Collection of tracheal aspirate: safety and microbiological concordance between two techniques

Revista da Escola de Enfermagem da USP

Oleci Pereira Frota¹  Adriano Menis Ferreira¹  Larissa Da Silva Barcelos¹  Evandro Watanabe¹  Nádia Cristina Pereira Carvalho¹  Marcelo Alessandro Rigotti¹ 

关键词: Pneumonia;    ventilator-associated;    Culture techniques;    Infection;    Intensive care;    Nursing care;    Patient´s safety;    Neumonía asociada al ventilador;    Técnicas de cultivo;    Infección;    Cuidados intensivos;    Atención de enfermería;    Seguridad del paciente;    Pneumonia associada à ventilação mecânica;    Técnicas de cultura;    Infecção;    Terapia intensiva;    Cuidados de enfermagem;    Segurança do paciente;   

DOI  :  10.1590/S0080-623420140000400007

来源: SciELO

【 摘 要 】

Objective: To evaluate the safety of the performance of the traditional and protected collection techniques of tracheal aspirate and to identify qualitative and quantitative agreement of the results of microbiological cultures between the techniques. Method: Clinical, prospective, comparative, single-blind research. The sample was composed of 54 patients of >18 years of age, undergoing invasive mechanical ventilation for a period of ≥48 hours and with suspected Ventilator Associated Pneumonia. The two techniques were implemented in the same patient, one immediately after the other, with an order of random execution, according to randomization by specialized software. Results: No significant events occurred oxygen desaturation, hemodynamic instability or tracheobronchial hemorrhage (p<0.05) and, although there were differences in some strains, there was qualitative and quantitative agreement between the techniques (p<0.001). Conclusion: Utilization of the protected technique provided no advantage over the traditional and execution of both techniques was safe for the patient.


【 授权许可】

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