Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312-773X (Online)
Issue:2010, vol. 16, book 3
Subject Collection: Medicine
Page: 20 - 22
Online date: July 21, 2010
J of IMAB 2010; 16(3):20-22
USEFULNESS OF SPUTUM GRAM STAIN AND CULTURE FOR DIAGNOSIS OFPNEUMONIA IN A GERIATRIC INSTITUTION
Jean-Jacques Lloveras, Mohamed-Issam Shukr, Claude Pinos, Anissa Lindoulsi, Philippe Grima
Centre de Reeducation Fonctionnelle, Bagneres de Luchon , FRANCE
The value of bacteriological assessment of sputum samples is controversial during lower respiratory tract infections. We retrospectively studied sputum Gram stain and culture in a geriatric population during a two-year period. A total of 42 sputum samples were send to the laboratory; among them, 24 (57%) allowed a diagnosis with a predominant morphotype.
Gram positive and Gram negative were equally distributed, but staphylococci and pseudomonas were most frequently found, as it is usually reported in the setting of nosocomial infections.In geriatric units and in long-term care facilities, diagnostic tests for management of lower respiratory tract infections are rarely performed, but the ratio cost-efficacy of this bacteriological testing could be improved, if considered the shortness of evolution of broncho-pulmonary infectious episodes.
Key words: pneumonia, geriatrics, sputum.
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