Incidence of anaerobic infections among patients with pulmonary diseases: Japanese experience with transtracheal aspiration and immediate bedside anaerobic inoculation

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
T KatoK Watanabe

Abstract

We conducted a study to assess the precise incidence of anaerobic infections among patients with pulmonary diseases in Japan. To avoid false-negative results of anaerobic cultures, we used percutaneous transtracheal aspiration and subsequent immediate bedside anaerobic inoculation onto a set of plates with appropriately selected culture media. Fifty-six episodes of pulmonary disease occurred in 50 patients; anaerobes were isolated in 20 (36%) of these episodes. Bacteria were recovered in 30 (94%) of 32 episodes not associated with prior antimicrobial therapy, and anaerobes were isolated in 15 (47%) of these 32 episodes. Rates of anaerobic isolation in episodes of pneumonia (7 of 14), lung abscess (3 of 3), and acute exacerbation of chronic lower respiratory tract infection (5 of 15) that were not associated with prior antimicrobial therapy were 50%, 100%, and 33%, respectively.

Citations

Jul 8, 2011·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·UNKNOWN Japanese Society of Chemotherapy Committee on guidelines for treatment of anaerobic infections, UNKNOWN Japanese Association for Anaerobic Infection Research
Oct 16, 1999·Periodontology 2000·A J van Winkelhoff, J Slots
May 21, 2013·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Edward H EilandShay D Leeth

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