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- Scopus: eid_2-s2.0-0026427310
- PMID: 1875748
- WOS: WOS:A1991FR52500001
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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.
Title | 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. |
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Authors | |
Issue Date | 1991 |
Citation | Medicina Clinica, 1991, v. 96 n. 19, p. 721-726 How to Cite? |
Abstract | BACKGROUND: 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 Identifier | http://hdl.handle.net/10722/172662 |
ISSN | 2023 Impact Factor: 2.6 2023 SCImago Journal Rankings: 0.371 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Castella, J | en_US |
dc.contributor.author | Ausina, V | en_US |
dc.contributor.author | Puzo, C | en_US |
dc.contributor.author | Quintana, E | en_US |
dc.contributor.author | RodríguezFroján, G | en_US |
dc.contributor.author | Rello, J | en_US |
dc.contributor.author | Lunquin, M | en_US |
dc.contributor.author | GarcíaPachón, E | en_US |
dc.contributor.author | Belda, P | en_US |
dc.contributor.author | GarcíaBarceló, M | en_US |
dc.date.accessioned | 2012-10-30T06:24:06Z | - |
dc.date.available | 2012-10-30T06:24:06Z | - |
dc.date.issued | 1991 | en_US |
dc.identifier.citation | Medicina Clinica, 1991, v. 96 n. 19, p. 721-726 | en_US |
dc.identifier.issn | 0025-7753 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/172662 | - |
dc.description.abstract | BACKGROUND: 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.language | eng | en_US |
dc.relation.ispartof | Medicina Clinica | en_US |
dc.subject.mesh | Bacterial Infections - Complications - Diagnosis | en_US |
dc.subject.mesh | Bronchoalveolar Lavage Fluid - Microbiology | en_US |
dc.subject.mesh | Bronchoscopy - Methods | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Mycoses - Complications - Diagnosis | en_US |
dc.subject.mesh | Pneumonia - Diagnosis - Microbiology | en_US |
dc.subject.mesh | Sensitivity And Specificity | en_US |
dc.title | 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. | en_US |
dc.type | Article | en_US |
dc.identifier.email | GarcíaBarceló, M: mmgarcia@hkucc.hku.hk | en_US |
dc.identifier.authority | GarcíaBarceló, M=rp00445 | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.pmid | 1875748 | - |
dc.identifier.scopus | eid_2-s2.0-0026427310 | en_US |
dc.identifier.volume | 96 | en_US |
dc.identifier.issue | 19 | en_US |
dc.identifier.spage | 721 | en_US |
dc.identifier.epage | 726 | en_US |
dc.identifier.isi | WOS:A1991FR52500001 | - |
dc.identifier.scopusauthorid | Castella, J=8066709400 | en_US |
dc.identifier.scopusauthorid | Ausina, V=35394134800 | en_US |
dc.identifier.scopusauthorid | Puzo, C=6603545516 | en_US |
dc.identifier.scopusauthorid | Quintana, E=7006479370 | en_US |
dc.identifier.scopusauthorid | RodríguezFroján, G=6603359480 | en_US |
dc.identifier.scopusauthorid | Rello, J=7102682070 | en_US |
dc.identifier.scopusauthorid | Lunquin, M=6504040043 | en_US |
dc.identifier.scopusauthorid | GarcíaPachón, E=7003561935 | en_US |
dc.identifier.scopusauthorid | Belda, P=6506355471 | en_US |
dc.identifier.scopusauthorid | GarcíaBarceló, M=6701767303 | en_US |
dc.identifier.issnl | 0025-7753 | - |