| Clinical value of paired sputum and transtracheal aspirates in the initial management of pneumonia. | |
| | |
MedLine Citation:
|
PMID: 3921315 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
One hundred young adults with acute pneumonia were prospectively studied to determine the impact of the transtracheal aspiration (TTA) Gram stain on immediate management. Sputum and TTA interpretations by staff and housestaff were compared. After a management plan was elected based on sputum Gram stain interpretation, the TTA was evaluated and the final plan chosen. A change in treatment after the TTA was available occurred in eight cases, and this was an appropriate change in only five. The putative pathogen as identified by TTA culture was correctly predicted after sputum Gram stain interpretation in 36 to 62 percent of cases and after TTA interpretation in 37 to 62 percent. This indicates significant observer variation but not superiority of one type of specimen over the other. In most cases, paired sputum and TTA Gram stain were both read correctly or incorrectly. When differences occurred, sputum interpretations were as likely to be correct as were TTA interpretations. The TTA Gram stain offered no advantage over sputum Gram stain in the initial management of acute pneumonia in this young adult military population. |
| | |
Authors:
|
R W Geckler; C K McAllister; D H Gremillion; C Ellenbogen |
Related Documents
:
|
10143045 - Managing change: an emerging new consensus. 17252855 - Organisational change. grace under fire. 10565705 - Transitions in pharmacy practice, part 3: effecting change--the three-ring circus. 10312905 - Strategic planning in competitive environments. 3554705 - Diagnostic ultrasound in the urologist's office. 22707645 - Survey of billing and coding for counterstrain tender points. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Chest Volume: 87 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1985 May |
Date Detail:
|
Created Date: 1985-06-17 Completed Date: 1985-06-17 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 631-5 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Disease Adult Culture Media False Positive Reactions Haemophilus influenzae / isolation & purification Humans Military Medicine* Neisseria meningitidis / isolation & purification Pneumonia / microbiology, therapy* Sputum / microbiology* Staphylococcus aureus / isolation & purification Streptococcus pneumoniae / isolation & purification Streptococcus pyogenes / isolation & purification Suction / methods* |
| Chemical | |
Reg. No./Substance:
|
0/Culture Media |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Pathophysiology, diagnosis, and management of glucose homeostasis in the neonate.
Next Document: Low-concentration oxygen therapy via a demand oxygen delivery system.