ALT SOLUNUM YOLU İNFEKSİYONLARININ TANISINDA BALGAM ÖRNEKLERİNİN YIKANMASININ KÜLTÜR SONUCUNA ETKİSİ

Year 2010, Volume: 23 Issue: 1, 30 - 36, 22.04.2015

Nihan Ziyade Aysegul Yagci

Abstract

Amaç: Alt solunum yolu infeksiyonlarında (ASYİ) Gram boyamanın ve balgam örneklerinin salin ile yıkanmasının katkısının değerlendirilmesi. Metod: Her bir küçük mikroskop alanı (10x) için 10 dan az yassı epitel hücresi içeren tüm örnekler kalitatif ve kantitatif olarak ekildi. Bulgular: ASYİ tanısıyla gönderilen 489 hastadan alınan 620 örnek değerlendirildi. Gram boyamanın duyarlılığı %78.6 , özgüllüğü %82 olarak değerlendirilirken, bu değerler H. influenzae ve S. pneumoniae için %100’ e ulaştı. Kantitatif yöntem kültür pozitifliğini %52’ den % 63.5’ a yükseltti. En sık izole edilen patojenler sırasıyla Haemophilus influenzae, Pseudomonas aeruginosa ve Streptococcus pneumoniae oldu. Sonuç: Ekspoktere balgam örneklerinin toplanması invaziv olmayan bir işlem olup salin ile yıkama sonrası yapılan Gram boyama ve kültür laboratuvar tanısını kolaylaştırabilir. Kültür öncesi Gram boyamada deneyimli bir personel H. influenzae and S. pneumoniae için ön değerlendirmeyi kolaylıkla yapabilir ve kültür sonuçları için gereken 48 saat öncesinde tanıya yardımcı olabilir.

Keywords

Balgam, Kantitatif kültür, Alt solunum yolu infeksiyonu

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