Balk R A, Bradsher R W, Jacobs R F, Jones R
South Med J. 1986 Dec;79(12):1496-8. doi: 10.1097/00007611-198612000-00006.
We prospectively evaluated the incidence of bacteremia during fiberoptic bronchoalveolar lavage (BAL) and its relationship to postlavage symptoms in 12 volunteers. Qualitative and quantitative blood cultures were obtained before and during BAL. Three persons had qualitative blood cultures positive for organisms typical of normal skin flora. Quantitative blood cultures done simultaneously were negative. Approximately 42% of our subjects had postlavage symptoms, but no correlation was found between bacteremia and the occurrence of postlavage symptoms. Our results confirm the relative safety of BAL and the low incidence of BAL-associated bacteremia.
我们前瞻性地评估了12名志愿者在纤维支气管镜肺泡灌洗(BAL)期间菌血症的发生率及其与灌洗后症状的关系。在BAL之前和期间采集定性和定量血培养样本。三人的定性血培养显示正常皮肤菌群典型微生物阳性。同时进行的定量血培养为阴性。约42%的受试者有灌洗后症状,但未发现菌血症与灌洗后症状的发生之间存在相关性。我们的结果证实了BAL的相对安全性以及BAL相关菌血症的低发生率。