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Transtracheal Aspiration in Pulmonary Infection

Transtracheal Aspiration in Pulmonary Infection Abstract One hundred fifty-one transtracheal aspirates (TTA) from 134 patients with suspected bronchopulmonary infection were cultured aerobically and anaerobically. Transtracheal aspirate cultures contained fewer pathogens than did cultures of expectorated sputum. The diagnosis of bronchopulmonary infection caused by anaerobic bacteria could only have been established bacteriologically by transtracheal aspiration. Gram stain of TTA provided prompt and accurate bacteriologic diagnosis in more than 90% of instances, while Gram stains of expectorated sputum were nonspecific. Side effects of transtracheal aspiration included subcutaneous emphysema, hemoptysis, and a respiratory arrest in one patient. In this series, transtracheal aspiration was relatively safe and productive of valuable data that provided early diagnosis in patients with suspected bronchopulmonary infections. References 1. Brumfitt W, et al: An evaluation of sputum examination in chronic bronchitis. Lancet 2:1306-1309, 1957.Crossref 2. Laurenzi GA, Potter RT, Kass EH: Bacteriologic flora of the lower respiratory tract. N Engl J Med 265:1273-1278, 1961.Crossref 3. Bartlett JG, Finegold SM: Clinical features and diagnosis of anaerobic pleuropulmonary infections. Antimicrob Agents Chemother 1970, pp 78-82. 4. Bartlett JG, Finegold SM: Anaerobic pleuropulmonary infections. Medicine 51:413-450, 1972.Crossref 5. Lapinski EM, Flakas ED, Taylor BC: An evaluation of some methods for culturing sputum from patients with bronchitis and emphysema. Am Rev Resp Dis 89:760-763, 1964. 6. Louria DB: Uses of quantitative analyses of bacterial populations in sputum. JAMA 182:1082-1086, 1962.Crossref 7. Hahn HH, Beaty HN: Transtracheal aspiration in the evaluation of patients with pneumonia. Ann Intern Med 72:183-187, 1970.Crossref 8. Conte BA, Laforet EG: The role of the topical anesthetic agent in modifying bacteriologic data obtained by bronchoscopy. N Engl J Med 267:957-960, 1962.Crossref 9. Schmidt RM, Rosenkranz HS: Antimicrobial activity of local anesthetics: Lidocaine and procaine. J Infect Dis 121:597-607, 1970.Crossref 10. Pecora DV: A method of securing uncontaminated tracheal secretions for bacterial examination. J Thorac Cardiovasc Surg 37:653-654, 1959. 11. Kalinske RW, et al: Diagnostic usefulness and safety of transtracheal aspiration. N Engl J Med 276:604-608, 1967.Crossref 12. Schreiner A, Digranes A, Myking O: Transtracheal aspiration in the diagnosis of lower respiratory tract infections. Scand J Infect Dis 4:49-52, 1972. 13. Sutter VL, Finegold SM: Antibiotic disc susceptibility tests for rapid presumptive identification of Gram-negative anaerobic bacilli. Appl Microbiol 21:13-20, 1971. 14. Spencer CD, Beaty HN: Complications of transtracheal aspiration. N Engl J Med 286:304-306, 1972.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Transtracheal Aspiration in Pulmonary Infection

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References (15)

Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1974.00320150127017
Publisher site
See Article on Publisher Site

Abstract

Abstract One hundred fifty-one transtracheal aspirates (TTA) from 134 patients with suspected bronchopulmonary infection were cultured aerobically and anaerobically. Transtracheal aspirate cultures contained fewer pathogens than did cultures of expectorated sputum. The diagnosis of bronchopulmonary infection caused by anaerobic bacteria could only have been established bacteriologically by transtracheal aspiration. Gram stain of TTA provided prompt and accurate bacteriologic diagnosis in more than 90% of instances, while Gram stains of expectorated sputum were nonspecific. Side effects of transtracheal aspiration included subcutaneous emphysema, hemoptysis, and a respiratory arrest in one patient. In this series, transtracheal aspiration was relatively safe and productive of valuable data that provided early diagnosis in patients with suspected bronchopulmonary infections. References 1. Brumfitt W, et al: An evaluation of sputum examination in chronic bronchitis. Lancet 2:1306-1309, 1957.Crossref 2. Laurenzi GA, Potter RT, Kass EH: Bacteriologic flora of the lower respiratory tract. N Engl J Med 265:1273-1278, 1961.Crossref 3. Bartlett JG, Finegold SM: Clinical features and diagnosis of anaerobic pleuropulmonary infections. Antimicrob Agents Chemother 1970, pp 78-82. 4. Bartlett JG, Finegold SM: Anaerobic pleuropulmonary infections. Medicine 51:413-450, 1972.Crossref 5. Lapinski EM, Flakas ED, Taylor BC: An evaluation of some methods for culturing sputum from patients with bronchitis and emphysema. Am Rev Resp Dis 89:760-763, 1964. 6. Louria DB: Uses of quantitative analyses of bacterial populations in sputum. JAMA 182:1082-1086, 1962.Crossref 7. Hahn HH, Beaty HN: Transtracheal aspiration in the evaluation of patients with pneumonia. Ann Intern Med 72:183-187, 1970.Crossref 8. Conte BA, Laforet EG: The role of the topical anesthetic agent in modifying bacteriologic data obtained by bronchoscopy. N Engl J Med 267:957-960, 1962.Crossref 9. Schmidt RM, Rosenkranz HS: Antimicrobial activity of local anesthetics: Lidocaine and procaine. J Infect Dis 121:597-607, 1970.Crossref 10. Pecora DV: A method of securing uncontaminated tracheal secretions for bacterial examination. J Thorac Cardiovasc Surg 37:653-654, 1959. 11. Kalinske RW, et al: Diagnostic usefulness and safety of transtracheal aspiration. N Engl J Med 276:604-608, 1967.Crossref 12. Schreiner A, Digranes A, Myking O: Transtracheal aspiration in the diagnosis of lower respiratory tract infections. Scand J Infect Dis 4:49-52, 1972. 13. Sutter VL, Finegold SM: Antibiotic disc susceptibility tests for rapid presumptive identification of Gram-negative anaerobic bacilli. Appl Microbiol 21:13-20, 1971. 14. Spencer CD, Beaty HN: Complications of transtracheal aspiration. N Engl J Med 286:304-306, 1972.Crossref

Journal

Archives of Internal Medicine – American Medical Association

Published: Mar 1, 1974

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