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The Pneumonias pp 145–155Cite as

Pneumonia: Diagnostic Techniques

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Abstract

Diagnosis of a lower respiratory tract infection can be simple, as in a young immunocompetent individual, or difficult, as in patients who have underlying cardiopulmonary or systemic illness. Although our antimicrobial pharmacology today effectively eliminates a broad spectrum of offending organisms, it remains desirable to identify the causative organism so specific therapy can be offered. Knowledge of the infectious organism also has epidemiologic considerations.

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References

  1. Murray PR, Washington JA: Microscopic and bacteriologic analysis of expectorated sputum. Mayo Clin Proc 1975; 50: 339–344.

    PubMed  CAS  Google Scholar 

  2. Irwin RS, Garrity FH, Erickson AD, et al: Sampling lower respiratory tract secretions in primary lung abscess: a comparison of the accuracy of four methods. Chest 1981; 79: 559–565.

    Article  PubMed  CAS  Google Scholar 

  3. Bartlett JG: Diagnostic accuracy of transtracheal aspiration bacteriologic studies. Am Rev Respir Dis 1977; 115: 777–782.

    PubMed  CAS  Google Scholar 

  4. Bartlett JG, Rosenblatt JE, Finegold SM: Percutaneous transtracheal aspiration in the diagnosis of anaerobic pulmonary infection. Ann Intern Med 1973; 79: 535–540.

    PubMed  CAS  Google Scholar 

  5. Bjerkestrand G, Digranes A, Schreiner A: Bacteriological findings in trans-tracheal aspirates from patients with chronic bronchitis and bronchiectasis. Scand J Respir Dis 1975; 56: 201–207.

    PubMed  CAS  Google Scholar 

  6. Prater MR, Irwin RS: Transtracheal aspiration guidelines for safety. Chest 1979; 76: 518–520.

    Article  Google Scholar 

  7. Spencer DC, Beaty HN: Complications of transtracheal aspiration. N Engl J Med 1972; 286: 304–306.

    Article  PubMed  CAS  Google Scholar 

  8. Busk MF, Rosenow EC, Wilson WR: Invasive procedures in the diagnosis of pneumonia. Semin Respir Infect 1988; 3: 113–122.

    PubMed  CAS  Google Scholar 

  9. Wimberly N, Faling LJ, Bartlett JG: A fiberoptic bronchoscopy technique to obtain uncontaminated lower airway secretions for bacterial culture. Am Rev Respir Dis 1979; 119: 337–343.

    Google Scholar 

  10. Pollock HM, Hawkins EL, Bonner JR, et al: Diagnosis of bacterial pulmonary infections with quantitative protected cultures obtained during bronchoscopy. J Clin Microsc 1983; 17: 255–259.

    CAS  Google Scholar 

  11. Chastre J, Viau F, Brun P, et al: Prospective evaluation of the protected specimen brush for diagnosis of pulmonary infections in ventilated patients. Am Rev Respir Dis 1984; 130: 924–929.

    PubMed  CAS  Google Scholar 

  12. Fletcher EC, Mohr JA, Levin DC, et al: Bronchoscopic diagnosis of pulmonary infections: comparison of protected-specimen brush and cytology brush with lung aspirates. West J Med 1983; 138: 364–370.

    PubMed  CAS  Google Scholar 

  13. Halperin SA, Suratt PM, Gwaltney JM, et al: Bacterial cultures of the lower respiratory tract in normal volunteers with and without experimental rhino-virus infection using a plugged device catheter system. Am Rev Respir Dis 1982; 125: 678–680.

    PubMed  CAS  Google Scholar 

  14. Bamberger DM: Diagnosis of nosocomial pneumonia. Semin Respir Infect 1988; 3: 140–147.

    PubMed  CAS  Google Scholar 

  15. Roig J, Aguilar X, Ruiz J, et al: Comparative study of Legionella pneumophila and other nosocomial-acquired pneumonias. Chest 1991; 99: 344–350.

    Article  PubMed  CAS  Google Scholar 

  16. Brandstetter RD: Flexible fiberoptic bronchoscopy in the intensive care unit. J Intens Care Med 1989; 4: 248–264.

    Article  Google Scholar 

  17. Karetzky MA, Garvey JW, Brandstetter RD: Effect of fiberoptic bronchoscopy on arterial oxygen tension. NY State J Med 1974; 74: 62–63.

    CAS  Google Scholar 

  18. Tobin MJ: Diagnosis of pneumonia: techniques and problems. Clin Chest Med 1987; 8: 513–527.

    PubMed  CAS  Google Scholar 

  19. Martin WJ, Smith TF, Brutinel WM, et al: Role of bronchoalveolar lavage in the assessment of opportunistic infections: utility and complications. Mayo Clin Proc 1987; 62: 549–557.

    PubMed  Google Scholar 

  20. Stover DE, Zaman MB, Hajdu SI, et al: Bronchoalveolar lavage in the diagnosis of diffuse pulmonary infiltrates in the immunosuppressed host. Ann Intern Med 1984; 101: 1–7.

    PubMed  CAS  Google Scholar 

  21. Broaddus C, Dake MD, Stulbarg MS, et al: Bronchoalveolar lavage and transbronchial biopsy for the diagnosis of pulmonary infections in the acquired immunodeficiency syndrome. Ann Intern Med 1985; 102: 749–752.

    Google Scholar 

  22. Lorch DG, John JF, Tomlinson JR, et al: Protected transbronchial needle aspiration and protected specimen brush in the diagnosis of pneumonia. Am Rev Respir Dis 1987; 136: 565–569.

    Article  PubMed  Google Scholar 

  23. Feldman NT, Pennington JE, Ehrie MG: Transbronchial lung biopsy in the compromised host. JAMA 1977; 238: 1377–1379.

    Article  PubMed  CAS  Google Scholar 

  24. Matthay RA, Moritz ED: Invasive procedures for diagnosing pulmonary infection: a critical review. Clin Chest Med 1981; 2: 3–18.

    PubMed  CAS  Google Scholar 

  25. Brandstetter RD, Croce SA, Schiaffino E, et al: Flexible fiberoptic bronchoscopy in the hospitalized elderly. NY State J Med 1984; 84: 546–548.

    CAS  Google Scholar 

  26. Torres A, Jimenez P,, de la Bellacasa JP et al: Diagnostic value of non-fluoroscopic percutaneous lung needle aspiration in patients with pneumonia. Chest 1990; 98: 840–844.

    Article  PubMed  CAS  Google Scholar 

  27. Bartlett JG: Diagnosis of bacterial infections of the lung. Clin Chest Med 1987; 8: 119–134.

    PubMed  CAS  Google Scholar 

  28. Bartlett JG: Invasive diagnostic techniques in respiratory infections. In Pennington JE (ed): Respiratory Infections: Diagnosis and Management. New York: Raven Press, 1983, pp. 55–77.

    Google Scholar 

  29. Castellino RA, Blank N: Etiologic diagonsis of focal pulmonary infection in immunocompromised patients by fluoroscopically guided percutaneous needle aspiration. Radiology 1979; 132: 563–567.

    PubMed  CAS  Google Scholar 

  30. Palmer DL, Davidson M, Luck R: Needle aspiration of the lung in complex pneumonias. Chest 1980; 78: 16–21.

    Article  PubMed  CAS  Google Scholar 

  31. Zavala DC, Scohell JE: Ultra thin needle aspiration of the lung in infectious and malignant disease. Am Rev Respir Dis 1981; 123: 125–131.

    PubMed  CAS  Google Scholar 

  32. Light RW, MacGregor MI, Ball WC Jr, Luchsinger PC: Diagnostic significance of pleural fluid pH and PCO2. Chest 1973; 64: 591–596.

    Article  PubMed  CAS  Google Scholar 

  33. Brandstetter ED, Cohen RP: Hypoxemia after thoracentesis: a predictable and treatable observation. JAMA 1979; 242: 1060–1061.

    Article  PubMed  CAS  Google Scholar 

  34. Toledo-Pereyra LH, DeMeester TR, Kinealy A, et al: The benefits of open lung biopsy in patients with previous nondiagnostic transbronchial lung biopsy: a guide to appropriate therapy. Chest 1980; 77: 647–650.

    Article  PubMed  CAS  Google Scholar 

  35. Cockerill FR, Wilson WR, Carpenter HA, et al: Open lung biopsy in immunocompromised patients. Arch Intern Med 1985; 145: 1398–1404.

    Article  PubMed  Google Scholar 

  36. Bartlett JG: Bacteriological diagnosis of pulmonary infections. In Sackner MA (ed): Diagnostic Techniques in Pulmonary Disease. Part II. New York: Marcel Dekker, 1981, pp. 707–745.

    Google Scholar 

  37. Seidenfeld JJ, Pohl DF, Bell RC, et al: Incidence, site, and outcome of infections in patients with adult respiratory distress syndrome. Am Respir Dis 1986; 134: 12–16.

    CAS  Google Scholar 

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Authors
  1. Robert D. Brandstetter
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© 1993 Springer-Verlag New York, Inc.

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Brandstetter, R.D. (1993). Pneumonia: Diagnostic Techniques. In: The Pneumonias. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9766-3_6

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  • DOI: https://doi.org/10.1007/978-1-4613-9766-3_6

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-9768-7

  • Online ISBN: 978-1-4613-9766-3

  • eBook Packages: Springer Book Archive

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