Diagnostic Yield of Bronchoalveolar Lavage and Bronchoscopic Lung Biopsy for Detection of Pneumocystis carinii

1996 ◽  
Vol 71 (11) ◽  
pp. 1025-1029 ◽  
Author(s):  
Jean L. Fraser ◽  
Craig Lilly ◽  
Elliot Israel ◽  
Pamela Hulme ◽  
Philip A. Hanff
2021 ◽  
pp. 153-154
Author(s):  
Kinalee Chothani ◽  
Vishwa Davra ◽  
Mansi Davda ◽  
Jigna Upadhyay

Background: Lung cancer is the leading cause of death in developed countries and is increasing at alarming rates in developing countries also.1 This study is designed to determine accuracy of bronchoalveolar lavage (BAL) as compare to the gold standard histology examination of lung biopsy. Materials and Methods: A retrospective study was conducted,total 46 cases of BAL which were suspected for lung carcinoma and 17 cases of lung biopsy (cases who need confirmation after BAL) were received at G.K general hospital, Bhuj from a period of 2.5 years. Conclusion: Our study conclude that BAL cytology has diagnostic yield of 50%,sensitive of 66.67%,specificity of 100% and efficacy of 64%.


1994 ◽  
Vol 22 (1) ◽  
pp. 66-68 ◽  
Author(s):  
M. B. Schindler ◽  
P. N. Cox

Twenty-eight ventilated paediatric intensive care patients, mean age 4.1 ± 4 years, who had had a simple method of non-bronchoscopic bronchoalveolar lavage (NB-BAL) performed were reviewed. The NB-BAL technique involved blindly wedging a 5 or 8F infant feeding catheter endobronchially and lavaging one millilitre per kg saline using a syringe. Adequate samples were collected in 87% of the NB-BAL specimens. In two of the four inadequate specimens, Pneumocystis carinii was still able to be identified. Additional information not obtained from the tracheal aspirate culture was seen in 71% of the NB-BAL samples. One-third of the patients also had a bronchoscopic BAL or a lung biopsy performed and the culture results were all identical to those obtained from NB-BAL. No significant complications were seen. Oxygenation and ventilation were not altered by the technique. We conclude that NB-BAL performed using a syringe and infant feeding catheter is a simple and cheap method that produces good alveolar samples in the majority of cases.


Author(s):  
C. A. Itatani ◽  
A. Hing ◽  
W. Jackson ◽  
G.J. Marshall

Pneumocystis carinii (PC) is an organism capable of causing fatal pneumonia in immune suppressed individuals and has recently gained prominence because of its association with AIDS. A similar organism occurs in rats and infection may be induced with cortisone injections. In order to isolate PC for further study bronchoal veol ar lavage (BAL) was performed. Differences in the ul trastructure of BAL-obtained organisms and PC in situ were observed and are herein reported.


2000 ◽  
Vol 16 (6) ◽  
pp. 1152-1157 ◽  
Author(s):  
R.P. Baughman ◽  
R.E. Spencer ◽  
B.O. Kleykamp ◽  
M.C. Rashkin ◽  
M.m Douthit

PEDIATRICS ◽  
1991 ◽  
Vol 87 (6) ◽  
pp. 897-899
Author(s):  
Jose A. Birriel ◽  
Jose A. Adams ◽  
Kunjana Mavunda ◽  
Sue Goldfinger ◽  
Donald Vernon ◽  
...  

Flexible fiberoptic bronchoscopy with bronchoalveolar lavage was performed in 16 pediatric patients with the acquired immunodeficiency syndrome (AIDS) and deterioration in pulmonary function suggestive of opportunistic infection. In 62% of the patients Pneumocystis carinii was identified. Culture results showed a pure growth of Pseudomonas aeruginosa for one patient in addition to the Pneumocystis carinii. Bronchoscopy with lavage was well tolerated, with few complications even among patients with significant tachypnea and hypoxia. Because of its relative safety and effectiveness, this procedure should be considered the first invasive measurement used for evaluation of parenchymal lung disease in this population of patients.


Sign in / Sign up

Export Citation Format

Share Document