Bacterial colonization as a potential source of nosocomial respiratory infections in spirometers

Kendrick, AH; Smith, E.C.; Leeming, J.P.

doi:10.1183/09031936.97.10071694

Eur Respir J

1997

DOI: 10.1183/09031936.97.10071694

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Bacterial colonization as a potential source of nosocomial respiratory infections in spirometers

AH Kendrick¹,

E.C. Smith²,

J.P. Leeming³

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Cited by 3 publications

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“…I disagree with the authors' view that stringent precautions are not justified for the majority of the patients undergoing LF tests based on the current evidence of minimal cross-infection associated with LF equipment. 1 A study, which used an insensitive sampling method described by the head and the third authors, 7 found that 13% of the samples from a heated pneumotachograph were contaminated. But in the recent article, the authors only recommend ''minimal cleaning''.…”

mentioning

confidence: 99%

High justification for universal stringent precautions in lung function testing

Zhang

2005

Respiratory Medicine

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mentioning

confidence: 99%

High justification for universal stringent precautions in lung function testing

Zhang

2005

Respiratory Medicine

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Risk of bacterial cross infection associated with inspiration through flow-based spirometers

Bracci

Strafella

Croce

et al. 2011

American Journal of Infection Control

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Spirometry in the Occupational Setting

Lockey¹,

Velez²,

Chair³

et al. 2000

Journal of Occupational and Environmental Medicine

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This position statement reviews several aspects of spirometric testing in the workplace, where spirometry is employed in the primary, secondary, and tertiary prevention of occupational lung disease. Primary prevention includes pre-placement and fitness-for-duty examinations as well as research and monitoring of health status in groups of exposed workers; secondary prevention includes periodic medical screening of individual workers for early effects of exposure to known occupational hazards; and tertiary prevention includes clinical evaluation and impairment/disability assessment. For all of these purposes, valid spirometry measurements are critical, requiring: documented spirometer accuracy and precision, a rigorous and standardized testing technique, standardized measurement of pulmonary function values from the spirogram, adequate initial and refresher training of spirometry technicians, and, ideally, quality assessment of samples of spirograms. Interpretation of spirometric results usually includes comparison with predicted values and should also evaluate changes in lung function over time. Response to inhaled bronchodilators and changes in relation to workplace exposure may also be assessed. Each of these interpretations should begin with an assessment of test quality and, based on the most recent ATS recommendations, should rely on a few reproducible indices of pulmonary function (FEV1, FVC, and FEV1/FVC.) The use of FEF rates (e.g., the FEF25-75%) in interpreting results for individuals is strongly discouraged except when confirming borderline airways obstruction. Finally, the use of serial PEF measurements is emerging as a method for confirming associations between reduced or variable pulmonary function and workplace exposures in the diagnosis of occupational asthma. Throughout this position statement, ACOEM makes detailed recommendations to ensure that each of these areas of test performance and interpretation follow current recommendations/standards in the pulmonary and regulatory fields. Submitted by the Occupational and Environmental Lung Disorder Committee on November 16,1999. Approved by the ACOEM Board of Directors on January 4,2000.

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Bacterial colonization as a potential source of nosocomial respiratory infections in spirometers

Cited by 3 publications

References 4 publications

High justification for universal stringent precautions in lung function testing

High justification for universal stringent precautions in lung function testing

Risk of bacterial cross infection associated with inspiration through flow-based spirometers

Spirometry in the Occupational Setting

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