Clinical Value of Paired Sputum and Transtracheal Aspirates in the Initial Management of Pneumonia*

Geckler, Ronald W.; McAllister, C. Kenneth; Gremillion, David H.; Ellenbogen, Charles

doi:10.1378/chest.87.5.631

Cited by 24 publications

(17 citation statements)

References 10 publications

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“…Good concordance has been found between the results of cultures of sputum and transtracheal aspirates [94,96], particularly when good-quality sputum specimens are washed and cultures are quantified [97].…”

Section: Recommendationmentioning

confidence: 99%

Guidelines for the management of adult lower respiratory tract infections

Woodhead¹

2005

European Respiratory Journal

681

555

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Section: Recommendationmentioning

confidence: 99%

Guidelines for the management of adult lower respiratory tract infections

Woodhead¹

2005

European Respiratory Journal

681

555

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“…There is considerable inter-and intraobserver variability in the interpretation of the Gram stain results (51). Most of the studies examining the role of this test have depended upon sputum culture as the reference standard.…”

Section: Diagnosismentioning

confidence: 99%

Summary of Canadian Guidelines for the Initial Management of Community-Acquired Pneumonia: An Evidence-Based Update by the Canadian Infectious Diseases Society and the Canadian Thoracic Society

Mandell

Marrie²,

Grossman³

et al. 2000

Canadian Respiratory Journal

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Community-acquired pneumonia (CAP) is a serious illness with a significant impact on individual patients and society as a whole. Over the past several years, there have been significant advances in our knowledge and understanding of the etiology of the disease, and an appreciation of problems such as mixed infections and increasing antimicrobial resistance. The development of additional fluoroquinolone agents with enhanced activity against Streptococcus pneumoniae has been important as well. It was decided that the time had come to update and modify the previous CAP guidelines, which were published in 1993. The current guidelines represent a joint effort by the Canadian Infectious Disease Society and the Canadian Thoracic Society, and they address the etiology, diagnosis and initial management of CAP. The diagnostic section is based on the site of care, and the treatment section is organized according to whether one is dealing with outpatients, inpatients or nursing home patients.

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“…9. 10 We also evaluated the extent to which this test achieved its intended purpose in clinical practice, or its "effectiveness." In our cohort, 19% of patients could not produce sputum, and 25% failed to have a sputum Gram stain prepared by housestaff.…”

Section: Tablementioning

confidence: 99%