Table 3.
Samples (n = 119) |
||
ETA (n = 74) | BAL (n = 45) | |
Type of pneumonia CAP: suspected/confirmed VAP: suspected/confirmed |
15 / 5 59 / 34 |
12 / 1 33 / 14 |
Antibiotics 48h prior to samples (n = 55) | 32 (58) | 23 (42) |
Positive direct examination Presence of Gram + Presence of Gram – Polymicrobial |
39 (53) 6 (15) 9 (23) 24 (62) |
14 (33) 3 (21) 1 (7) 10 (72) |
Infection polymicrobial FAPP (n = 18) Mean number of bacteria detected CC (n = 8) Mean number of bacteria detected |
14 (77) 2.2 5 (62) 2.2 |
4 (23) 2.25 3 (38) 2 |
Bacterial copathogens: Staphylococcus aureus Pseudomonas aeruginosa Haemophilus influenzae Escherichia coli Klebsiella pneumoniae Enterobacter cloacae Klebsiella aerogenes Proteus spp. Serratia marcescens Streptococcus agalactiae Moraxella catarrhalis Mycoplasma pneumoniae Morganella morganii Hafnia alvei Providencia stuartii |
FAPP / CC 12 / 6 10/ 10 7 / 2 7 / 4 6 / 6 3 / 3 3 / 1 4 / 3 2 / 2 2 / 1 2 / 1 1 / NA NA / 1 NA / 1a NA / 1a |
FAPP / CC 5 / 6 1 / 1 3 / 1 2 / 1 1 / 1 2 / 2 1 / 1 0 / 0 1 / 1 1 / 0 0 / 0 0 / NA NA / 1 NA / 0 NA / 0 |
Resistance detection: MRSA 3GC-R Gram-negative bacillib |
FAPP / AST 5 / 0 4 / 3 |
FAPP / AST 1 / 0 1 / 3 |
Data are presented as: n (%).
ETA = endotracheal aspirate; BAL = bronchoalveolar lavage; CAP = community-acquired pneumonia (defined as infections occurring during the first 48h of ICU admission); VAP = ventilator-associated pneumonia; FAPP = FilmArray Pneumonia Panel; CC = conventional culture; AST = antimicrobial susceptibility testing; MRSA = methicillin-resistant S. aureus; 3GC-R = third generation cephalosporins resistance; NA = not applicable (species not detected either by the FAPP or by the CC).
a The isolation of H. alvei and P. stuartii in CC had no impact on antibiotic therapy as they were covered by the antibiotics administered following the detection of other pathogens detected by FAPP.
b Among 3GC-resistant Gram-negative bacilli, 3 CTX-M were detected by both FAPP and CC, 2 CTX-M were detected only by FAPP, 2 ESBL not belonging to CTX-M as well as one 3GC-resistant P. aeruginosa were detected only by CC.