Use of Tracheal Aspirate Culture in Newly Intubated Patients with Community-Onset Pneumonia

Annals of the American Thoracic Society
Lindsay M McCauleyNathan C Dean

Abstract

Successful treatment of life-threatening community-acquired pneumonia requires appropriate empiric antibiotic coverage. But using conventional diagnostic techniques, a microbiological diagnosis is often not achieved. The diagnostic usefulness of tracheal aspirate at the time of intubation in patients with severe pneumonia has not been well studied. The purpose of this study was to evaluate the use of tracheal aspirate culture in identifying pneumonia pathogens. We identified all patients older than 18 years of age with International Classification of Disease, Ninth Revision codes and radiographic evidence of pneumonia seen in the emergency departments at 2 university-affiliated Utah hospitals from December 2009 to November 2010 and from December 2011 to November 2012. Patients intubated within 24 hours of arrival were then identified electronically. Postintubation orders instructed respiratory therapists to obtain tracheal aspirate for culture. All culture results were reviewed individually and defined as positive if a pneumonia pathogen was identified. Results of other microbiology studies were obtained from the electronic medical record. Of 2,011 patients with pneumonia, 94 were intubated and 84 had a tracheal aspirate obtain...Continue Reading

References

Jan 1, 1992·Chest·P D Potgieter, J M Hammond
Dec 1, 1993·The American Review of Respiratory Disease·M el-EbiaryR Rodriguez-Roisin
Mar 1, 1997·Journal of Clinical Microbiology·D C BergmansE E Stobberingh
Jan 1, 1997·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·J WhittleW N Kapoor
Feb 9, 2005·American Journal of Respiratory and Critical Care Medicine·UNKNOWN American Thoracic Society, UNKNOWN Infectious Diseases Society of America
Dec 22, 2006·The New England Journal of Medicine·UNKNOWN Canadian Critical Care Trials Group
Feb 6, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lionel A MandellUNKNOWN American Thoracic Society
Oct 1, 2009·Critical Care Medicine·Samuel M BrownUNKNOWN Infectious Disease Society of America/American Thoracic Society 2007
Dec 12, 2012·Archivum Immunologiae Et Therapiae Experimentalis·Wuzhou Wan, Philip M Murphy

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bacterial Pneumonia (ASM)

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Bacterial Pneumonia

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

American Thoracic Association Journals

Discover the latest respiratory research published by the journals from the American Thoracic Society.

© 2022 Meta ULC. All rights reserved