Value of bronchoalveolar lavage in the diagnosis of newly developed lung infiltrates in mechanically ventilated patients
| Autor: | Youssef M.B. Habib, Mona M Ahmed, Hala M Salem, Hossam E.M. Abdel-hamed |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Egyptian Journal of Chest Disease and Tuberculosis, Vol 72, Iss 2, Pp 167-174 (2023) |
| Druh dokumentu: | article |
| ISSN: | 0422-7638 2090-9950 |
| DOI: | 10.4103/ecdt.ecdt_94_22 |
| Popis: | Background and objectives Cost-effectiveness is a significant concern in a developing economy. As a result, the purpose of this work was to study the efficiency and safety of using mini bronchoalveolar lavage (mini-BAL) samples to diagnose recently developed lung infiltrates in mechanically ventilated patients. Aims This work aims to evaluate the role of BAL cultures sampled using the mini-BAL maneuver to diagnose recently developed lung infiltrates in patients who are being ventilated mechanically. Patients and methods Mini-BAL and microbiological cultures were to evaluate 30 mechanically ventilated patients with recently developed lung infiltrates. The outer protective catheter was a Nelaton catheter size 18 FG, while the inner catheter was an infant ryle catheter size FG-10. Instead of using the prepackaged catheters, the outer protective catheter was blocked by sterile K-Y gel. Results Klebsiella spp. are the most commonly isolated bacterial (44.4%) while Candida spp. (23.3%) are the most commonly isolated fungal organism in mechanically ventilated patients. Some patients had more than one isolated organism: Bimicrobial 16.7% and polymicrobial 26.7% while unimicrobial 46.7%. There was a statistically significant relationship between microbiology and clinical pulmonary infection score among the included patients at P value of 0.003. Conclusion The new mini-BAL is an effective bedside maneuver for obtaining uncontaminated lower respiratory secretions in patients with recently developed pulmonary infiltrates and suspected ventilator-associated pneumonia. It is also safe, affordable, easy, noninvasive, and readily available. |
| Databáze: | Directory of Open Access Journals |
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