RT Journal Article
SR Electronic
T1 Usefulness of BAL in non-HIV inmunocompromised hosts with lung infiltrates
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P2535
VO 44
IS Suppl 58
A1 Alejandro Raimondi
A1 Ignacio Bledel
A1 Vujacich Patricia
A1 Berenger Roxana
A1 Diaz Mariano
A1 Carlos M. Luna
A1 Gigliotti Romina
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P2535.abstract
AB Introduction: Infectious and non-infectious pulmonary complications are an important cause of morbidity and mortality in non-HIV immunocompromised patients. Lung infiltrates in this group of patients includes an extensive list of possible causes. An etiological diagnosis obtained as soon as possible is essential to guide a specific therapy.Aims and objectives: Evaluate the usefulness of BAL in non-HIV patients with lung infiltrates to determine etiology and changes in therapeutic decisions.Methods: we prospectively included all those non-HIV immunocompromised patients with lung infiltrates who were evaluated by the Pulmonary Division to perform a BAL. The attending physicians were responsible for the diagnostic and therapeutic decisions.Results: 57 patients were included and in 38 (66.7%) an etiological diagnosis was found (table 1). In 40 patients (70%) BAL resulted in a change of therapeutic decisions. There was a greater change of decisions when BAL was performed during the first 12 hours of initiation of empirical antibiotic therapy (p = 0.03)View this table:Table 1Conclusions: BAL was useful for changing therapeutic decisions, especially when it was performed in the first 12 hours of treatment.