Ventilator-associated Pseudomonas aeruginosa pneumonia: radiographic findings.

Abstract:

PURPOSE:To characterize the radiographic features of ventilator-associated Pseudomonas aeruginosa pneumonia (PAP). MATERIALS AND METHODS:In 56 patients (40 men and 16 women), PAP was documented with fiberoptic bronchoscopy. All patients underwent mechanical ventilation for at least 48 hours before diagnosis. The findings on chest radiographs were recorded. In eight patients in whom computed tomography (CT) was performed, results were compared with radiographic findings. RESULTS:Twenty-six patients with adult respiratory distress syndrome (ARDS) had diffuse bilateral confluent opacities; 30 patients without ARDS had multifocal opacities. In 13 patients, cavities were detected at chest radiography, CT, or both. Seven of 29 patients with pleural abnormalities had empyema. CT provided important additional information (presence of cavities or effusions) in four cases. CONCLUSION:Findings on chest radiographs are nonspecific for PAP. The frequencies of cavities and empyema are surprisingly low, perhaps owing to prompt diagnosis and therapy.

journal_name

Radiology

journal_title

Radiology

authors

Winer-Muram HT,Jennings SG,Wunderink RG,Jones CB,Leeper KV Jr

doi

10.1148/radiology.195.1.7892480

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

247-52

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

195

pub_type

杂志文章,多中心研究
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