Pneumonia other imaging findings: Difference between revisions
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==Overview== | ==Overview== | ||
[[Bronchoscopy]] with bronchoalveolar lavage is useful to obtain samples for [[gram stain]] and [[culture]] in patients with certain conditions, such as immunocompromised patients, ICU admission or antibiotic failure. | [[Bronchoscopy]] with bronchoalveolar lavage is useful to obtain samples for [[gram stain]] and [[gram culture|culture]] in patients with certain conditions, such as immunocompromised patients, ICU admission or antibiotic failure. | ||
==Bronchoscopy== | ==Bronchoscopy== | ||
Revision as of 15:59, 9 December 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Bronchoscopy with bronchoalveolar lavage is useful to obtain samples for gram stain and culture in patients with certain conditions, such as immunocompromised patients, ICU admission or antibiotic failure.
Bronchoscopy
- Bronchoscopy is used in the diagnosis of pneumonia only in certain cases, such as patients admitted in the ICU, immunocompromised patients, or patients with treatment failure.
- When sputum is not produced or not sufficient for evaluation, bronchoscopic sampling and bronchoalveolar lavage (BAL) is used to collect samples for gram stain and culture.[1]
Ultrasound
In one study, ultrasonography was used to diagnose community acquired pneumonia with a high sensitivity and specificity (Sensitivity of 93% and specificity of 98%).[2]
References
- ↑ Mandell, L. A.; Wunderink, R. G.; Anzueto, A.; Bartlett, J. G.; Campbell, G. D.; Dean, N. C.; Dowell, S. F.; File, T. M.; Musher, D. M.; Niederman, M. S.; Torres, A.; Whitney, C. G. (2007). "Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults". Clinical Infectious Diseases. 44 (Supplement 2): S27–S72. doi:10.1086/511159. ISSN 1058-4838.
- ↑ Reissig A, Copetti R, Mathis G, Mempel C, Schuler A, Zechner P; et al. (2012). "Lung ultrasound in the diagnosis and follow-up of community-acquired pneumonia: a prospective, multicenter, diagnostic accuracy study". Chest. 142 (4): 965–72. doi:10.1378/chest.12-0364. PMID 22700780.