par De Koster, Jean-Paul ;Vereerstraeten, J.;Schoutens Serruys, Elisabeth ;Moens, Jean-Pierre ;Yourassowsky, Eugène
Référence Lille médical : journal de la Faculté de médecine et de pharmacie de l'Université de Lille, 21, 2, page (108-115)
Publication Publié, 1976-02
Article révisé par les pairs
Résumé : The aspiration of tracheobronchial secretions with the aid of a fine catheter introduced by transtracheal puncture makes it possible to obtain, when using adequate microbiological techniques, highly reliable information on the organisms truly responsible for a bronchopulmonary infection. The authors have compared the flora obtained by tracheal puncture with that obtained in the simultaneous expectorations at the time of the withdrawal of the catheter. This comparison confirms the unreliability of the sputa and their frequent contamination by saprophytic rhino pharyngeal organisms, theoretically pathogenic, like Staphylococcus aureus and certain entero bacteria, the luxuriant development of which inhibits, among others, sensitive germs such as Hemophilus influenzae and the pneumococcus. The authors likewise report the results obtained in various pathologic conditions (acute pulmonary infections on a virgin terrain and on a terrain of chronic bronchitis, as well as in superinfected bronchiectases, progressive pulmonary tuberculosis, pulmonary neoplasms, pulmonary complications in the immuno depressed). In particular they compare the organisms recovered shortly after the patients' admission to hospital with those obtained later in their stay in hospital. This study confirms the permanence of the classic organisms (pneumococcus and Hemophilus influenzae) the rarity in adults, apart from influenza epidemics, of the Staphylococcus aureus, and the frequency of the Pseudomonas as an organism of hospital superinfection, especially in patients with bronchiectasis.

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