Value of Broncho-Alveolar Lavage in Diagnosis of Newly Developed Lung Infiltrates in Mechanically Ventilated Patients
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 8
Abstract
<strong>Background and Objectives: </strong>in a developing country, cost effectiveness is an important consideration. The aim of this study was to investigate the efficiency and safety of mini broncho-alveolar lavage (mini BAL) samples in the diagnosis of newly developed lung infiltrates in mechanically ventilated patients. <strong>Methods: </strong>fifty mechanically ventilated patients with newly developed lung infiltrates were assessed by mini-BAL and subsequent microbiological examination. An infant Ryle catheter FG-10 was used as the inner catheter, a Nelaton catheter size 18 FG was used as the outer protective catheter and was blocked by sterile K-Y gel instead of the pre-packaged catheters. <strong>Results: </strong>eighty six percent of samples collected by Mini-BAL technique from mechanically ventilated patients showed positive growth for culture and sensitivity. Thirty percent of patients had bi microbial infection while fourteen had polymicrobial infection. Fungal infection (Candida) was the most frequent isolated pathogen (32%) followed by Gram-negative bacteria (Klebsiella) (30%). Legionella was the commonest isolated atypical bacteria. <strong>Conclusion: </strong>this study highlighted the mini-BAL technique as a simple, safe, cheap, available and non-invasive bedside procedure for acquiring uncontaminated lower respiratory secretions in patients with newly developed pulmonary infiltrates.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584293
- DOI 10.12816/ejhm.2018.10577
- Views 118
- Downloads 0
Microrna 192 Gene Expression in Type II Diabetic Nephropathy
Background: Diabetic nephropathy (DN) is the common cause of kidney failure in patients with diabetes mellitus. MicroRNAs (miRNAs) are short non-coding RNAs of about 22 nucleotides which recently have been shown to play...
The Role of Diffusion Weighted Magnetic Resonance Imaging and Subtraction Magnetic Resonance imaging in Assessing Treatment Response of Hepatocellular Carcinoma After Transarterial Chemoembolization
<span>Background: </span><span>Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide, and has a poor prognosis unless treated. Ablative therapies are promising treatment options for patients who are...
Attitude towards Seasonal Influenza Vaccination by Healthcare Workers
<strong>Background: </strong>Influenza is an airborne communicable disease; it is effectively can be prevented by vaccination. Healthcare workers (HCWs) contact with different patients with different diseases and differe...
Formal Abdominoplasty versus Mini-Abdominoplasty Post Laparoscopic Sleeve Gastrectomy
<strong>Background:</strong> obesity nowadays is associated with comorbidities that double folded the mortality as cancer, cardiovascular disease, and diabetes. And weight loss by dietary changes and exercise usually doe...
Prophylactic Carbetocin during Elective Caesarean Section in High Risk group for Atonic Postpartum Hemorrhage
<span>Background</span><span>: Postpartum hemorrhage (PPH) is defined as a blood loss more than 500 ml and serious PPH as a blood loss more than 1,000 ml. PPH is a serious condition remaining the single main cause of mat...