Bacteriologic assessment of the lower respiratory tract in intubated patients.
Twelve patients with an endotracheal tube and a new infiltrate were assessed for differences in the bacteriologic information that could be obtained by routine tracheal suctioning (RTS), a double-lumen protected-sheath brush passed through a flexible fiberoptic bronchoscope (B-FFB), and suctioning through a flexible fiberoptic bronchoscope (S-FEB). Gram stains and cultures were performed on all specimens. There was 100% agreement for the culture results obtained by RTS and S-FEB. It is concluded that RTS obtains comparable information to that obtained by the more expensive and more personnel-intensive B-FFB.
D001431:Bacteriological Techniques; D001999:Bronchoscopy; D002404:Catheterization; D006801:Humans; D007442:Intubation, Intratracheal; D012137:Respiratory System / Q000382:microbiology*; D013048:Specimen Handling / Q000379:methods*; D013396:Suction