Usefulness of a strategy based on bronchoscopy with direct examination of bronchoalveolar lavage fluid in the initial antibiotic therapy of suspected ventilator-associated pneumonia

@article{Timsit2001UsefulnessOA,
  title={Usefulness of a strategy based on bronchoscopy with direct examination of bronchoalveolar lavage fluid in the initial antibiotic therapy of suspected ventilator-associated pneumonia},
  author={Jean François Timsit and Christine Cheval and Bertrand Gachot and Fabrice Bruneel and Michel Wolff and Jean M. Carlet and Bernard R{\'e}gnier},
  journal={Intensive Care Medicine},
  year={2001},
  volume={27},
  pages={640-647}
}
Objectives: To evaluate (a) the routine accuracy of bronchoalveolar lavage by direct examination (BAL-D) in diagnosing ventilator-associated pneumonia (VAP), and (b) the impact of a diagnostic strategy including clinical judgment, bronchoscopy, and BAL-D on the initial diagnosis and appropriateness of treatment when VAP is suspected. Design and setting: Prospective cohort study in two academic ICUs in Paris, France. Patients and participants: Mechanically ventilated patients with suspected VAP… CONTINUE READING