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Endotracheal Aspiration in the Diagnosis of Ventilator-Associated Pneumonia*

Deborah Cook, MD, FCCP; Lionel Mandell, MD, FRCPC
Author and Funding Information

*From the Department of Medicine (Dr. Cook), St. Joseph’s Hospital, Hamilton, Ontario, Canada; and the Department of Medicine (Dr. Mandell), Henderson General Hospital, Hamilton, Ontario, Canada.



Chest. 2000;117(4_suppl_2):195S-197S. doi:10.1378/chest.117.4_suppl_2.195S
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Extract

The time-honored method of identifying bacterial pathogens that are potentially responsible for nosocomial pneumonia in patients receiving mechanical ventilation is the microscopic examination of specimens obtained by endotracheal aspiration (EA). This technique is the simplest noninvasive means of obtaining respiratory secretions from patients receiving mechanical ventilation; it is readily performed at the bedside and requires minimal training by health-care providers. This section focuses on clinical studies evaluating diagnostic procedures using endotracheal specimens (ie, cytologic examination, antibody coating, elastin fibers, Gram’s stain, and culture) in immunocompetent adults with suspected VAP.

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