Bacteriological profile of lower respiratory tract infections in patients admitted to the pulmonology ifirmary at a Tertiary Hospital for Reference in Lung Diseases in the State of Pernambuco

• Autor(a) principal: Lemos de Carvalho, Sérgio Manoel
• Data de Publicação: 2019
• Outros Autores: Ferreira Gomes de Oliveira, Joyce, Gonçalves Macedo, Liana, dos Santos Accioly, Lucas, Leite Fernandes, Raphaella Amanda Maria
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Anais da Faculdade de Medicina de Olinda (Online)
• Texto Completo: https://afmo.emnuvens.com.br/afmo/article/view/108
• topic: Bactéria; Meios de cultura; Bronquiesctasia; Doença Pulmonar Obstrutica Crônica; Pneumonia; Bacteria; Culture media; Bronchiesctasia; Chronic Obstructitic Pulmonary Disease; Pneumonia

Introduction: respiratory tract infection is responsible for high morbidity and mortality, and lead to frequent use ofantibiotics. It is important to know the bacteriological profile according to the evaluated base location and condition of the patient,since, on many occasions, the treatment of these infections is initiated empirically. Objective: It is to identify the bacteriological profileof sputum cultures and bronchoalveolar lavage and verify the underlying lung disease of hospitalized patients in pulmonology ward.Methods: The study consisted of a retrospective series of cases, where the cultures of sputum and / or bronchoalveolar lavage fluid of 70patients were analyzed. Results: The most prevalent pathogens in sputum cultures were Pseudomonas sp. and Klebsiella sp.,respectively, in 17 (24%) and 15 (21%) patients. There was no predominance of any pathogen in the cultures of bronchoalveolar lavage.Bronchiectasis was the most prevalent pulmonary disease with pulmonary tuberculosis after-effects, there was a significantrelationship between their presence and the infection by Pseudomonas sp. (P <0.05). Conclusion: The finding of Pseudomonas sp. asthe most common bacteria, particularly in patients with bronchiectasis by pulmonary tuberculosis after-effects, as well as the finding ofKlebsiella sp. as the second most common pathogen, although not associated with any underlying lung disease, may assist in the choiceof empirical therapy of patients admitted to the pulmonology ward of the Hospital.