Abstract
Objective
To analyze the possibility of isolating anaerobic bacteria using protected telescopic catheter (PTC) in patients with ventilatory-associated pneumonia.
Design and setting
A prospective epidemiological study in a 12-bed intensive care unit.
Patients
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).
Measurements and 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.
Conclusion
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.
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Robert, R., Nanadoumgar, H., Chatellier, D. et al. Protected telescopic catheter also allows anaerobic bacteria isolation in patients with ventilatory-acquired pneumonia. Intensive Care Med 32, 322–324 (2006). https://doi.org/10.1007/s00134-005-0010-8
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DOI: https://doi.org/10.1007/s00134-005-0010-8