Comparison of the Results of BAL and ETA Culture in Intubated COVID-19 Patients

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dc.authoridRamazan Gözüküçük / 0000-0002-8205-4752
dc.contributor.authorKılıç, Hasan Hüseyin
dc.contributor.authorGözüküçük, Ramazan
dc.date.accessioned2024-10-22T09:13:01Z
dc.date.available2024-10-22T09:13:01Z
dc.date.issued2024
dc.departmentMeslek Yüksekokulları, Meslek Yüksekokulu, Tıbbi Görüntüleme Teknikleri Programı
dc.description.abstractBackground: The isolation of pathogens using bronchoalveolar lavage (BAL) culture or endotracheal aspirate (ETA) culture may enhance the treatment success for secondary pneumonia due to COVID-19, thereby reducing the risk of morbidity and mortality. Aim: This study aimed to retrospectively analyze the results of BAL and ETA cultures in intubated COVID-19 patients and to determine whether BAL has an advantage over ETA. Methods: We routinely perform BAL culture via bronchoscopy or ETA culture within the first 48 h after intubation. We retrospectively reviewed cases that underwent BAL and ETA. The patients were divided into two groups: Group B (BAL) and Group E (ETA). Various parameters were evaluated and compared between the two groups. Results: The demographic data and blood test results were similar between the two groups. However, ICU stay, duration of intubation, and culture positivity were significantly higher in Group B. Although not statistically significant, the mortality rate was higher in Group E. The most commonly isolated microorganisms were Candida species. Conclusion: The observed mortality rates were consistent with the existing literature. Since the microorganism isolation rate is higher with BAL, leading to more effective antimicrobial treatment, early deaths were prevented, and ICU stay durations were prolonged. Conversely, these durations were shorter in the ETA group due to higher mortality. In intubated COVID-19 patients, a more effective treatment process can be achieved by clearing the airway with fiberoptic bronchoscopy and tailoring the treatment based on BAL culture results. This approach may positively impact prognosis and mortality rates.
dc.identifier.citationKilic, H. H., & Gozukucuk, R. (2024). Comparison of the Results of BAL and ETA Culture in Intubated COVID-19 Patients. Nigerian journal of clinical practice, 27(8), 945–949. https://doi.org/10.4103/njcp.njcp_666_23en_US
dc.identifier.doi10.4103/njcp.njcp_666_23
dc.identifier.endpage949
dc.identifier.issn1119-3077
dc.identifier.issn2229-7731
dc.identifier.issue8
dc.identifier.startpage945
dc.identifier.urihttps://hdl.handle.net/20.500.12941/270
dc.identifier.volume27
dc.identifier.wosWOS:001306486200001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGözüküçük, Ramazan
dc.language.isoen
dc.publisherNigerian Journal of Clinical Practice
dc.relation.ispartofWolters Kluwer Medknow Publications
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBronkoalveolar lavaj
dc.subjectBronchoalveolar lavage
dc.subjectRonkoskopi
dc.subjectRonchoscopy
dc.subjectCOVID-19
dc.subjectYoğun bakım
dc.subjectCritical care
dc.subjectEntübasyon
dc.subjectIntubation
dc.titleComparison of the Results of BAL and ETA Culture in Intubated COVID-19 Patients
dc.typeArticle

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