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We assessed the incidence of out-of-hospital cardiac arrest-related aspiration pneumonia and the impact of a microbiological documentation in regard to antibiotherapy course.
Another major limitation was the large proportion of patients lacking microbiological documentation in the absence of guidance on the duration of empiric antibiotic therapy.
Beyond this, and aside from data from a few multicenter epidemiological studies, which suggest that severity of illness and mortality are not significantly affected by microbiological documentation in sepsis [ 7- 12], the medical literature is surprisingly devoid of information about patients with culture-negative sepsis.
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Lack of microbiological documentation results in unnecessary antimicrobial therapy and hospitalization.
In the 13 remaining cases (12.5 %), a microbiological documentation was obtained in only one sample (BAL: 5, PBA: 8), above threshold in 6 cases (BAL: 3, PBA: 3), below threshold in 7 cases (BAL: 2, PBA: 5).
Microbiological documentation was achieved in 38.6%.
A microbiological documentation was obtained in 144 (83 %) patients.
P227 Microbiological documentation of pneumonia in the ICU by per-bronchoscopic bronchial aspiration (PBA) is very similar to that obtained by bronchoalveolar lavage (BAL).
Microbiological documentation was obtained in 31 (68.9%) patients (Table 2).
Microbiological documentation was obtained in 641 cases (69.2 %).
Microbiological documentation was achieved in 98/117 patients: Gram-negative infection (n = 49), Gram-positive infection (n = 34), and polymicrobial infection (n = 15).
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