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Article: Protected bronchoalveolar lavage: a new endoscopic method in the diagnosis of bacterial pneumonia | Lavado broncoalveolar protegido: nuevo método endoscópico en el diagnóstico de las neumonías bacterianas.

TitleProtected bronchoalveolar lavage: a new endoscopic method in the diagnosis of bacterial pneumonia | Lavado broncoalveolar protegido: nuevo método endoscópico en el diagnóstico de las neumonías bacterianas.
Authors
Issue Date1991
Citation
Medicina Clinica, 1991, v. 96 n. 19, p. 721-726 How to Cite?
AbstractBACKGROUND: The identification of causative microoganisms in severe pneumonias is a usually difficult problem. Protected brushing (PB) has a good specificity but a limited sensitivity. Conventional bronchoalveolar lavage (BAL-C) has an excellent sensitivity but a doubtful specificity. The investigation of a new technique such as the protected bronchoalveolar lavage (BAL-P) appears as logical, as it should combine the advantages of PB and BAL-C without their drawbacks. METHODS: In 15 patients without bacterial or fungal infections and in 23 with bacterial or fungal pneumonia, quantitative cultures were carried out in the samples obtained with PB, BAL-P and BAL-C. PB and BAL-C were performed with the usual technique. BAL-P was performed through the internal catheter of a telescoped double catheter with reabsorbable distal cap within the fibroscope channel. 40 ml of saline were instillated for the lavage. RESULTS: With BAL-P sensitivity was 95% and specificity 89%. These were, respectively, 55% and 94% with PB, and 95% and 42% with BAL-C. The technique of BAL-P was more complex an longer than that of PB. CONCLUSIONS: If these results are confirmed in further studies, BAL-P might become a method of choice for the bacterial pneumonias where now PB is indicated. However, in patients with hypersecretion or when bronchoscopy should be rapidly carried out, PB is technically more feasible.
Persistent Identifierhttp://hdl.handle.net/10722/172662
ISSN
2015 Impact Factor: 1.267
2015 SCImago Journal Rankings: 0.221
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCastella, Jen_US
dc.contributor.authorAusina, Ven_US
dc.contributor.authorPuzo, Cen_US
dc.contributor.authorQuintana, Een_US
dc.contributor.authorRodríguezFroján, Gen_US
dc.contributor.authorRello, Jen_US
dc.contributor.authorLunquin, Men_US
dc.contributor.authorGarcíaPachón, Een_US
dc.contributor.authorBelda, Pen_US
dc.contributor.authorGarcíaBarceló, Men_US
dc.date.accessioned2012-10-30T06:24:06Z-
dc.date.available2012-10-30T06:24:06Z-
dc.date.issued1991en_US
dc.identifier.citationMedicina Clinica, 1991, v. 96 n. 19, p. 721-726en_US
dc.identifier.issn0025-7753en_US
dc.identifier.urihttp://hdl.handle.net/10722/172662-
dc.description.abstractBACKGROUND: The identification of causative microoganisms in severe pneumonias is a usually difficult problem. Protected brushing (PB) has a good specificity but a limited sensitivity. Conventional bronchoalveolar lavage (BAL-C) has an excellent sensitivity but a doubtful specificity. The investigation of a new technique such as the protected bronchoalveolar lavage (BAL-P) appears as logical, as it should combine the advantages of PB and BAL-C without their drawbacks. METHODS: In 15 patients without bacterial or fungal infections and in 23 with bacterial or fungal pneumonia, quantitative cultures were carried out in the samples obtained with PB, BAL-P and BAL-C. PB and BAL-C were performed with the usual technique. BAL-P was performed through the internal catheter of a telescoped double catheter with reabsorbable distal cap within the fibroscope channel. 40 ml of saline were instillated for the lavage. RESULTS: With BAL-P sensitivity was 95% and specificity 89%. These were, respectively, 55% and 94% with PB, and 95% and 42% with BAL-C. The technique of BAL-P was more complex an longer than that of PB. CONCLUSIONS: If these results are confirmed in further studies, BAL-P might become a method of choice for the bacterial pneumonias where now PB is indicated. However, in patients with hypersecretion or when bronchoscopy should be rapidly carried out, PB is technically more feasible.en_US
dc.languageengen_US
dc.relation.ispartofMedicina Clinicaen_US
dc.subject.meshBacterial Infections - Complications - Diagnosisen_US
dc.subject.meshBronchoalveolar Lavage Fluid - Microbiologyen_US
dc.subject.meshBronchoscopy - Methodsen_US
dc.subject.meshHumansen_US
dc.subject.meshMycoses - Complications - Diagnosisen_US
dc.subject.meshPneumonia - Diagnosis - Microbiologyen_US
dc.subject.meshSensitivity And Specificityen_US
dc.titleProtected bronchoalveolar lavage: a new endoscopic method in the diagnosis of bacterial pneumonia | Lavado broncoalveolar protegido: nuevo método endoscópico en el diagnóstico de las neumonías bacterianas.en_US
dc.typeArticleen_US
dc.identifier.emailGarcíaBarceló, M: mmgarcia@hkucc.hku.hken_US
dc.identifier.authorityGarcíaBarceló, M=rp00445en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid1875748-
dc.identifier.scopuseid_2-s2.0-0026427310en_US
dc.identifier.volume96en_US
dc.identifier.issue19en_US
dc.identifier.spage721en_US
dc.identifier.epage726en_US
dc.identifier.isiWOS:A1991FR52500001-
dc.identifier.scopusauthoridCastella, J=8066709400en_US
dc.identifier.scopusauthoridAusina, V=35394134800en_US
dc.identifier.scopusauthoridPuzo, C=6603545516en_US
dc.identifier.scopusauthoridQuintana, E=7006479370en_US
dc.identifier.scopusauthoridRodríguezFroján, G=6603359480en_US
dc.identifier.scopusauthoridRello, J=7102682070en_US
dc.identifier.scopusauthoridLunquin, M=6504040043en_US
dc.identifier.scopusauthoridGarcíaPachón, E=7003561935en_US
dc.identifier.scopusauthoridBelda, P=6506355471en_US
dc.identifier.scopusauthoridGarcíaBarceló, M=6701767303en_US

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