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rdf:type |
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lifeskim:mentions |
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pubmed:issue |
5
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pubmed:dateCreated |
2004-6-4
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pubmed:abstractText |
The use of quantitative cultures of the bronchoalveolar lavage (BAL) effluent to distinguish between posttraumatic inflammatory response and ventilator-associated pneumonia (VAP) is becoming more common. However, the diagnostic threshold of either 10 or 10 colonies/mL remains debatable. Because mortality from VAP is related to treatment delay, some have chosen a lower diagnostic threshold (>10 colonies/mL). This may result in unnecessary antibiotic use with its sequelae: increased resistant organisms, antibiotic-related complications, and increased costs. The purpose of this study is to determine the optimal diagnostic threshold for VAP diagnosis using quantitative cultures of the BAL effluent.
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0022-5282
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pubmed:author |
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pubmed:issnType |
Print
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pubmed:volume |
56
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
931-4; discussion 934-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:15179229-Adult,
pubmed-meshheading:15179229-Age Distribution,
pubmed-meshheading:15179229-Bronchoalveolar Lavage Fluid,
pubmed-meshheading:15179229-Colony Count, Microbial,
pubmed-meshheading:15179229-Cross Infection,
pubmed-meshheading:15179229-Diagnosis, Differential,
pubmed-meshheading:15179229-Drug Resistance,
pubmed-meshheading:15179229-False Negative Reactions,
pubmed-meshheading:15179229-False Positive Reactions,
pubmed-meshheading:15179229-Female,
pubmed-meshheading:15179229-Fever,
pubmed-meshheading:15179229-Hospital Mortality,
pubmed-meshheading:15179229-Humans,
pubmed-meshheading:15179229-Injury Severity Score,
pubmed-meshheading:15179229-Leukocytosis,
pubmed-meshheading:15179229-Leukopenia,
pubmed-meshheading:15179229-Male,
pubmed-meshheading:15179229-Microbial Sensitivity Tests,
pubmed-meshheading:15179229-Pneumonia, Bacterial,
pubmed-meshheading:15179229-Prospective Studies,
pubmed-meshheading:15179229-Sensitivity and Specificity,
pubmed-meshheading:15179229-Sex Distribution,
pubmed-meshheading:15179229-Tennessee,
pubmed-meshheading:15179229-Time Factors,
pubmed-meshheading:15179229-Trauma Centers,
pubmed-meshheading:15179229-Ventilators, Mechanical
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pubmed:year |
2004
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pubmed:articleTitle |
The appropriate diagnostic threshold for ventilator-associated pneumonia using quantitative cultures.
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pubmed:affiliation |
Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA. mcroce@utmem.edu
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pubmed:publicationType |
Journal Article,
Validation Studies
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