ACCURACY OF PORTABLE CHEST RADIOGRAPHY IN THE CRITICAL CARE SETTING - DIAGNOSIS OF PNEUMONIA BASED ON QUANTITATIVE CULTURES OBTAINED FROM PROTECTED BRUSH CATHETER

被引:57
作者
LEFCOE, MS [1 ]
FOX, GA [1 ]
LEASA, DJ [1 ]
SPARROW, RK [1 ]
MCCORMACK, DG [1 ]
机构
[1] UNIV WESTERN ONTARIO HOSP, LONDON, ON, CANADA
关键词
D O I
10.1378/chest.105.3.885
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Sixty-six supine portable chest radiographs done on the day of bronchoscopy in 62 critical care unit patients suspected of having pneumonia were examined in a blinded fashion by two radiologists. Quantitative culture results obtained from protected brush catheter (PBC) specimens were compared with chest radiograph scores. For one observer, the sensitivity of the chest radiograph for predicting the presence of positive culture results was 0.60, specificity was 0.29, overall agreement was 0.41, positive predictive value was 0.34, and negative predictive value was 0.55. For the second observer, the values were as follows: sensitivity, 0.64; specificity, 0.27; overall agreement, 0.41; positive predictive value, 0.35; and negative predictive value, 0.55. The kappa statistic was calculated at 0.27 indicating marginal interobserver reproducibility. We conclude the portable chest radiograph in the critical care setting is not accurate in predicting the presence of pneumonia when the diagnosis is based on quantitative cultures obtained from protected brush catheter specimens.
引用
收藏
页码:885 / 887
页数:3
相关论文
共 13 条
  • [1] BARRETTC.E, 1971, AM REV RESPIR DIS, V103, P845
  • [2] BARTLETT JG, 1978, AM REV RESPIR DIS, V117, P1019
  • [3] CAN PORTABLE CHEST-X-RAY EXAMINATION ACCURATELY DIAGNOSE LUNG CONSOLIDATION AFTER MAJOR ABDOMINAL-SURGERY - A COMPARISON WITH COMPUTED-TOMOGRAPHY SCAN
    BEYDON, L
    SAADA, M
    LIU, N
    BECQUEMIN, JP
    HARF, A
    BONNET, F
    RAUSS, A
    RAHMOUNI, A
    [J]. CHEST, 1992, 102 (06) : 1697 - 1703
  • [4] THE TELESCOPING PLUGGED CATHETER IN SUSPECTED ANAEROBIC INFECTIONS - A CONTROLLED SERIES
    BORDELON, JY
    LEGRAND, P
    GEWIN, WC
    SANDERS, CV
    [J]. AMERICAN REVIEW OF RESPIRATORY DISEASE, 1983, 128 (03): : 465 - 468
  • [5] CHASTRE J, 1984, AM REV RESPIR DIS, V130, P924
  • [6] DETECTION OF NOSOCOMIAL LUNG INFECTION IN VENTILATED PATIENTS - USE OF A PROTECTED SPECIMEN BRUSH AND QUANTITATIVE CULTURE TECHNIQUES IN 147 PATIENTS
    FAGON, JY
    CHASTRE, J
    HANCE, AJ
    GUIGUET, M
    TROUILLET, JL
    DOMART, Y
    PIERRE, J
    GIBERT, C
    [J]. AMERICAN REVIEW OF RESPIRATORY DISEASE, 1988, 138 (01): : 110 - 116
  • [7] NOSOCOMIAL PNEUMONIA IN PATIENTS RECEIVING CONTINUOUS MECHANICAL VENTILATION - PROSPECTIVE ANALYSIS OF 52 EPISODES WITH USE OF A PROTECTED SPECIMEN BRUSH AND QUANTITATIVE CULTURE TECHNIQUES
    FAGON, JY
    CHASTRE, J
    DOMART, Y
    TROUILLET, JL
    PIERRE, J
    DARNE, C
    GIBERT, C
    [J]. AMERICAN REVIEW OF RESPIRATORY DISEASE, 1989, 139 (04): : 877 - 884
  • [8] JOSHI JH, 1982, AM REV RESPIR DIS, V126, P860
  • [9] MANAGEMENT OF BACTERIAL PNEUMONIA IN VENTILATED PATIENTS - PROTECTED BRONCHOALVEOLAR LAVAGE AS A DIAGNOSTIC-TOOL
    MEDURI, GU
    WUNDERINK, RG
    LEEPER, KV
    BEALS, DH
    [J]. CHEST, 1992, 101 (02) : 500 - 508
  • [10] MOSER KM, 1982, AM REV RESPIR DIS, V125, P436