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Diagnostic yield of quantitative endotracheal aspirates in patients with severe nursing home-acquired pneumonia
| Content Provider | Semantic Scholar |
|---|---|
| Author | Solh, Ali A. El Akinnusi, Morohunfolu E. Pineda, Lilibeth A. Mankowski, Corey R. |
| Copyright Year | 2007 |
| Abstract | INTRODUCTION Diagnostic strategies based on tracheal aspirates in patients with severe nursing home-acquired pneumonia have not previously been evaluated. The objectives of the study were to investigate, in patients with severe nursing home-acquired pneumonia, the diagnostic value of quantitative endotracheal aspirate (QEA) cultures using increasing interpretative cutoff points, as compared with bronchoalveolar lavage (BAL) and protected specimen brush (PSB) quantitative cultures. METHODS Seventy-five nursing home patients requiring mechanical ventilation for suspected pneumonia were studied. Endotracheal aspirate, PSB, and BAL samples were obtained consecutively. The diagnostic yield of QEA at thresholds raging from 10(3) to 10(7) colony-forming units (cfu)/ml was assessed by calculating sensitivities, specificities, and accuracy rates. A receiver operator characteristic curve for the series of cutoff points was constructed. RESULTS Forty-nine patients were diagnosed with pneumonia either by BAL ( |
| Starting Page | R57 |
| Ending Page | R57 |
| Page Count | 1 |
| File Format | PDF HTM / HTML |
| DOI | 10.1378/chest.132.4_MeetingAbstracts.502 |
| PubMed reference number | 17509136 |
| Journal | Medline |
| Volume Number | 11 |
| Alternate Webpage(s) | http://ccforum.biomedcentral.com/track/pdf/10.1186/cc5917?site=ccforum.biomedcentral.com |
| Alternate Webpage(s) | http://ftp.ncbi.nlm.nih.gov/pub/pmc/93/f4/cc5917.PMC2206409.pdf |
| Alternate Webpage(s) | https://doi.org/10.1378/chest.132.4_MeetingAbstracts.502 |
| Journal | Critical care |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
