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The Standardization of Bronchoscopic Techniques for Ventilator-Associated Pneumonia

Published online by Cambridge University Press:  21 June 2016

G. Umber-to Meduri  and
Jean Chastre
G. Umber-to Meduri
Affiliation:
Division of Pulmonary and Critical Care Medicine, The University of Tennessee, Memphis
Jean Chastre
Affiliation:
Service de Réanimation Médicale, Hospital Bichat, Paris, France
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Extract

During the last decade, several centers have directed their research efforts at defining more efficient modalities for the accurate diagnosis of ventilator-associated pneumonia (VAP). Accurate diagnosis is an essential prerequisite for clinical investigation. Initial studies, which correlated histologic findings and quantitative bacterial cultures of the lung with the findings of protected specimen brush cultures have stimulated clinical investigation of VAF! Two diagnostic techniques, protected specimen brushing (PSB) and bronchoalveolar lavage (BAL), have been extensively investigated and have shown promising results. Advancements in the field, however, have been limited by the lack of standardization, particularly for BAL. In this communication, we attempt to standardize methodology for presently available bronchoscopic techniques and interpretation of data obtained by bronchoscopy to facilitate comparisons among investigations and to promote multicenter collaboration.

Type
Proceedings of the First International Consensus Conference on the Clinical Investigation of Ventilator-Associated Pneumonia
Information
Infection Control & Hospital Epidemiology , Volume 13 , Issue 11 , November 1992 , pp. 640 - 649
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1992

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