Collection of tracheal aspirate: safety and microbiological concordance between two techniques

• Autor(a) principal: Frota,Oleci Pereira
• Data de Publicação: 2014
• Outros Autores: Ferreira,Adriano Menis, Barcelos,Larissa da Silva, Watanabe,Evandro, Carvalho,Nádia Cristina Pereira, Rigotti,Marcelo Alessandro
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista da Escola de Enfermagem da USP (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342014000400618
• topic: Pneumonia, ventilator-associated; Culture techniques; Infection; Intensive care; Nursing care; Patient´s safety

Objective: To evaluate the safety of the performance of the traditional and protected collection techniques of tracheal aspirate and to identify qualitative and quantitative agreement of the results of microbiological cultures between the techniques. Method: Clinical, prospective, comparative, single-blind research. The sample was composed of 54 patients of >18 years of age, undergoing invasive mechanical ventilation for a period of ≥48 hours and with suspected Ventilator Associated Pneumonia. The two techniques were implemented in the same patient, one immediately after the other, with an order of random execution, according to randomization by specialized software. Results: No significant events occurred oxygen desaturation, hemodynamic instability or tracheobronchial hemorrhage (p<0.05) and, although there were differences in some strains, there was qualitative and quantitative agreement between the techniques (p<0.001). Conclusion: Utilization of the protected technique provided no advantage over the traditional and execution of both techniques was safe for the patient.