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Table 4 Microbiological techniques and complementary studies used to the diagnosis of ventilator-associated tracheobronchitis

From: Incidence and diagnosis of ventilator-associated tracheobronchitis in the intensive care unit: an international online survey

Questions

Global

SPF group

Latin American group

P value

OR (95% CI)

n = 288

n = 141

n = 147

n (%)

n (%)

n (%)

Quantitative cultures

     

Yes

217 (75.3)

97 (68.8)a

120 (81.6)

0.01

0.5 (0.3-0.9)

No

66 (22.9)

42 (29.8)a

24 (16.4)

0.01

2.2 (1.9-3.9)

NR

5 (1.7)

2 (1.4)

3 (2.0)

1.00

ND

Gram stain technique

     

Yes

116 (40.3)

62 (44.0)

54 (36.7)

0.25

ND

No

170 (59.0)

78 (55.3)

92 (62.6)

0.25

ND

NR

2 (0.7)

1 (0.7)

1 (0.7)

1.00

ND

Bronchoscopy for the diagnosis of VAT

     

Never

151 (52.4)

73 (51.8)

78 (53.1)

0.92

ND

Only when the chest x-ray is not conclusive

103 (35.8)

50 (35.5)

53 (36.1)

1.00

ND

Only if I decide to start ATBs

25 (8.7)

13 (9.2)

12 (8.2)

0.91

ND

Always

9 (3.1)

5 (3.5)

4 (2.7)

0.95

ND

CT scan for the diagnosis of VAT

     

Never

142 (49.2)

82 (58.2)a

60 (40.8)

0.005

2.0 (1.2-3.3)

Only when the chest x-ray is not conclusive

139 (48.3)

58 (41.1)a

81 (55.1)

0.02

0.5 (0.3-0.9)

Always

7 (2.4)

1 (0.7)

6 (4.1)

0.14

ND

  1. aAll comparisons were made between Spain, Portugal, and France (SPF) and Latin American groups. ATB, antibiotic; CI, confidence interval; CT, computed tomography; ND, not determined; NR, no response; OR, odds ratio; VAT, ventilator-associated tracheobronchitis.