Utility of bronchoalveolar lavage in the management of immunocompromised patients presenting with lung infiltrates.

ABSTRACT:

Background

Bronchoalveolar lavage (BAL) is utilized for diagnosing lung infiltrates in immunocompromised. There is heterogeneity in the data and reported diagnostic yields range from 26 to 69%. Therefore, selection criteria for BAL to maximize yield and minimize complications are unclear. Objectives of this study were to determine the diagnostic yield and complication rate of BAL in immunocompromised patients presenting with lung infiltrates, and identify factors impacting these outcomes. Exploratory aims included characterization of pathogens, rate of treatment modification and mortality.

Methods

Retrospective study from January 2012 to December 2016. Patients on mechanical ventilation were excluded. Positive diagnostic yield was defined as confirmed microbiological or cyto

SUBMITTER: Choo R 

PROVIDER: S-EPMC6390608 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature