Protected telescopic catheter also allows anaerobic bacteria isolation in patients with ventilatory-acquired pneumonia.
OBJECTIVE
To analyze the possibility of isolating anaerobic bacteria using protected telescopic catheter (PTC) in patients with ventilatory-associated pneumonia.


METHODS
A prospective epidemiological study in a 12-bed intensive care unit.


METHODS
104 patients with suspected ventilatory-associated pneumonia undergoing PTC for microbiological determination including specific methods for anaerobic bacteria identification (mean age 59.3, range 17-82; SAPS II 44.6+/-17.9).


RESULTS
We performed 156 PTC procedures. Of the 14 cases ventilatory-associated pneumonia occurred early in 6 and in 8 late. In 52 samples at least one bacteria was isolated (33.3%). Of the 156 samples 14 yielded with anaerobic bacteria, representing 26.9% of the positive samples and 9% of all the samples.


CONCLUSIONS
Considering the potential pathogenic role of anaerobic bacteria in patients with ventilatory-associated pneumonia, the possibility of isolating these bacteria using PTC and taking into account its easiness and limited side effects should be underlined.
Robert
René
R
Service de Réanimation Médicale, Hôpital Jean Bernard CHU, 86021 Cedex, Poitiers, France. r.robert@chu-poitiers.fr.
Nanadoumgar
Hodanou
H
Service de Réanimation Médicale, Hôpital Jean Bernard CHU, 86021 Cedex, Poitiers, France.
Chatellier
Delphine
D
Service de Réanimation Médicale, Hôpital Jean Bernard CHU, 86021 Cedex, Poitiers, France.
Veinstein
Anne
A
Service de Réanimation Médicale, Hôpital Jean Bernard CHU, 86021 Cedex, Poitiers, France.
Frat
Jean-Pierre
JP
Service de Réanimation Médicale, Hôpital Jean Bernard CHU, 86021 Cedex, Poitiers, France.
Grollier
Ghislaine
G
Laboratoire de Microbiologie A, Hôpital Jean Bernard CHU, 86021 Cedex, Poitiers, France.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001421:Bacteria, Anaerobic / Q000302:isolation & purification*; D002404:Catheterization; D003428:Cross Infection / Q000175:diagnosis / Q000453:epidemiology; D004866:Equipment Contamination; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000382:microbiology*; D053717:Pneumonia, Ventilator-Associated / Q000382:microbiology*; D011446:Prospective Studies; D013048:Specimen Handling / Q000295:instrumentation*