“COMPARATIVE CLINICAL TRIAL BETWEEN BRONCHOSCOPIC AND NON- BRONCHOSCOPIC BRONCHOALVEOLAR LAVAGE IN DIAGNOSIS OF VENTILATOR ASSOCIATED PNEUMONIA”
Journal Title: International Journal of Medicine and Pharmaceutical Sciences (IJMPS) - Year 2017, Vol 7, Issue 3
Abstract
Background Our objective was to compare the results of bronchoscopic BAL and non-bronchoscopic BAL on diagnosis of ventilator-associated pneumonia (VAP). Patients and Methods The prospective comparative clinical trial was carried out in patients who were intubated for at least 48 hours. Every patient underwent both procedures, in a randomized fashion. The interpretation of cultures was done. 30 patients, who were intubated for 48 hours underwent both bronchoscopic and non-bronchoscopic bronchoalveolar lavage. Results From among the 30 patients, pathogen was isolated by bronchoscopic BAL in 29 patients, but only in 19 patients pathogen was isolated in non-bronchoscopic specimens. 10 patients had the same result both by bronchoscopy and non bronchoscopy. 8 patients had different pathogen isolation Conclusions Bronchoscopic BAL is a better and more accurate way to take samples from pulmonary secretion for diagnosis of VAP. Also, in patients with CPIS scores of less than 6, non-bronchoscopic BAL is not a reliable way for diagnosis of VAP.
Authors and Affiliations
IYAD ABBAS SALMAN, LAYLA ALI HAKEEM, WEHID ISMAIL SENIAR
Keywords
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