0
Bronchoscopy |

American College of Chest Physicians and American Association for Bronchology Consensus Statement*: Prevention of Flexible Bronchoscopy-Associated Infection

Atul C. Mehta, MD, FCCP, Chair; Udaya B.S. Prakash, MD, FCCP, Co-Chair; Robert Garland, RRT; Edward Haponik, MD, FCCP; Leonard Moses, MD, FCCP; William Schaffner, MD; Gerard Silvestri, MD, FCCP
Author and Funding Information

*From the Cleveland Clinic Foundation (Dr. Mehta), Cleveland, OH; Mayo Clinic (Dr. Prakash), Rochester, MN; Beth Israel Deaconess Medical Center (Mr. Garland), Boston, MA; Johns Hopkins University (Dr. Haponik), Baltimore, MD; Virginia Commonwealth University (Dr. Moses), Richmond, VA; Vanderbilt University (Dr. Schaffner), Nashville, TN; and Medical University of South Carolina (Dr. Silvestri), Charleston, SC.

Correspondence to: Atul C. Mehta, MD, FCCP, Professor and Vice-Chairman, Department of Pulmonary and Critical Care Medicine, Head Section of Bronchoscopy, Medical Director: Lung Transplantation, The Cleveland Clinic Foundation, 9500 Euclid Ave, A-90, Cleveland, OH 44195; e-mail: Mehtaa1@ccf.org



Chest. 2005;128(3):1742-1755. doi:10.1378/chest.128.3.1742
Text Size: A A A
Published online

Extract

Flexible bronchoscopy (FB) is one of the most common and useful procedures performed by chest clinicians, with > 500,000 procedures performed annually in the United States.1 FB is performed frequently in immunocompromised patients and in health-care settings where exposures to increasingly virulent and drug-resistant microorganisms may occur. Recently reported bronchoscopy-associated infections (BAIs) and pseudoinfections14 potentially affected > 800 patients and included instances in which clinically significant infections and fatalities might have been related to the procedure. Such outbreaks have generated major concerns regarding the possibility of iatrogenic infections due to FB and underscore the importance of reappraising this problem and optimizing preventive practices.56 The potential sequelae of BAI and pseudoinfection are enormous. In addition to the possible morbidity and mortality associated with true infections, such events require expenditure of considerable time and resources for the careful assessment of the vast majority of instances in which no infections or harm to patients have occurred.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

CHEST Journal Articles
Interventional Pulmonary Procedures*: Guidelines from the American College of Chest Physicians
PubMed Articles
Guidelines
ACR Appropriateness Criteria® needle biopsy in the thorax.
American College of Radiology | 7/17/2009
Chronic cough in a child.
Finnish Medical Society Duodecim | 12/12/2008
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543