Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter
Objective To evaluate the diagnostic agreement between quantitative cultures of samples obtained with endotracheal aspiration (ETA) and plugged telescoping catheter (PTC). Design Prospective study. Setting Medical ICU. Patients Hundred thirty-eight episodes of suspected ventilator-associated pneumon...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Elatrous, Souheil [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2004 |
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| Schlagwörter: |
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| Anmerkung: |
© Springer-Verlag 2004 |
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| Übergeordnetes Werk: |
Enthalten in: Intensive care medicine - Berlin : Springer, 1975, 30(2004), 5 vom: 30. März, Seite 853-858 |
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| Übergeordnetes Werk: |
volume:30 ; year:2004 ; number:5 ; day:30 ; month:03 ; pages:853-858 |
| Links: |
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| DOI / URN: |
10.1007/s00134-004-2270-0 |
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| Katalog-ID: |
SPR001184628 |
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| 100 | 1 | |a Elatrous, Souheil |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter |
| 264 | 1 | |c 2004 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
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| 500 | |a © Springer-Verlag 2004 | ||
| 520 | |a Objective To evaluate the diagnostic agreement between quantitative cultures of samples obtained with endotracheal aspiration (ETA) and plugged telescoping catheter (PTC). Design Prospective study. Setting Medical ICU. Patients Hundred thirty-eight episodes of suspected ventilator-associated pneumonia studied in 100 consecutive patients. Interventions For each suspected episode of ventilator-associated pneumonia, ETA and PTC were performed consecutively. The agreement between microbiological results obtained from the two techniques was evaluated (kappa statistic test). Pneumonia was diagnosed on a positive culture result of telescoping catheter with the threshold set at $ 10^{3} $ cfu/ml or more. The cut-off points evaluated for ETA ranged from $ 10^{2 } $to $ 10^{6} $ cfu/ml. Results Micro-organisms retrieved by aspiration and telescoping catheter were similar and bacterial counts obtained by the two procedures were well correlated (r=0.71 p<0.001). There was good agreement between positive and negative ETA and PTC specimens (kappa: 0.78) with a diagnostic threshold for ETA of $ 10^{4} $ cfu/ml. The sensitivity and specificity of ETA for the diagnosis of PTC-confirmed pneumonia were 92% and 85%, respectively. Kappa decreased to 0.48 when the diagnostic threshold was increased to $ 10^{6} $ cfu/ml. Conclusions Quantitative cultures of ETA and PTC tallied for both micro-organisms and counts. The simpler ETA appears adequate for determining the presence of pathogenic organisms in significant concentration in the lower respiratory tract. | ||
| 650 | 4 | |a Diagnostic procedures |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Ventilator-associated pneumonia |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Endotracheal aspiration |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Plugged telescoping catheter |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Diagnostic agreement |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Boukef, Riadh |4 aut | |
| 700 | 1 | |a Ouanes Besbes, Lamia |4 aut | |
| 700 | 1 | |a Marghli, Soudani |4 aut | |
| 700 | 1 | |a Nooman, Sami |4 aut | |
| 700 | 1 | |a Nouira, Semir |4 aut | |
| 700 | 1 | |a Abroug, Fekri |4 aut | |
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10.1007/s00134-004-2270-0 doi (DE-627)SPR001184628 (SPR)s00134-004-2270-0-e DE-627 ger DE-627 rakwb eng Elatrous, Souheil verfasserin aut Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter 2004 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2004 Objective To evaluate the diagnostic agreement between quantitative cultures of samples obtained with endotracheal aspiration (ETA) and plugged telescoping catheter (PTC). Design Prospective study. Setting Medical ICU. Patients Hundred thirty-eight episodes of suspected ventilator-associated pneumonia studied in 100 consecutive patients. Interventions For each suspected episode of ventilator-associated pneumonia, ETA and PTC were performed consecutively. The agreement between microbiological results obtained from the two techniques was evaluated (kappa statistic test). Pneumonia was diagnosed on a positive culture result of telescoping catheter with the threshold set at $ 10^{3} $ cfu/ml or more. The cut-off points evaluated for ETA ranged from $ 10^{2 } $to $ 10^{6} $ cfu/ml. Results Micro-organisms retrieved by aspiration and telescoping catheter were similar and bacterial counts obtained by the two procedures were well correlated (r=0.71 p<0.001). There was good agreement between positive and negative ETA and PTC specimens (kappa: 0.78) with a diagnostic threshold for ETA of $ 10^{4} $ cfu/ml. The sensitivity and specificity of ETA for the diagnosis of PTC-confirmed pneumonia were 92% and 85%, respectively. Kappa decreased to 0.48 when the diagnostic threshold was increased to $ 10^{6} $ cfu/ml. Conclusions Quantitative cultures of ETA and PTC tallied for both micro-organisms and counts. The simpler ETA appears adequate for determining the presence of pathogenic organisms in significant concentration in the lower respiratory tract. Diagnostic procedures (dpeaa)DE-He213 Ventilator-associated pneumonia (dpeaa)DE-He213 Endotracheal aspiration (dpeaa)DE-He213 Plugged telescoping catheter (dpeaa)DE-He213 Diagnostic agreement (dpeaa)DE-He213 Boukef, Riadh aut Ouanes Besbes, Lamia aut Marghli, Soudani aut Nooman, Sami aut Nouira, Semir aut Abroug, Fekri aut Enthalten in Intensive care medicine Berlin : Springer, 1975 30(2004), 5 vom: 30. März, Seite 853-858 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:30 year:2004 number:5 day:30 month:03 pages:853-858 https://dx.doi.org/10.1007/s00134-004-2270-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 30 2004 5 30 03 853-858 |
| spelling |
10.1007/s00134-004-2270-0 doi (DE-627)SPR001184628 (SPR)s00134-004-2270-0-e DE-627 ger DE-627 rakwb eng Elatrous, Souheil verfasserin aut Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter 2004 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2004 Objective To evaluate the diagnostic agreement between quantitative cultures of samples obtained with endotracheal aspiration (ETA) and plugged telescoping catheter (PTC). Design Prospective study. Setting Medical ICU. Patients Hundred thirty-eight episodes of suspected ventilator-associated pneumonia studied in 100 consecutive patients. Interventions For each suspected episode of ventilator-associated pneumonia, ETA and PTC were performed consecutively. The agreement between microbiological results obtained from the two techniques was evaluated (kappa statistic test). Pneumonia was diagnosed on a positive culture result of telescoping catheter with the threshold set at $ 10^{3} $ cfu/ml or more. The cut-off points evaluated for ETA ranged from $ 10^{2 } $to $ 10^{6} $ cfu/ml. Results Micro-organisms retrieved by aspiration and telescoping catheter were similar and bacterial counts obtained by the two procedures were well correlated (r=0.71 p<0.001). There was good agreement between positive and negative ETA and PTC specimens (kappa: 0.78) with a diagnostic threshold for ETA of $ 10^{4} $ cfu/ml. The sensitivity and specificity of ETA for the diagnosis of PTC-confirmed pneumonia were 92% and 85%, respectively. Kappa decreased to 0.48 when the diagnostic threshold was increased to $ 10^{6} $ cfu/ml. Conclusions Quantitative cultures of ETA and PTC tallied for both micro-organisms and counts. The simpler ETA appears adequate for determining the presence of pathogenic organisms in significant concentration in the lower respiratory tract. Diagnostic procedures (dpeaa)DE-He213 Ventilator-associated pneumonia (dpeaa)DE-He213 Endotracheal aspiration (dpeaa)DE-He213 Plugged telescoping catheter (dpeaa)DE-He213 Diagnostic agreement (dpeaa)DE-He213 Boukef, Riadh aut Ouanes Besbes, Lamia aut Marghli, Soudani aut Nooman, Sami aut Nouira, Semir aut Abroug, Fekri aut Enthalten in Intensive care medicine Berlin : Springer, 1975 30(2004), 5 vom: 30. März, Seite 853-858 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:30 year:2004 number:5 day:30 month:03 pages:853-858 https://dx.doi.org/10.1007/s00134-004-2270-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 30 2004 5 30 03 853-858 |
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10.1007/s00134-004-2270-0 doi (DE-627)SPR001184628 (SPR)s00134-004-2270-0-e DE-627 ger DE-627 rakwb eng Elatrous, Souheil verfasserin aut Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter 2004 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2004 Objective To evaluate the diagnostic agreement between quantitative cultures of samples obtained with endotracheal aspiration (ETA) and plugged telescoping catheter (PTC). Design Prospective study. Setting Medical ICU. Patients Hundred thirty-eight episodes of suspected ventilator-associated pneumonia studied in 100 consecutive patients. Interventions For each suspected episode of ventilator-associated pneumonia, ETA and PTC were performed consecutively. The agreement between microbiological results obtained from the two techniques was evaluated (kappa statistic test). Pneumonia was diagnosed on a positive culture result of telescoping catheter with the threshold set at $ 10^{3} $ cfu/ml or more. The cut-off points evaluated for ETA ranged from $ 10^{2 } $to $ 10^{6} $ cfu/ml. Results Micro-organisms retrieved by aspiration and telescoping catheter were similar and bacterial counts obtained by the two procedures were well correlated (r=0.71 p<0.001). There was good agreement between positive and negative ETA and PTC specimens (kappa: 0.78) with a diagnostic threshold for ETA of $ 10^{4} $ cfu/ml. The sensitivity and specificity of ETA for the diagnosis of PTC-confirmed pneumonia were 92% and 85%, respectively. Kappa decreased to 0.48 when the diagnostic threshold was increased to $ 10^{6} $ cfu/ml. Conclusions Quantitative cultures of ETA and PTC tallied for both micro-organisms and counts. The simpler ETA appears adequate for determining the presence of pathogenic organisms in significant concentration in the lower respiratory tract. Diagnostic procedures (dpeaa)DE-He213 Ventilator-associated pneumonia (dpeaa)DE-He213 Endotracheal aspiration (dpeaa)DE-He213 Plugged telescoping catheter (dpeaa)DE-He213 Diagnostic agreement (dpeaa)DE-He213 Boukef, Riadh aut Ouanes Besbes, Lamia aut Marghli, Soudani aut Nooman, Sami aut Nouira, Semir aut Abroug, Fekri aut Enthalten in Intensive care medicine Berlin : Springer, 1975 30(2004), 5 vom: 30. März, Seite 853-858 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:30 year:2004 number:5 day:30 month:03 pages:853-858 https://dx.doi.org/10.1007/s00134-004-2270-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 30 2004 5 30 03 853-858 |
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10.1007/s00134-004-2270-0 doi (DE-627)SPR001184628 (SPR)s00134-004-2270-0-e DE-627 ger DE-627 rakwb eng Elatrous, Souheil verfasserin aut Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter 2004 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2004 Objective To evaluate the diagnostic agreement between quantitative cultures of samples obtained with endotracheal aspiration (ETA) and plugged telescoping catheter (PTC). Design Prospective study. Setting Medical ICU. Patients Hundred thirty-eight episodes of suspected ventilator-associated pneumonia studied in 100 consecutive patients. Interventions For each suspected episode of ventilator-associated pneumonia, ETA and PTC were performed consecutively. The agreement between microbiological results obtained from the two techniques was evaluated (kappa statistic test). Pneumonia was diagnosed on a positive culture result of telescoping catheter with the threshold set at $ 10^{3} $ cfu/ml or more. The cut-off points evaluated for ETA ranged from $ 10^{2 } $to $ 10^{6} $ cfu/ml. Results Micro-organisms retrieved by aspiration and telescoping catheter were similar and bacterial counts obtained by the two procedures were well correlated (r=0.71 p<0.001). There was good agreement between positive and negative ETA and PTC specimens (kappa: 0.78) with a diagnostic threshold for ETA of $ 10^{4} $ cfu/ml. The sensitivity and specificity of ETA for the diagnosis of PTC-confirmed pneumonia were 92% and 85%, respectively. Kappa decreased to 0.48 when the diagnostic threshold was increased to $ 10^{6} $ cfu/ml. Conclusions Quantitative cultures of ETA and PTC tallied for both micro-organisms and counts. The simpler ETA appears adequate for determining the presence of pathogenic organisms in significant concentration in the lower respiratory tract. Diagnostic procedures (dpeaa)DE-He213 Ventilator-associated pneumonia (dpeaa)DE-He213 Endotracheal aspiration (dpeaa)DE-He213 Plugged telescoping catheter (dpeaa)DE-He213 Diagnostic agreement (dpeaa)DE-He213 Boukef, Riadh aut Ouanes Besbes, Lamia aut Marghli, Soudani aut Nooman, Sami aut Nouira, Semir aut Abroug, Fekri aut Enthalten in Intensive care medicine Berlin : Springer, 1975 30(2004), 5 vom: 30. März, Seite 853-858 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:30 year:2004 number:5 day:30 month:03 pages:853-858 https://dx.doi.org/10.1007/s00134-004-2270-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 30 2004 5 30 03 853-858 |
| allfieldsSound |
10.1007/s00134-004-2270-0 doi (DE-627)SPR001184628 (SPR)s00134-004-2270-0-e DE-627 ger DE-627 rakwb eng Elatrous, Souheil verfasserin aut Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter 2004 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2004 Objective To evaluate the diagnostic agreement between quantitative cultures of samples obtained with endotracheal aspiration (ETA) and plugged telescoping catheter (PTC). Design Prospective study. Setting Medical ICU. Patients Hundred thirty-eight episodes of suspected ventilator-associated pneumonia studied in 100 consecutive patients. Interventions For each suspected episode of ventilator-associated pneumonia, ETA and PTC were performed consecutively. The agreement between microbiological results obtained from the two techniques was evaluated (kappa statistic test). Pneumonia was diagnosed on a positive culture result of telescoping catheter with the threshold set at $ 10^{3} $ cfu/ml or more. The cut-off points evaluated for ETA ranged from $ 10^{2 } $to $ 10^{6} $ cfu/ml. Results Micro-organisms retrieved by aspiration and telescoping catheter were similar and bacterial counts obtained by the two procedures were well correlated (r=0.71 p<0.001). There was good agreement between positive and negative ETA and PTC specimens (kappa: 0.78) with a diagnostic threshold for ETA of $ 10^{4} $ cfu/ml. The sensitivity and specificity of ETA for the diagnosis of PTC-confirmed pneumonia were 92% and 85%, respectively. Kappa decreased to 0.48 when the diagnostic threshold was increased to $ 10^{6} $ cfu/ml. Conclusions Quantitative cultures of ETA and PTC tallied for both micro-organisms and counts. The simpler ETA appears adequate for determining the presence of pathogenic organisms in significant concentration in the lower respiratory tract. Diagnostic procedures (dpeaa)DE-He213 Ventilator-associated pneumonia (dpeaa)DE-He213 Endotracheal aspiration (dpeaa)DE-He213 Plugged telescoping catheter (dpeaa)DE-He213 Diagnostic agreement (dpeaa)DE-He213 Boukef, Riadh aut Ouanes Besbes, Lamia aut Marghli, Soudani aut Nooman, Sami aut Nouira, Semir aut Abroug, Fekri aut Enthalten in Intensive care medicine Berlin : Springer, 1975 30(2004), 5 vom: 30. März, Seite 853-858 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:30 year:2004 number:5 day:30 month:03 pages:853-858 https://dx.doi.org/10.1007/s00134-004-2270-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 30 2004 5 30 03 853-858 |
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English |
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Enthalten in Intensive care medicine 30(2004), 5 vom: 30. März, Seite 853-858 volume:30 year:2004 number:5 day:30 month:03 pages:853-858 |
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Enthalten in Intensive care medicine 30(2004), 5 vom: 30. März, Seite 853-858 volume:30 year:2004 number:5 day:30 month:03 pages:853-858 |
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Diagnostic procedures Ventilator-associated pneumonia Endotracheal aspiration Plugged telescoping catheter Diagnostic agreement |
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Intensive care medicine |
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Elatrous, Souheil @@aut@@ Boukef, Riadh @@aut@@ Ouanes Besbes, Lamia @@aut@@ Marghli, Soudani @@aut@@ Nooman, Sami @@aut@@ Nouira, Semir @@aut@@ Abroug, Fekri @@aut@@ |
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2004-03-30T00:00:00Z |
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Design Prospective study. Setting Medical ICU. Patients Hundred thirty-eight episodes of suspected ventilator-associated pneumonia studied in 100 consecutive patients. Interventions For each suspected episode of ventilator-associated pneumonia, ETA and PTC were performed consecutively. The agreement between microbiological results obtained from the two techniques was evaluated (kappa statistic test). Pneumonia was diagnosed on a positive culture result of telescoping catheter with the threshold set at $ 10^{3} $ cfu/ml or more. The cut-off points evaluated for ETA ranged from $ 10^{2 } $to $ 10^{6} $ cfu/ml. Results Micro-organisms retrieved by aspiration and telescoping catheter were similar and bacterial counts obtained by the two procedures were well correlated (r=0.71 p<0.001). There was good agreement between positive and negative ETA and PTC specimens (kappa: 0.78) with a diagnostic threshold for ETA of $ 10^{4} $ cfu/ml. The sensitivity and specificity of ETA for the diagnosis of PTC-confirmed pneumonia were 92% and 85%, respectively. Kappa decreased to 0.48 when the diagnostic threshold was increased to $ 10^{6} $ cfu/ml. Conclusions Quantitative cultures of ETA and PTC tallied for both micro-organisms and counts. 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|
| author |
Elatrous, Souheil |
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Elatrous, Souheil misc Diagnostic procedures misc Ventilator-associated pneumonia misc Endotracheal aspiration misc Plugged telescoping catheter misc Diagnostic agreement Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter |
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Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter Diagnostic procedures (dpeaa)DE-He213 Ventilator-associated pneumonia (dpeaa)DE-He213 Endotracheal aspiration (dpeaa)DE-He213 Plugged telescoping catheter (dpeaa)DE-He213 Diagnostic agreement (dpeaa)DE-He213 |
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misc Diagnostic procedures misc Ventilator-associated pneumonia misc Endotracheal aspiration misc Plugged telescoping catheter misc Diagnostic agreement |
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misc Diagnostic procedures misc Ventilator-associated pneumonia misc Endotracheal aspiration misc Plugged telescoping catheter misc Diagnostic agreement |
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Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter |
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Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter |
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Elatrous, Souheil |
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Intensive care medicine |
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Elatrous, Souheil Boukef, Riadh Ouanes Besbes, Lamia Marghli, Soudani Nooman, Sami Nouira, Semir Abroug, Fekri |
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Elatrous, Souheil |
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10.1007/s00134-004-2270-0 |
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diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter |
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Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter |
| abstract |
Objective To evaluate the diagnostic agreement between quantitative cultures of samples obtained with endotracheal aspiration (ETA) and plugged telescoping catheter (PTC). Design Prospective study. Setting Medical ICU. Patients Hundred thirty-eight episodes of suspected ventilator-associated pneumonia studied in 100 consecutive patients. Interventions For each suspected episode of ventilator-associated pneumonia, ETA and PTC were performed consecutively. The agreement between microbiological results obtained from the two techniques was evaluated (kappa statistic test). Pneumonia was diagnosed on a positive culture result of telescoping catheter with the threshold set at $ 10^{3} $ cfu/ml or more. The cut-off points evaluated for ETA ranged from $ 10^{2 } $to $ 10^{6} $ cfu/ml. Results Micro-organisms retrieved by aspiration and telescoping catheter were similar and bacterial counts obtained by the two procedures were well correlated (r=0.71 p<0.001). There was good agreement between positive and negative ETA and PTC specimens (kappa: 0.78) with a diagnostic threshold for ETA of $ 10^{4} $ cfu/ml. The sensitivity and specificity of ETA for the diagnosis of PTC-confirmed pneumonia were 92% and 85%, respectively. Kappa decreased to 0.48 when the diagnostic threshold was increased to $ 10^{6} $ cfu/ml. Conclusions Quantitative cultures of ETA and PTC tallied for both micro-organisms and counts. The simpler ETA appears adequate for determining the presence of pathogenic organisms in significant concentration in the lower respiratory tract. © Springer-Verlag 2004 |
| abstractGer |
Objective To evaluate the diagnostic agreement between quantitative cultures of samples obtained with endotracheal aspiration (ETA) and plugged telescoping catheter (PTC). Design Prospective study. Setting Medical ICU. Patients Hundred thirty-eight episodes of suspected ventilator-associated pneumonia studied in 100 consecutive patients. Interventions For each suspected episode of ventilator-associated pneumonia, ETA and PTC were performed consecutively. The agreement between microbiological results obtained from the two techniques was evaluated (kappa statistic test). Pneumonia was diagnosed on a positive culture result of telescoping catheter with the threshold set at $ 10^{3} $ cfu/ml or more. The cut-off points evaluated for ETA ranged from $ 10^{2 } $to $ 10^{6} $ cfu/ml. Results Micro-organisms retrieved by aspiration and telescoping catheter were similar and bacterial counts obtained by the two procedures were well correlated (r=0.71 p<0.001). There was good agreement between positive and negative ETA and PTC specimens (kappa: 0.78) with a diagnostic threshold for ETA of $ 10^{4} $ cfu/ml. The sensitivity and specificity of ETA for the diagnosis of PTC-confirmed pneumonia were 92% and 85%, respectively. Kappa decreased to 0.48 when the diagnostic threshold was increased to $ 10^{6} $ cfu/ml. Conclusions Quantitative cultures of ETA and PTC tallied for both micro-organisms and counts. The simpler ETA appears adequate for determining the presence of pathogenic organisms in significant concentration in the lower respiratory tract. © Springer-Verlag 2004 |
| abstract_unstemmed |
Objective To evaluate the diagnostic agreement between quantitative cultures of samples obtained with endotracheal aspiration (ETA) and plugged telescoping catheter (PTC). Design Prospective study. Setting Medical ICU. Patients Hundred thirty-eight episodes of suspected ventilator-associated pneumonia studied in 100 consecutive patients. Interventions For each suspected episode of ventilator-associated pneumonia, ETA and PTC were performed consecutively. The agreement between microbiological results obtained from the two techniques was evaluated (kappa statistic test). Pneumonia was diagnosed on a positive culture result of telescoping catheter with the threshold set at $ 10^{3} $ cfu/ml or more. The cut-off points evaluated for ETA ranged from $ 10^{2 } $to $ 10^{6} $ cfu/ml. Results Micro-organisms retrieved by aspiration and telescoping catheter were similar and bacterial counts obtained by the two procedures were well correlated (r=0.71 p<0.001). There was good agreement between positive and negative ETA and PTC specimens (kappa: 0.78) with a diagnostic threshold for ETA of $ 10^{4} $ cfu/ml. The sensitivity and specificity of ETA for the diagnosis of PTC-confirmed pneumonia were 92% and 85%, respectively. Kappa decreased to 0.48 when the diagnostic threshold was increased to $ 10^{6} $ cfu/ml. Conclusions Quantitative cultures of ETA and PTC tallied for both micro-organisms and counts. The simpler ETA appears adequate for determining the presence of pathogenic organisms in significant concentration in the lower respiratory tract. © Springer-Verlag 2004 |
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Diagnosis of ventilator-associated pneumonia: agreement between quantitative cultures of endotracheal aspiration and plugged telescoping catheter |
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Boukef, Riadh Ouanes Besbes, Lamia Marghli, Soudani Nooman, Sami Nouira, Semir Abroug, Fekri |
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| score |
7.400923 |