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Comments on “Impact of bronchoalveolar lavage multiplex polymerase chain reaction on microbiological yield and therapeutic decisions in severe pneumonia in intensive care unit”

Thematic Areas : Medical Sciences

Source : Journal of Critical Care, Volume 33, June 2016

Campus : Kochi

School : School of Medicine

Department : Microbiology

Year : 2016

Abstract : Comparing 2 different M-PCR with standard culture of a nonsterile sample like bronchoalveolar lavage is like comparing apples and oranges. The M-PCR is very sensitive, picks up many organisms including colonizers, does not give the colony-forming unit which is critical to determine if the isolate is significant [2], picks up viruses and anaerobes which are usually not investigated in conventional cultures, and last but not the least, does not pick up pathogens like Geotrichum, Mucor, Burkholderia cepacia, Serratia spp, and Stenotrophomonas maltophilia mentioned in the study. Therefore, the study design itself is faulty. The authors need to include organisms that are picked up by both the tests to have a head-to-head comparison.

Cite this Research Publication : Mrinal Sircar, Prashant Ranjan, Rajesh Gupta, Anil Kumar, Onkar Kumar Jha, Amit Gupta "Comments on “Impact of bronchoalveolar lavage multiplex polymerase chain reaction on microbiological yield and therapeutic decisions in severe pneumonia in intensive care unit”, Journal of Critical Care, 2016

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