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Les prélèvements microbiologiques ont-ils encore une place dans le diagnostic de pneumopathie acquise sous ventilation mécanique ?

LAYIOS, Nathalie; DAMAS, Pierre

2012 • In Réanimation, 21, p. 3-8

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https://hdl.handle.net/2268/110192

DOI
10.1007/s13546-011-0337-9

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Abstract :

[en] Diagnosis of ventilator-associated pneumonia (VAP) is based on non-specific clinical signs. Several indicators have been tested in order to improve the accuracy of VAP diagnosis. The quantification of clinical parameters by using the clinical pulmonary infection score (CPIS), however, failed to improve the specificity of the diagnosis. This was the same for all the biomarkers tested either in the serum (procalcitonin, C-reactive protein) or in the bronchoalveolar lavage (BAL) fluid [soluble triggering receptor expressed on myeloid cells 1 (sTREM 1), elastin fibers, endotoxin, pro-inflammatory cytokines, Clara cell protein 10]. The microscopic examination of endotracheal samples alone, especially of the BAL fluid, may provide useful information for the detection of infected cells. Thus, microbiology is still needed.

Disciplines :

Anesthesia & intensive care

Author, co-author :

LAYIOS, Nathalie ; Centre Hospitalier Universitaire de Liège - CHU > Soins intensifs

DAMAS, Pierre ; Centre Hospitalier Universitaire de Liège - CHU > Soins intensifs

Language :

English

Title :

Les prélèvements microbiologiques ont-ils encore une place dans le diagnostic de pneumopathie acquise sous ventilation mécanique ?

Publication date :

2012

Journal title :

Réanimation

ISSN :

1624-0693

eISSN :

1951-6959

Publisher :

Elsevier, Paris, France

Volume :

21

Pages :

3-8

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 27 January 2012

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Bibliography

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