التفاصيل البيبلوغرافية
| العنوان: |
Comparison of bronchoscopic bronchoalveolar lavage vs blind lavage with a modified nasogastric tube in the etiologic diagnosis of ventilator-associated pneumonia |
| المؤلفون: |
Leo,A., Galindo-Galindo,J., Folch,E., Guerrero,A., Bosques,F., Mercado,R., Arroliga,A.C. |
| المصدر: |
Medicina Intensiva v.32 n.3 2008 |
| بيانات النشر: |
Elsevier España, S.L. |
| سنة النشر: |
2008 |
| المجموعة: |
SciELO España (Scientific Electronic Library Online) |
| مصطلحات موضوعية: |
ventilator-associated pneumonia, bronchoalveolar lavage, nasogastric tube, blind bronchoalveolar lavage |
| الوصف: |
Objective. Our objective was to compare the results of a blind lavage vs a bronchoscopic-guided bronchoalveolar lavage for the etiologic diagnosis of ventilator-associated pneumonia (VAP). Design. Prospective study in consecutive patients with high probability of VAP. Every patient underwent both procedures, in a formally randomized fashion. The interpretation of quantitative cultures was done in a blind fashion. Setting. Single center study, with a 20 bed medical and surgical Intensive Care Unit of the University Hospital in Monterrey, Mexico. Patients. Twenty-five patients with high probability of VAP. Interventions. Every patient underwent blind bronchoalveolar lavage with a modified nasogastric tube, and a bronchospic-guided bronchoalveolar lavage. Results. Twenty-one patients underwent both procedures. Four patients were excluded due to contamination of the cultures. The quantitative cultures were compared in a paired fashion. Only two patients had discordant cultures. The correlation coefficient between the number of colonies was very high, r = 0.90 (95% confidence interval [CI], 0.77-0.96; p = 0.0001). Conclusions. The blind bronchoalveolar lavage with a modified nasogastric tube is a valuable tool for the identification of etiologic agent in VAP, particularly when trained bronchoscopists or the necessary resources for bronchoscopic-guided bronchoalveolar lavage are not readily available. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
text/html |
| اللغة: |
English |
| الاتاحة: |
https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0210-56912008000300003 |
| رقم الانضمام: |
edsbas.361F3444 |
| قاعدة البيانات: |
BASE |