TY - JOUR
T1 - Etiologic diagnosis of bacterial nosocomial pneumonia in seriously ill patients
AU - Berger, R.
AU - Arango, L.
PY - 1985
Y1 - 1985
N2 - We identified retrospectively 19 critically ill, intubated patients in whom tracheobronchial secretions had been cultured before antimicrobials were administered. Each of these patients had bacterial nosocomial pneumonia, as diagnosed by a positive bacterial culture from blood, pleural fluid, percutaneously aspirated lung material, special endobronchial brushings, and/or postmortem lung specimens. In 11 (58%) patients, the predominant organism in the tracheobronchial secretions was the same one identified in the diagnostic culture. However, in eight (42%) patients, the infecting bacteria were either not predominant or did not grow in the culture of respiratory secretions. We conclude that standard microbiological studies of central tracheobronchical secretions are not always reliable for establishing the etiology of a bacterial nosocomial pneumonia in this type of patient.
AB - We identified retrospectively 19 critically ill, intubated patients in whom tracheobronchial secretions had been cultured before antimicrobials were administered. Each of these patients had bacterial nosocomial pneumonia, as diagnosed by a positive bacterial culture from blood, pleural fluid, percutaneously aspirated lung material, special endobronchial brushings, and/or postmortem lung specimens. In 11 (58%) patients, the predominant organism in the tracheobronchial secretions was the same one identified in the diagnostic culture. However, in eight (42%) patients, the infecting bacteria were either not predominant or did not grow in the culture of respiratory secretions. We conclude that standard microbiological studies of central tracheobronchical secretions are not always reliable for establishing the etiology of a bacterial nosocomial pneumonia in this type of patient.
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U2 - 10.1097/00003246-198510000-00011
DO - 10.1097/00003246-198510000-00011
M3 - Article
C2 - 4028753
AN - SCOPUS:0022253061
SN - 0090-3493
VL - 13
SP - 833
EP - 836
JO - Critical Care Medicine
JF - Critical Care Medicine
IS - 10
ER -