       Document 0550
 DOCN  M9490550
 TI    [Induced expectoration or endoscopic samples in case of bronchopulmonary
       infection?]
 DT    9411
 AU    Noseda A; Schoonjans J; Carioni M; Guillaume MP; Prigogine T; Douat N;
       Cliniques de Pneumologie, Hopital Brugmann, Bruxelles.
 SO    Rev Med Brux. 1994 May-Jun;15(3):132-6. Unique Identifier : AIDSLINE
       MED/94345275
 AB    The aim of this study was to compare induced sputum versus bronchoscopy
       in a non selected population. An induced sputum and a bronchoscopy with
       aspiration of secretions and bronchoalveolar lavage (BAL) were proposed
       to 30 patients with suspected lower respiratory tract infection,
       including 14 subjects with AIDS. Induced sputum failed in 3 patients,
       while endoscopy could not be performed (contra-indication, refusal or
       failure due to lack of cooperation) in 7 patients; a technical failure
       for BAL was observed in 3/23 cases. Contamination by oral germs was
       significantly less frequent with BAL (4/20) than with aspiration (15/23)
       or induced sputum (17/27). A relevant pathogen was cultured from induced
       sputum in 7/27 cases (3 mycobacteria, 4 usual pathogens) from aspiration
       in 3/23 cases (one mycobacterium, 2 usual pathogens) and from BAL in
       4/20 cases (one mycobacterium, 3 usual pathogens). These results suggest
       that induced sputum is a promising method when difficulties in
       performing bronchoscopy are expected (severe respiratory insufficiency,
       psychiatric disease, lack of cooperation).
 DE    Bronchoalveolar Lavage Fluid/MICROBIOLOGY
       Bronchopneumonia/*MICROBIOLOGY  *Bronchoscopy  Comparative Study
       English Abstract  Female  Human  Male  Specimen Handling/*METHODS
       Sputum/*MICROBIOLOGY  Suction  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

