes other pathology such as systemic inflammatory response syndrome. We hypothesized that BAL would decrease our false-positive VAP rate. All ventilated patients with burn injury who were admitted to our institution from July 2000 through June 2003 were included. After June 2001, BAL was used to make the diagnosis of VAP, with > or =10(4) organisms considered a positive result. Fifty patients met criteria for VAP, 21 in the pre-BAL period and 29 in the BAL period. Six patients (21%) in the BAL group had quantitative cultures |
| Databáze: | OpenAIRE |
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