Youssef Habib, M. Ahmed, H. Salem, Hossam Abdel-hamed
{"title":"支气管肺泡灌洗对机械通气患者新发肺浸润的诊断价值","authors":"Youssef Habib, M. Ahmed, H. Salem, Hossam Abdel-hamed","doi":"10.4103/ecdt.ecdt_94_22","DOIUrl":null,"url":null,"abstract":"Background and objectives Cost-effectiveness is a significant concern in a developing economy. As a result, the purpose of this work was to study the efficiency and safety of using mini bronchoalveolar lavage (mini-BAL) samples to diagnose recently developed lung infiltrates in mechanically ventilated patients. Aims This work aims to evaluate the role of BAL cultures sampled using the mini-BAL maneuver to diagnose recently developed lung infiltrates in patients who are being ventilated mechanically. Patients and methods Mini-BAL and microbiological cultures were to evaluate 30 mechanically ventilated patients with recently developed lung infiltrates. The outer protective catheter was a Nelaton catheter size 18 FG, while the inner catheter was an infant ryle catheter size FG-10. Instead of using the prepackaged catheters, the outer protective catheter was blocked by sterile K-Y gel. Results Klebsiella spp. are the most commonly isolated bacterial (44.4%) while Candida spp. (23.3%) are the most commonly isolated fungal organism in mechanically ventilated patients. Some patients had more than one isolated organism: Bimicrobial 16.7% and polymicrobial 26.7% while unimicrobial 46.7%. There was a statistically significant relationship between microbiology and clinical pulmonary infection score among the included patients at P value of 0.003. Conclusion The new mini-BAL is an effective bedside maneuver for obtaining uncontaminated lower respiratory secretions in patients with recently developed pulmonary infiltrates and suspected ventilator-associated pneumonia. It is also safe, affordable, easy, noninvasive, and readily available.","PeriodicalId":46359,"journal":{"name":"Egyptian Journal of Chest Diseases and Tuberculosis","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Value of bronchoalveolar lavage in the diagnosis of newly developed lung infiltrates in mechanically ventilated patients\",\"authors\":\"Youssef Habib, M. Ahmed, H. Salem, Hossam Abdel-hamed\",\"doi\":\"10.4103/ecdt.ecdt_94_22\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background and objectives Cost-effectiveness is a significant concern in a developing economy. As a result, the purpose of this work was to study the efficiency and safety of using mini bronchoalveolar lavage (mini-BAL) samples to diagnose recently developed lung infiltrates in mechanically ventilated patients. Aims This work aims to evaluate the role of BAL cultures sampled using the mini-BAL maneuver to diagnose recently developed lung infiltrates in patients who are being ventilated mechanically. Patients and methods Mini-BAL and microbiological cultures were to evaluate 30 mechanically ventilated patients with recently developed lung infiltrates. The outer protective catheter was a Nelaton catheter size 18 FG, while the inner catheter was an infant ryle catheter size FG-10. Instead of using the prepackaged catheters, the outer protective catheter was blocked by sterile K-Y gel. Results Klebsiella spp. are the most commonly isolated bacterial (44.4%) while Candida spp. (23.3%) are the most commonly isolated fungal organism in mechanically ventilated patients. Some patients had more than one isolated organism: Bimicrobial 16.7% and polymicrobial 26.7% while unimicrobial 46.7%. There was a statistically significant relationship between microbiology and clinical pulmonary infection score among the included patients at P value of 0.003. Conclusion The new mini-BAL is an effective bedside maneuver for obtaining uncontaminated lower respiratory secretions in patients with recently developed pulmonary infiltrates and suspected ventilator-associated pneumonia. It is also safe, affordable, easy, noninvasive, and readily available.\",\"PeriodicalId\":46359,\"journal\":{\"name\":\"Egyptian Journal of Chest Diseases and Tuberculosis\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2023-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Egyptian Journal of Chest Diseases and Tuberculosis\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/ecdt.ecdt_94_22\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Egyptian Journal of Chest Diseases and Tuberculosis","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/ecdt.ecdt_94_22","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
Value of bronchoalveolar lavage in the diagnosis of newly developed lung infiltrates in mechanically ventilated patients
Background and objectives Cost-effectiveness is a significant concern in a developing economy. As a result, the purpose of this work was to study the efficiency and safety of using mini bronchoalveolar lavage (mini-BAL) samples to diagnose recently developed lung infiltrates in mechanically ventilated patients. Aims This work aims to evaluate the role of BAL cultures sampled using the mini-BAL maneuver to diagnose recently developed lung infiltrates in patients who are being ventilated mechanically. Patients and methods Mini-BAL and microbiological cultures were to evaluate 30 mechanically ventilated patients with recently developed lung infiltrates. The outer protective catheter was a Nelaton catheter size 18 FG, while the inner catheter was an infant ryle catheter size FG-10. Instead of using the prepackaged catheters, the outer protective catheter was blocked by sterile K-Y gel. Results Klebsiella spp. are the most commonly isolated bacterial (44.4%) while Candida spp. (23.3%) are the most commonly isolated fungal organism in mechanically ventilated patients. Some patients had more than one isolated organism: Bimicrobial 16.7% and polymicrobial 26.7% while unimicrobial 46.7%. There was a statistically significant relationship between microbiology and clinical pulmonary infection score among the included patients at P value of 0.003. Conclusion The new mini-BAL is an effective bedside maneuver for obtaining uncontaminated lower respiratory secretions in patients with recently developed pulmonary infiltrates and suspected ventilator-associated pneumonia. It is also safe, affordable, easy, noninvasive, and readily available.
期刊介绍:
The journal will cover technical and clinical studies related to health, ethical and social issues in field of The Egyptian Journal of Chest Diseases and Tuberculosis aims to publish and inform readers and all chest physicians of the progress in medical research concerning all aspect of chest diseases. Publications include original articles review articles, editorials, case studies and reports which are relevant to chest diseases. The Journal also aims to highlight recent updates in chest medicine. . Articles with clinical interest and implications will be given preference.