Parameters for assessment of bronchoalveolar lavage fluid in bronchoscopy
M.L. SHTEINER1, 2, A.V. ZHESTKOV1, YU.I. BIKTAGIROV1, S.A. BABANOV1, E.A. KORYMASOV1, E.P. KRIVOSHCHEKOV1, A.D. PROTASOV1, O.S. KOZLOVA1, V.V. KULAGINA3, T.P. HURASKINA4, I.I. SIROTKO1
1 Samara State Medical University, Samara
2 Samara City Hospital № 4, Samara
3 «REAVIZ» Medical University, Samara
4 Samara Hospital of the Ministry of Internal Affairs, Samara
Contact details:
Shteiner M.L. — MD, Associate Professor of the Department of Surgery with the course of endoscopy
Address: 89 Chapaevskaya St., Samara, Russian Federation, 443099, tel.: +7 (846) 260-33-61, e-mail: [email protected]
The authors analyzed the results of diagnostic bronchoalveolar lavage (BAL) application over a 12-year period. The results were obtained during 9252 therapeutic and diagnostic bronchoscopies (100%). In all cases the macroscopic assessment of BAL fluid was performed using the designed flow chart; acid-fast bacilli were identified. Bacterial flora and its antibiotic sensitivity were determined in 864 cases (9,34%). When disseminated processes or peripheral lesions occurred in the lungs, acid-fast bacilli and atypical cells were identified in BAL fluid; general analysis was also carried out. The macroscopic assessment of BAL fluid made a substantial contribution to the diagnostic process. Identified acid-fast bacilli and atypical cells drastically changed the treatment strategy and tactics. Identified bacterial flora adjusted the tactics in less than 6% of cases.
Key words: bronchoscopy, additional diagnostic endobronchial manipulations, diagnostic bronchoalveolar lavage, bronchoalveolar fluid.
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