Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/46676
DC FieldValueLanguage
dc.contributor.authorSole Violan, Jorgeen_US
dc.contributor.authorDe Castro, F. R.en_US
dc.contributor.authorRey, A.en_US
dc.contributor.authorMartin-Gonzalez, J. C.en_US
dc.contributor.authorCabrera-Navarro, P.en_US
dc.date.accessioned2018-11-23T06:59:23Z-
dc.date.available2018-11-23T06:59:23Z-
dc.date.issued1994en_US
dc.identifier.issn0012-3692en_US
dc.identifier.urihttp://hdl.handle.net/10553/46676-
dc.description.abstractStudy objective: To assess the usefulness of quantification of bronchoalveolar lavage (BAL) cells containing intracellular organisms (ICO) in the diagnosis of ventilator-associated pneumonia. Design: The reliability of cytologic analysis in comparison with the protected specimen brush (PSB) and BAL quantitative cultures has been assessed in a prospective study. Setting: An intensive care unit of a tertiary-referral teaching hospital. Patients: A total of 33 ventilated patients with suspected pneumonia based on clinical grounds and radiographic findings. Interventions: All patients underwent fiberoptic bronchoscopy within the first 24 h after clinical suspicion of pneumonia. Specimens were obtained by PSB and BAL and were processed for quantitative cultures using standard methods. Two 0.5-ml samples of resuspended original BAL fluid were centrifuged and stained with Gram and modified May-Grünwald-Giemsa for differential cell counts and percentage of cells with ICO. Results: Pneumonia was the final diagnosis in 16 (49 percent) of the 33 patients. In 14 (42 percent) patients, pneumonia was excluded and in the remaining 3 the diagnosis was uncertain. Twelve of the 16 patients with pneumonia had their conditions diagnosed by PSB, 14 by BAL, and 10 by quantification of ICO. Only one patient's condition was diagnosed exclusively by cytologic examination. There were no false-positive results with any of the diagnostic techniques. Conclusions: Microscopic identification of ICO in cells recovered by BAL allows early and accurate diagnosis of pneumonia in mechanically ventilated patients. However, the sensitivity of this technique is lower than with either PSB or BAL.en_US
dc.languageengen_US
dc.relation.ispartofChest (American College of Chest Physicians)en_US
dc.sourceChest[ISSN 0012-3692],v. 106, p. 889-894en_US
dc.subject32 Ciencias médicasen_US
dc.subject320508 Enfermedades pulmonaresen_US
dc.subject.otherProtected Specimen Brushen_US
dc.subject.otherContinuous Mechanical Ventilationen_US
dc.subject.otherBronchoalveolar Lavageen_US
dc.subject.otherNosocomial Pneumoniaen_US
dc.subject.otherBacterial Pneumoniaen_US
dc.subject.otherDiagnosisen_US
dc.subject.otherInfectionsen_US
dc.subject.otherCatheteren_US
dc.titleUsefulness of microscopic examination of intracellular organisms in lavage fluid in ventilator-associated pneumoniaen_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1378/chest.106.3.889en_US
dc.identifier.scopus0028050177-
dc.identifier.isiA1994PG60500049-
dc.contributor.authorscopusid55401479000-
dc.contributor.authorscopusid55942667000-
dc.contributor.authorscopusid7202860969-
dc.contributor.authorscopusid6603384845-
dc.contributor.authorscopusid6602573187-
dc.description.lastpage894en_US
dc.description.firstpage889en_US
dc.relation.volume106en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.contributor.daisngid7683432-
dc.contributor.daisngid464249-
dc.contributor.daisngid5748035-
dc.contributor.daisngid12900331-
dc.contributor.daisngid4098293-
dc.description.numberofpages6en_US
dc.utils.revisionen_US
dc.contributor.wosstandardWOS:SOLEVIOLAN, J-
dc.contributor.wosstandardWOS:DECASTRO, FR-
dc.contributor.wosstandardWOS:REY, A-
dc.contributor.wosstandardWOS:MARTINGONZALEZ, JC-
dc.contributor.wosstandardWOS:CABRERANAVARRO, P-
dc.date.coverdateSeptiembre 1994en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.scieSCIE
item.grantfulltextnone-
item.fulltextSin texto completo-
crisitem.author.deptGIR Patología médica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0002-0483-4470-
crisitem.author.orcid0000-0002-6812-2739-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.fullNameSole Violan, Jorge-
crisitem.author.fullNameRodríguez De Castro, Felipe Carlos B.-
crisitem.author.fullNameCabrera Navarro, Pedro-
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