Please use this identifier to cite or link to this item:
https://olympias.lib.uoi.gr/jspui/handle/123456789/22849Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | Prekates, A. | en |
| dc.contributor.author | Nanas, S. | en |
| dc.contributor.author | Nakos, G. | en |
| dc.contributor.author | Floros, J. | en |
| dc.contributor.author | Argyropoulou, A. | en |
| dc.contributor.author | Paniara, O. | en |
| dc.contributor.author | Roussos, C. | en |
| dc.date.accessioned | 2015-11-24T19:27:50Z | - |
| dc.date.available | 2015-11-24T19:27:50Z | - |
| dc.identifier.issn | 0256-9574 | - |
| dc.identifier.uri | https://olympias.lib.uoi.gr/jspui/handle/123456789/22849 | - |
| dc.rights | Default Licence | - |
| dc.subject | Adult | en |
| dc.subject | Aged | en |
| dc.subject | Anti-Bacterial Agents/therapeutic use | en |
| dc.subject | Bronchoalveolar Lavage/*methods | en |
| dc.subject | Bronchoalveolar Lavage Fluid/*microbiology | en |
| dc.subject | Bronchoscopy | en |
| dc.subject | Evaluation Studies as Topic | en |
| dc.subject | Female | en |
| dc.subject | Humans | en |
| dc.subject | Lung/microbiology | en |
| dc.subject | Male | en |
| dc.subject | Middle Aged | en |
| dc.subject | Pneumonia, Pneumococcal/*diagnosis/drug therapy/etiology/microbiology | en |
| dc.subject | Prospective Studies | en |
| dc.subject | Respiration, Artificial/*adverse effects | en |
| dc.title | Conditional evaluation of broncho-alveolar lavage in mechanically ventilated patients with suspected unilateral lobar pneumonia | en |
| heal.type | journalArticle | - |
| heal.type.en | Journal article | en |
| heal.type.el | Άρθρο Περιοδικού | el |
| heal.identifier.secondary | http://www.ncbi.nlm.nih.gov/pubmed/9180832 | - |
| heal.language | en | - |
| heal.access | campus | - |
| heal.recordProvider | Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής | el |
| heal.publicationDate | 1997 | - |
| heal.abstract | OBJECTIVE: In an attempt to improve our ability to diagnose the cause of ventilator-associated pneumonia (VAP), we explore the usefulness of the conditional evaluation of bronchoalveolar lavage (BAL) samples from the involved and non-involved areas in patients with suspected unilateral lobar VAP (UL-VAP). DESIGN: Prospective study. SETTING: University teaching hospital intensive care unit. PATIENTS: We studied 19 consecutive patients with suspected UL-VAP. MEASUREMENTS AND MAIN RESULTS: Nine of the 12 patients (47%) developed UL-VAP. There was a significant difference between the involved and non-involved areas in UL-VAP patients (P < 0.001) in respect of the quantitative bacterial cultures (QBCs) of BAL samples for each micro-organism, whereas there was no difference in patients without UL-VAP. When we applied the criterion of usual BAL (one micro-organism in concentrations > 10(5) colony-forming units per millilitre) for UL-VAP diagnosis, the sensitivity was 100%, the specificity 70%, the positive predictive value 75%, and the negative predictive value 100%. When we used the conditional evaluation of the BAL results for UL-VAP diagnosis, in the involved and non-involved areas, the sensitivity was 78%, the specificity 90%, the positive predictive value 87.5% and the negative predictive value 82%. A statistically significant difference was found when we compared the difference in QBCs between the BAL samples for each micro-organism, between the involved and non-involved areas in patients with and without VAP (P < 0.001). CONCLUSION: These data suggest that utilisation of the conditional evaluation of the QBCs of BAL samples improves significantly our ability to diagnose the cause of UL-VAP. | en |
| heal.journalName | S Afr Med J | en |
| heal.journalType | peer-reviewed | - |
| heal.fullTextAvailability | TRUE | - |
| Appears in Collections: | Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ | |
Files in This Item:
There are no files associated with this item.
This item is licensed under a Creative Commons License
