What is the role of bronchoscopy in the evaluation of nosocomial pneumonia?

Updated: Jul 30, 2018
  • Author: Burke A Cunha, MD; Chief Editor: John L Brusch, MD, FACP  more...
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Answer

Answer

These techniques have variable sensitivities and specificities, although there are accepted criteria for semiquantitative cultures to improve the diagnostic reliability of bronchoscopically derived cultures.

Protected brush/cultures from bronchoalveolar lavage (BAL) reflect airway colonization (eg, Aspergillus, MSSA/MRSA, P aeruginosa) rather than nosocomial pneumonia/ventilator-associated pneumonia (VAP) pathogens in the lung parenchyma.


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