Volume 7, Number 2—April 2001
THEME ISSUE
4th Decennial International Conference on Nosocomial and Healthcare-Associated Infections
Prevention is Primary
Ventilator-Associated Pneumonia or Not? Contemporary Diagnosis
Table
Quantitative cultures and microscopic examination of lower respiratory tract secretions in the diagnosis of ventilator-associated pneumoniaa
| Diagnostic techniques | Sensitivity | Specificity | Positive predictive value | Negative predictive value |
|---|---|---|---|---|
| PSBb cultures (>103 CFU/mL) | 82% | 89% | 90% | 89% |
| BAL cultures (>104 CFU/mL) | 91% | 78% | 83% | 87% |
| Microscopic examination of BAL fluid (>5% intracellular organisms) | 91% | 89% | 91% | 89% |
aFrom ref 10. bPSB = protected specimen brush; BAL = bronchoalveolar lavage.


