Comparison of bronchoscopic bronchoalveolar lavage vs blind lavage with a modified nasogastric tube in the etiologic diagnosis of ventilator-associated pneumonia / Comparison of bronchoscopic bronchoalveolar lavage vs blind lavage with a modified nasogastric tube in the etiologic diagnosis of ventilator-associated pneumonia
Med. intensiva (Madr., Ed. impr.)
; 32(3): 115-120, mar. 2008. tab
Article
in Es
| IBECS
| ID: ibc-64774
Responsible library:
ES15.1
Localization: ES15.1 - BNCS
ABSTRACT
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
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Respiration, Artificial
/
Ventilators, Mechanical
/
Pneumonia, Bacterial
Type of study:
Controlled clinical trial
/
Diagnostic study
/
Etiology study
/
Observational study
/
Risk factors
Limits:
Humans
Language:
Spanish
Journal:
Med. intensiva (Madr., Ed. impr.)
Year:
2008
Document type:
Article
Institution/Affiliation country:
Hospital Universitario Dr. José Eleuterio González/México
/
Scott & White Hospital/USA
/
The Cleveland Clinic/USA