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Pulmonology Procedures |

Incidence of Bacteremia Following Bronchoscopies With Argon Plasma Coagulation

Alona Matveitchouk*, MD; David Shitrit, MD
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Meir Medical Center, Kfar Saba, Israel


Chest. 2012;142(4_MeetingAbstracts):912A. doi:10.1378/chest.1388801
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Abstract

SESSION TYPE: Bronchoscopy and Interventional Procedures Posters

PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM

PURPOSE: Few data exist concerning possible infectious complication associated with endobronchial treatment with argon plasma coagulation (APC). The present prospective evaluation was undertaken in order to determine the incidence of bacteremia and infectious complications associated with APC.

METHODS: Consecutive patients undergoing bronchoscopy with APC for treatment of endobronchial lesions were studied. Venesection was performed within 60 s of end of the procedure for aerobic and anaerobic blood culture. Sterile saline washing of APC catheter was also performed. Patient with positive blood culture was reviewed immediately, and all patiens underwent phone review within 1 week and 1 month.

RESULTS: A total of 42 patients underwent APC, 12 (28.5%) were female, mean age was 66+ 12 .36 (85.7%) of patiens were with malignant disease - 32 (76.2%) were with non small cell carcinoma (NSCLC) and 4(9.52%) with small cell carcinoma (SCLC), 6 (14.28%) with non malignant disease (subglottic stenosis from different causes). In all patient with NSCLC the 15(35.7%) were with stage III and 17(40.5%) - with stage IV. At all of patients underwent APC procedures with bacteremia demonstrated in one (2.38%) patient - Acinetobacter lwolfii. The APC washing culture was positive in 14 (33.33%) patients. All bacterial isolates were typical oropharyngeal commensal organisms. None of the patients had clinical feature suggestive of infection, and no complications were seen among cohort.

CONCLUSIONS: The incidence of bacteremia following APC is comparable to that following routine flexible bronchoscopy. Performance of APC does not appear to measurably increase the risk of bacteremia over that associated with insertion of the bronchoscope into the airway.

CLINICAL IMPLICATIONS: Contamination of the APC catheter with oropharyngeal commensal bacteria is common; however, clinically significant infection following APC procedure appears rare.

DISCLOSURE: The following authors have nothing to disclose: Alona Matveitchouk, David Shitrit

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Meir Medical Center, Kfar Saba, Israel

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