Yagoda M R, Stavola J, Ward R, Steinberg C, Jones J
Department of Otolaryngology, New York Hospital-Cornell University Medical Center, New York 10021, USA.
Ann Otol Rhinol Laryngol. 1996 Nov;105(11):863-7. doi: 10.1177/000348949610501104.
Bronchoalveolar lavage (BAL) has been shown to be a rapid, relatively safe, and relatively noninvasive diagnostic procedure. Theoretically, BAL can be performed on all children hospitalized for pneumonia resistant to oral antibiotics, though practically and economically, this is not feasible. A 1-year retrospective review was conducted to define a cost-effective role for BAL in the management of hospitalized children with resistant pneumonia. The data revealed identification of at least one pathogen in 87% of sputum samples and in 95% of BAL specimens. Sputum samples provided the same information as the more invasive BAL technique in 60% of patients who had both sputum and BAL obtained for culture. Recommendations are made for the use of BAL as a diagnostic tool in the hospitalized child with resistant pneumonia.
支气管肺泡灌洗（BAL）已被证明是一种快速、相对安全且相对无创的诊断方法。理论上，对于所有因口服抗生素治疗无效而住院的肺炎患儿都可进行BAL检查，然而从实际操作和经济角度来看，这并不可行。我们进行了一项为期1年的回顾性研究，以确定BAL在耐药性肺炎住院儿童管理中的成本效益作用。数据显示，87%的痰液样本和95%的BAL标本中至少鉴定出一种病原体。在同时进行痰液和BAL培养的患者中，60%的痰液样本提供了与侵入性更强的BAL技术相同的信息。针对将BAL用作耐药性肺炎住院儿童诊断工具的应用提出了建议。
