Premium
THE ROLE OF PERCUTANEOUS LUNG ASPIRATION IN THE BACTERIOLOGICAL DIAGNOSIS OF PNEUMONIA IN ADULTS
Author(s) -
BARNES D. J.,
NARAQI S.,
IGO J. D.
Publication year - 1988
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1988.tb00174.x
Subject(s) - medicine , pneumonia , streptococcus pneumoniae , percutaneous , pneumothorax , incidence (geometry) , sputum , surgery , aspiration pneumonia , lung abscess , lung , blood culture , prospective cohort study , tuberculosis , pathology , antibiotics , microbiology and biotechnology , physics , optics , biology
In a prospective study of 175 adults with acute pneumonia, percutaneous lung aspiration (PLA) was performed in 144 in an attempt to obtain a bacteriological diagnosis. Positive cultures were obtained from PLA in 90/144 cases (62.5%). The most common organisms isolated were Streptococcus pneumoniae (60%) gram‐negative bacilli including Hemophilus influenzae (26%) and Staphylococcus aureus (11%). In 39% of those patients with positive PLA cultures, the same organism was isolated on blood cultures. Complications of PLA were uncommon, with hemoptysis in 4% and chest wall hematoma in 0.7% of patients. The incidence of post‐aspirate pneumothorax was not determined in this study. PLA was found to be a safe and effective method of obtaining a bacteriological diagnosis in adult patients with pneumonia.