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M9490550.TXT
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1994-09-24
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Document 0550
DOCN M9490550
TI [Induced expectoration or endoscopic samples in case of bronchopulmonary
infection?]
DT 9411
AU Noseda A; Schoonjans J; Carioni M; Guillaume MP; Prigogine T; Douat N;
Cliniques de Pneumologie, Hopital Brugmann, Bruxelles.
SO Rev Med Brux. 1994 May-Jun;15(3):132-6. Unique Identifier : AIDSLINE
MED/94345275
AB The aim of this study was to compare induced sputum versus bronchoscopy
in a non selected population. An induced sputum and a bronchoscopy with
aspiration of secretions and bronchoalveolar lavage (BAL) were proposed
to 30 patients with suspected lower respiratory tract infection,
including 14 subjects with AIDS. Induced sputum failed in 3 patients,
while endoscopy could not be performed (contra-indication, refusal or
failure due to lack of cooperation) in 7 patients; a technical failure
for BAL was observed in 3/23 cases. Contamination by oral germs was
significantly less frequent with BAL (4/20) than with aspiration (15/23)
or induced sputum (17/27). A relevant pathogen was cultured from induced
sputum in 7/27 cases (3 mycobacteria, 4 usual pathogens) from aspiration
in 3/23 cases (one mycobacterium, 2 usual pathogens) and from BAL in
4/20 cases (one mycobacterium, 3 usual pathogens). These results suggest
that induced sputum is a promising method when difficulties in
performing bronchoscopy are expected (severe respiratory insufficiency,
psychiatric disease, lack of cooperation).
DE Bronchoalveolar Lavage Fluid/MICROBIOLOGY
Bronchopneumonia/*MICROBIOLOGY *Bronchoscopy Comparative Study
English Abstract Female Human Male Specimen Handling/*METHODS
Sputum/*MICROBIOLOGY Suction JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).