Lagler U, Russi E, Wüst J
Medizinische Klinik, Universitätsspital Zürich.
Schweiz Med Wochenschr. 1987 Oct 10;117(41):1591-5.
Specimens from the lower airways were taken by protected brush catheter during 54 fiberoptic bronchoscopies for quantitative microbiological analysis. This technique allows uncontaminated sampling of lower airway secretion. The chance of identifying a bacterial pathogen in patients who have already been treated with antibiotics was less than 10%. The method is cumbersome, and it is important not only to culture but also to quantify the bacteria. The microbiological results thus obtained have influenced clinical decision-making in only a few patients.
在54次纤维支气管镜检查期间，通过保护性毛刷导管从下呼吸道采集标本，用于定量微生物分析。该技术可实现下呼吸道分泌物的无污染采样。在已接受抗生素治疗的患者中，鉴定出细菌病原体的几率不到10%。该方法操作繁琐，不仅要培养细菌，还要对其进行定量，这一点很重要。由此获得的微生物学结果仅在少数患者中影响了临床决策。
