Abstract
Introduction: Community-acquired pneumonia (CAP) is an important cause of hospitalization in the pediatric group. The cases that require hospitalization generally are those which the response to antibiotic therapy is not satisfactory or there are associated complications. In these patients, microbiological culture obtained from bronchoalveolar lavage is an important diagnostic tool.
Objective: To identify the bacteriological profile of hospitalized cases of CAP in children at Hospital Universitário Antônio Pedro (HUAP), Rio de Janeiro, Brazil.
Methodology: This is a cross-sectional and retrospective study that used the database provided by the respiratory endoscopy sector and the microbiology laboratory of the HUAP. It was analyzed all pediatrics patients hospitalized for CAP between 2013 and 2019 who were submitted to bronchoalveolar lavage.
Results: The evaluation showed that 74 exams were performed. The average age of the patients were 3 years (0-15). The microbiological culture was negative in 42 (56,8%) and was positive in 32 (43,2%). Among the positive cases, 12 (37,5%) were polymicrobial (bacterial isolation was not possible) and in 20 were possible to identify the etiologic agent, of which Pseudomonas aeruginosa were responsible for 8 cases (25%). In relation to the antibiogram of these pathogens, 4 (20%) did not show antimicrobial resistance, 9 showed resistance to 3 or less antibiotics (56,2%) and 7 showed resistance to more than 3 antibiotics (43,8%).
Conclusion: The bronchoalveolar lavage in pneumonia with unsatisfactory evolution is an important diagnostic tool to define the etiological agent and the most appropriate treatment, especially in times of antimicrobial resistance.
Footnotes
Cite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 3108.
This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2020