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M9550161.TXT
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1995-03-04
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Document 0161
DOCN M9550161
TI Bronchoscopic diagnosis of pneumonia.
DT 9505
AU Baselski VS; Wunderink RG; Department of Pathology, University of
Tennessee, Memphis 38163.
SO Clin Microbiol Rev. 1994 Oct;7(4):533-58. Unique Identifier : AIDSLINE
MED/95136207
AB Lower respiratory tract infections are characterized by significant
morbidity and mortality but also by a relative inability to establish a
specific etiologic agent on clinical grounds alone. With the recognized
shortcomings of expectorated or aspirated secretions toward establishing
an etiologic diagnosis, clinicians have increasingly used bronchoscopy
to obtain diagnostic samples. A variety of specimen types may be
obtained, including bronchial washes or brushes, protected specimen
brushings, bronchoalveolar lavage, and transbronchial biopsies.
Bronchoscopy has been applied in three primary clinical settings,
including the immunocompromised host, especially human immunodeficiency
virus-infected and organ transplant patients; ventilator-associated
pneumonia; and severe, nonresolving community- or hospital-acquired
pneumonia in nonventilated patients. In each clinical setting, and for
each specimen type, specific laboratory protocols are required to
provide maximal information. These protocols should provide for the use
of a variety of rapid microscopic and quantitative culture techniques
and the use of a variety of specific stains and selective culture to
detect unusual organism groups.
DE Bronchoscopy/*METHODS Diagnostic Services Forecasting Human
Microbiological Techniques
Pneumonia/COMPLICATIONS/*DIAGNOSIS/*MICROBIOLOGY/PARASITOLOGY JOURNAL
ARTICLE REVIEW REVIEW, TUTORIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).