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  1. Analysis of charges associated with diagnosis of nosocomial pneumonia : can routine bronchoscopy be justified ?

    Article - En anglais

    Many ventilated trauma patients thought to have nosocomial pneumonia have pulmonary contusion or systemic inflammatory response syndrome with tracheobronchial colonization.

    Fiberoptic bronchoscopy with quantitative culture techniques of protected specimen brush (PSB ; threshold 103 cfu/mL) or bronchoalveolar lavage (BAL ; threshold 105 cfu/mL) can potentially eliminate the false positive cultures of the upper airway seen with routine sputum aspirates (RS).

    However, bronchoscopy is expensive, and routine use may not be cost effective.

    This prospective study evaluated the patient charges associated with bronchoscopy and quantitative cultures compared with RS for the diagnosis of nosocomial pneumonia.

    Mots-clés Pascal : Pneumonie, Bactérie, Bactériose, Infection, Homme, Complication, Soin intensif, Diagnostic, Etude comparative, Analyse coût, Bronchoscopie, Brossage, Lavage bronchoalvéolaire, Appareil respiratoire pathologie, Poumon pathologie, Economie santé, Endoscopie, Infection nosocomiale

    Mots-clés Pascal anglais : Pneumonia, Bacteria, Bacteriosis, Infection, Human, Complication, Intensive care, Diagnosis, Comparative study, Cost analysis, Bronchoscopy, Brushing, Bronchoalveolar lavage, Respiratory disease, Lung disease, Health economy, Endoscopy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0043858

    Code Inist : 002B05B02E. Création : 09/06/1995.