TY -的T1 -做定量的文化保护刷标本修改初始经验性治疗通风疑似肺炎患者?摩根富林明-欧洲呼吸杂志》乔欧元和J SP - 37 LP - 41六世- 9 - 1 AU -罗德里格斯•德•卡斯特罗F AU - Sole-Violan, J AU -阿兰达莱昂,非盟-布兰科洛佩兹,J盟——Julia-Serda G AU -卡布瑞拉纳瓦罗,P AU -极限Guerra J Y1 - 1996/01/01 UR - //www.qdcxjkg.com/content/9/1/37.abstract N2的真正贡献保护标本刷(公安局)指导抗菌疗法的选择通风重症肺炎患者并不完善。本研究旨在评估数据通过公安局更改初始经验性治疗。一百一十年通风疑似肺炎患者都进入到一个前瞻性研究。所有患者接受fibreoptic后第一个24小时内支气管镜检查的临床怀疑肺炎。标本被公安局获得并使用标准方法是定量处理文化。当患者开始经验性抗生素,标准的治疗方案之后。决定引进、撤回、维护或修改抗生素治疗,据公安局文化的结果,是留给了主治医生。肺炎是45的最后诊断的110例患者(41%)。肺炎是排除在47例(43%)患者和剩下的18例(16%)诊断为不确定。 The initial therapeutic plans were considered to be adequate in 40 patients (36%) and inadequate in 37 cases (34%). In 17 patients (15%), therapeutic changes were made based on the results of PSB cultures. In one case appropriate antibiotics were introduced; in nine cases the therapeutic regimen was reduced to select a narrower and rational therapy; and in seven patients therapy was changed because the prescribed antimicrobial agents were ineffective against the organisms recovered. This study shows that therapeutic changes were made based on the results of PSB cultures in 38% of the patients with pneumonia. In contrast, the PSB technique has no impact on antimicrobial therapy of patients without pneumonia. ER -