Document 0161
 DOCN  M9550161
 TI    Bronchoscopic diagnosis of pneumonia.
 DT    9505
 AU    Baselski VS; Wunderink RG; Department of Pathology, University of
       Tennessee, Memphis 38163.
 SO    Clin Microbiol Rev. 1994 Oct;7(4):533-58. Unique Identifier : AIDSLINE
       MED/95136207
 AB    Lower respiratory tract infections are characterized by significant
       morbidity and mortality but also by a relative inability to establish a
       specific etiologic agent on clinical grounds alone. With the recognized
       shortcomings of expectorated or aspirated secretions toward establishing
       an etiologic diagnosis, clinicians have increasingly used bronchoscopy
       to obtain diagnostic samples. A variety of specimen types may be
       obtained, including bronchial washes or brushes, protected specimen
       brushings, bronchoalveolar lavage, and transbronchial biopsies.
       Bronchoscopy has been applied in three primary clinical settings,
       including the immunocompromised host, especially human immunodeficiency
       virus-infected and organ transplant patients; ventilator-associated
       pneumonia; and severe, nonresolving community- or hospital-acquired
       pneumonia in nonventilated patients. In each clinical setting, and for
       each specimen type, specific laboratory protocols are required to
       provide maximal information. These protocols should provide for the use
       of a variety of rapid microscopic and quantitative culture techniques
       and the use of a variety of specific stains and selective culture to
       detect unusual organism groups.
 DE    Bronchoscopy/*METHODS  Diagnostic Services  Forecasting  Human
       Microbiological Techniques
       Pneumonia/COMPLICATIONS/*DIAGNOSIS/*MICROBIOLOGY/PARASITOLOGY  JOURNAL
       ARTICLE  REVIEW  REVIEW, TUTORIAL

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