Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Critical Care
Published in: Critical Care 1/2024

Open Access 01-12-2024 | Correspondence

Extent of microbial over-identification of endotracheal aspirate versus bronchoalveolar lavage in the diagnosis of ventilator-associated pneumonia

Authors: Alessandra Bisanti, Valentina Giammatteo, Giuseppe Bello, Domenico Luca Grieco, Gennaro De Pascale, Massimo Antonelli

Published in: Critical Care | Issue 1/2024

Login to get access

Excerpt

Respiratory tract secretion sampling is widely used in intensive care units (ICUs) for the microbiological diagnosis of ventilator-associated pneumonia (VAP). However, a consensus on the optimal method for microbiological confirmation of clinically suspected VAP is still lacking [1‐3]. Therefore, sampling methods are commonly selected depending on operator expertise, costs, and personal preference. …
Literature
1.
Torres A, Niederman MS, Chastre J, Ewig S, Fernandez-Vandellos P, Hanberger H, et al. International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia: Guidelines for the management of hospital-acquired pneumonia (HAP)/ventilator-associated pneumonia (VAP) of the European Respiratory Society (ERS), European Society of Intensive Care Medicine (ESICM), European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and Asociación Latinoamericana del Tórax (ALAT). Eur Respir J. 2017;50:1700582.CrossRefPubMed
2.
Kalil AC, Metersky ML, Klompas M, Muscedere J, Sweeney DA, Palmer LB, et al. Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clin Infect Dis. 2016;63:e61-e111. Erratum in: Clin Infect Dis. 2017;64(9):1298. Erratum in: Clin Infect Dis. 2017;65:1435. Erratum in: Clin Infect Dis. 2017;65:2161.
3.
Fernando SM, Tran A, Cheng W, Klompas M, Kyeremanteng K, Mehta S, et al. Diagnosis of ventilator-associated pneumonia in critically ill adult patients-a systematic review and meta-analysis. Intensive Care Med. 2020;46:1170–9.CrossRefPubMedPubMedCentral
4.
Bello G, Pennisi MA, Di Muzio F, De Pascale G, Montini L, Maviglia R, et al. Clinical impact of pulmonary sampling site in the diagnosis of ventilator-associated pneumonia: a prospective study using bronchoscopic bronchoalveolar lavage. J Crit Care. 2016;33:151–7.CrossRefPubMed
5.
Bello G, Bisanti A, Giammatteo V, Montini L, Eleuteri D, Fiori B, et al. Microbiologic surveillance through subglottic secretion cultures during invasive mechanical ventilation: a prospective observational study. J Crit Care. 2020;59:42–8.CrossRefPubMed
Metadata
Title
Extent of microbial over-identification of endotracheal aspirate versus bronchoalveolar lavage in the diagnosis of ventilator-associated pneumonia
Authors
Alessandra Bisanti
Valentina Giammatteo
Giuseppe Bello
Domenico Luca Grieco
Gennaro De Pascale
Massimo Antonelli
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2024
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-024-04931-1

Other articles of this Issue 1/2024

Critical Care 1/2024 Go to the issue

Research

Effects of extracorporeal CO2 removal on gas exchange and ventilator settings: a systematic review and meta-analysis

Correspondence

The administration of four-factor prothrombin complex concentrate exacerbates thrombin generation in trauma patients at risk of massive transfusion: an ancillary study of the PROCOAG trial

Research

Effects of non-invasive respiratory support in post-operative patients: a systematic review and network meta-analysis

Brief Report

Thiamine administration in septic shock: a post hoc analysis of two randomized trials

Research

Impact of attaining aggressive vs. conservative PK/PD target on the clinical efficacy of beta-lactams for the treatment of Gram-negative infections in the critically ill patients: a systematic review and meta-analysis

Correction

Correction: Non-ventilator-associated ICU-acquired pneumonia (NV-ICU-AP) in patients with acute exacerbation of COPD: From the French OUTCOMEREA cohort