受保护标本刷检样本直接检查在医院获得性肺炎中的诊断价值
Diagnostic value of direct examination of protected specimen brush samples in nosocomial pneumonia.
作者信息
Mertens A H, Nagler J M, Galdermans D I, Slabbynck H R, Weise B S, Coolen D
机构信息
Laboratory for Clinical Microbiology, Middelheim General Hospital, Antwerp, Belgium.
出版信息
Eur J Clin Microbiol Infect Dis. 1996 Oct;15(10):807-10. doi: 10.1007/BF01701523.
Abstract
The value of direct examination of Giemsa and Gram stains of cytospin preparations of protected specimen brush samples was compared to that of quantitative culture. Sixty-one samples from patients suspected to have nosocomial pneumonia were analysed. Twenty-five samples were positive by quantitative culture, 21 of which contained microorganisms seen by direct examination. The presence of leucocytes was not specific for a positive culture, but in their absence, a positive culture was unlikely. The presence of intracellular organisms always correlated with a positive culture, but was not very sensitive.
摘要
将保护样本刷检标本的细胞离心涂片吉姆萨染色和革兰氏染色直接检查的价值与定量培养的价值进行了比较。对61例疑似医院获得性肺炎患者的样本进行了分析。25份样本定量培养呈阳性，其中21份通过直接检查发现含有微生物。白细胞的存在对培养阳性并无特异性，但若无白细胞，则培养阳性的可能性不大。细胞内微生物的存在总是与培养阳性相关，但敏感性不高。
相似文献
1
Diagnostic value of direct examination of protected specimen brush samples in nosocomial pneumonia.受保护标本刷检样本直接检查在医院获得性肺炎中的诊断价值
Eur J Clin Microbiol Infect Dis. 1996 Oct;15(10):807-10. doi: 10.1007/BF01701523.
2
Diagnosis of nosocomial bacterial pneumonia in intubated patients undergoing ventilation: comparison of the usefulness of bronchoalveolar lavage and the protected specimen brush.机械通气插管患者医院获得性细菌性肺炎的诊断：支气管肺泡灌洗与防污染样本毛刷的效用比较
Am J Med. 1988 Oct;85(4):499-506. doi: 10.1016/s0002-9343(88)80085-8.
3
Comparison of direct examination of three types of bronchoscopy specimens used to diagnose nosocomial pneumonia.用于诊断医院获得性肺炎的三种支气管镜检查标本直接检查的比较。
Crit Care Med. 2000 Apr;28(4):962-8. doi: 10.1097/00003246-200004000-00009.
4
Quantitative tracheal lavage versus bronchoscopic protected specimen brush for the diagnosis of nosocomial pneumonia in mechanically ventilated patients.定量气管灌洗与支气管镜保护性标本刷检在机械通气患者医院获得性肺炎诊断中的应用比较
Am J Surg. 2003 Dec;186(6):591-6. doi: 10.1016/j.amjsurg.2003.08.005.
5
Diagnostic accuracy of protected specimen brush and bronchoalveolar lavage in nosocomial pneumonia: impact of previous antimicrobial treatments.经保护标本刷检和支气管肺泡灌洗诊断医院获得性肺炎的准确性：既往抗菌治疗的影响
Crit Care Med. 1998 Feb;26(2):236-44. doi: 10.1097/00003246-199802000-00017.
6
Evaluation of bronchoscopic techniques for the diagnosis of nosocomial pneumonia.用于医院获得性肺炎诊断的支气管镜技术评估
Am J Respir Crit Care Med. 1995 Jul;152(1):231-40. doi: 10.1164/ajrccm.152.1.7599829.
7
Usefulness of airway visualization in the diagnosis of nosocomial pneumonia in ventilated patients.气道可视化在机械通气患者医院获得性肺炎诊断中的应用价值
Chest. 1996 Jul;110(1):172-9. doi: 10.1378/chest.110.1.172.
8
Role of quantitative cultures of endotracheal aspirates in the diagnosis of nosocomial pneumonia.
Am J Respir Crit Care Med. 1995 Jul;152(1):241-6. doi: 10.1164/ajrccm.152.1.7599831.
9
Protected bronchoalveolar lavage in the diagnosis of ventilator-associated pneumonia.保护性支气管肺泡灌洗在呼吸机相关性肺炎诊断中的应用
Eur Respir J. 1996 Jul;9(7):1500-7. doi: 10.1183/09031936.96.09071500.
10
The diagnosis of ventilator-associated pneumonia: a comparison of histologic, microbiologic, and clinical criteria.呼吸机相关性肺炎的诊断：组织学、微生物学及临床标准的比较
Chest. 1997 Aug;112(2):445-57. doi: 10.1378/chest.112.2.445.
引用本文的文献
1
Nosocomial pneumonia : rationalizing the approach to empirical therapy.医院获得性肺炎：优化经验性治疗方法
Treat Respir Med. 2006;5(1):11-30. doi: 10.2165/00151829-200605010-00002.
2
Utility of Gram's stain and efficacy of quantitative cultures for posttraumatic pneumonia: a prospective study.革兰氏染色在创伤后肺炎中的应用及定量培养的效果：一项前瞻性研究。
Ann Surg. 1998 May;227(5):743-51; discussion 751-5. doi: 10.1097/00000658-199805000-00015.
本文引用的文献
1
Usefulness of microscopic examination of intracellular organisms in lavage fluid in ventilator-associated pneumonia.支气管肺泡灌洗液中细胞内微生物的显微镜检查在呼吸机相关性肺炎中的应用价值
Chest. 1994 Sep;106(3):889-94. doi: 10.1378/chest.106.3.889.
2
Diagnostic tests for pneumonia in ventilated patients: prospective evaluation of diagnostic accuracy using histology as a diagnostic gold standard.机械通气患者肺炎的诊断试验：以组织学作为诊断金标准对诊断准确性进行的前瞻性评估。
Am J Respir Crit Care Med. 1995 Jun;151(6):1878-88. doi: 10.1164/ajrccm.151.6.7767535.
3
Evaluation of bronchoscopic techniques for the diagnosis of nosocomial pneumonia.用于医院获得性肺炎诊断的支气管镜技术评估
Am J Respir Crit Care Med. 1995 Jul;152(1):231-40. doi: 10.1164/ajrccm.152.1.7599829.
4
Diagnostic value of direct examination of the protected specimen brush in ventilator-associated pneumonia.经保护标本刷直接检查在呼吸机相关性肺炎中的诊断价值
Eur Respir J. 1994 Jan;7(1):105-13. doi: 10.1183/09031936.94.07010105.
5
Bacteriologic diagnosis of nosocomial pneumonia in primates. Usefulness of the protected specimen brush.
Am Rev Respir Dis. 1982 Jan;125(1):53-7. doi: 10.1164/arrd.1982.125.1.53.
6
Prospective evaluation of the protected specimen brush for the diagnosis of pulmonary infections in ventilated patients.前瞻性评估保护标本刷在诊断机械通气患者肺部感染中的应用。
Am Rev Respir Dis. 1984 Nov;130(5):924-9. doi: 10.1164/arrd.1984.130.5.924.
7
Diagnosis of bacterial pulmonary infections with quantitative protected catheter cultures obtained during bronchoscopy.通过支气管镜检查期间获取的定量保护性导管培养物诊断细菌性肺部感染。
J Clin Microbiol. 1983 Feb;17(2):255-9. doi: 10.1128/jcm.17.2.255-259.1983.
8
The use of quantitative sterile brush culture and gram stain analysis in the diagnosis of lower respiratory tract infection.定量无菌刷培养和革兰氏染色分析在诊断下呼吸道感染中的应用。
Chest. 1981 Feb;79(2):157-61. doi: 10.1378/chest.79.2.157.
9
Bronchoscopic protected catheter brush for the diagnosis of pulmonary infections.用于诊断肺部感染的支气管镜保护性导管刷
Chest. 1988 Apr;93(4):746-50. doi: 10.1378/chest.93.4.746.
10
Diagnosis of nosocomial bacterial pneumonia in intubated patients undergoing ventilation: comparison of the usefulness of bronchoalveolar lavage and the protected specimen brush.机械通气插管患者医院获得性细菌性肺炎的诊断：支气管肺泡灌洗与防污染样本毛刷的效用比较
Am J Med. 1988 Oct;85(4):499-506. doi: 10.1016/s0002-9343(88)80085-8.
Zotero 插件