The effect of using blood culture bottle of bronchoalveolar larvage fluid in pneumonia View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-06-06

AUTHORS

Eun Young Heo, Sue Shin, Hee Soon Chung, Yun-Jeong Jeong, So Hee Oh, Deog Kyeom Kim

ABSTRACT

BackgroundPneumonia is a primary cause of morbidity and mortality in infectious disease, and increasing antimicrobial resistance has raised concerns of treatment failure. Therefore, we evaluated the value of a blood culture bottle for bronchoalveolar lavage (BAL) samples on pathogen identification and on treatment modification in patients with pneumonia.MethodsWe conducted a prospective study and enrolled 39 patients who were hospitalized for pneumonia. Enrolled patients underwent BAL; a 10-ml aliquot was transferred to a sterile container for standard quantitative culture, and a 5 ml aliquot was transferred to both an aerobic and an anaerobic blood culture bottle.ResultsMicrobes were detected in all 39 (100 %) specimens and possible pathogens were identified in 34 patients (84.6 %) from BAL blood culture bottles. In contrast, microbes were detected in 10 patients (25.6 %) and possible pathogens were isolated in 8 patients (20.5 %) in BAL fluid using conventional culture methods. Finally, 8 of 39 (20.5 %) patients changed antibiotics according to the BAL blood culture results and pneumonia improved in 6 of these patients.ConclusionsUsing blood culture bottles for BAL sampling in patients with pneumonia is a sensitive method to detect pathogens in order to identify an adequate antibiotic treatment regimen. More... »

PAGES

247

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12879-016-1591-2

DOI

http://dx.doi.org/10.1186/s12879-016-1591-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1007913942

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27266871


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