Comparison of Mini-bronchoalveolar Lavage Technique with Endotracheal Aspirate and Bronchoscopic Specimens in Isolating Ventilator-associated Pneumonia Factors in Patients Under Intensive Care
| Autor: | Pelin Ağırgöl, Özlem Polat, İlkay Anaklı, Günseli Orhun, Arif Atahan Çağatay, Metin Kılıç, Perihan Ergin Özcan |
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| Jazyk: | English<br />Turkish |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Türk Yoğun Bakim Derneği Dergisi, Vol 21, Iss 2, Pp 68-73 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2146-6416 2147-267X |
| DOI: | 10.4274/tybd.galenos.2021.24855 |
| Popis: | Objective:Our study aimed to compare the mini-bronchoalveolar lavage (mini-BAL) method with the classical methods of endotracheal aspiration (ETA) and BAL in patients followed up in the intensive care unit (ICU) diagnosed with nosocomial pneumonia.Materials and Methods:Our study comprised 30 patients who were followed up with a suspicion of ventilator-associated pneumonia (VAP) between February 2014 and January 2015 at İstanbul University, İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, ICU.Results:A total of 40% (12 people) of the patients were women, 60% (18 people) were men, and the mean age was 54.23±21.37 years. The mean duration of mechanical ventilation was 9.7±22.8 days. The mean Simplified Acute Physiology Score III of the patients was 36.06±8.46, the Acute Physiology and Chronic Health Evaluation-II score was 21.36±4.90, and the Clinical Pulmoner Infection score was 5.90±1.91. The consistency of the mini-BAL method, according to bronchoscopy, was 86.7%, and its consistency, compared with tracheal aspiration, was 63.3%. The consistency between the ETA and bronchoscopy method was 60%.Conclusion:Therefore, in the comparison of the methods used in the diagnosis of patients with suspected VAP in the ICU, mini-BAL gave reliable results in the early period. |
| Databáze: | Directory of Open Access Journals |
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