“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
Related Articles
- EP ID EP226001
- DOI -
- Views 158
- Downloads 0
An Antenatal Evaluation of Umbilical and Middle Cerebral Artery Doppler Velocimetry and it’s Correlation with Perinatal Outcome In Intra Uterine Growth Restriction
BACKGROUND Intrauterine growth restriction is a term used to describe the foetus with birth weight at or below the 10thpercentile for gestational age and sex. The aim of the study is to correlate between Doppler abnormal...
EVALUATION OF THE EFFECT OF DICLOFENAC SODIUM ON INH-INDUCED SEIZURES
Epilepsy is a common and a complex neurological disorder that is characterized by a persisting tendency to generate seizures which affect quality of life. However neuro inflammation may be included as a major contributor...
MEDICINAL PLANTS RHIZOSPHERE – A BOON FOR INHABITING ANTIBIOTIC PRODUCING MICROORGANISMS
To explore the production of antibiotics from soil microbes residing in the rhizosphere of medicinal plants, a study was carried out at Himachal Pradesh, a hilly state situated in northern Himalayas. Microbes were isolat...
COMPARISON OF THE POSSIBLE CARDIAC EFFECT OF SITAGLIPTIN, METFORMIN AND GLIMEPIRIDE ON INSULIN INDUCED HYPOGLYCEMIA IN RABBITS
Background Hypoglycemia is a common in diabetic patients, especially during strict blood glucose control with insulin and oral hypoglycemic drugs. Acute or recurrent hypoglycemia may cause sudden death during diabetes me...
Analysis of Drug Contents of Cefotaxime Formulations Available in the Local Market and the Effect of Storage Conditions
Background: Low quality antimicrobial drugs represent a world-wide problem. Beta-lactams are the main types of antimicrobials found to be substandard or counterfeit. Environmental conditions can play an important role in...