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Safety of Pleuroscopy Performed in Negative Pressure Bronchoscopy Rooms

A S Sagar1, Georgie A Eapen1, Roberto F Casal2

  • 1Departments of Pulmonary Medicine.

Journal of Bronchology & Interventional Pulmonology
|December 14, 2018
PubMed
Abstract

Insights

Pleuroscopy in negative pressure rooms shows a low rate of infectious complications, similar to positive pressure rooms. Maintaining sterile precautions is key to patient safety during this procedure.

Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Infectious Disease

Background:

  • Pleuroscopy use has increased due to high diagnostic yield and low complication rates.
  • The safety of pleuroscopy in negative pressure rooms regarding infectious complications is not well-established.
  • This study assesses infectious complication rates in patients undergoing pleuroscopy in negative pressure rooms.

Purpose of the Study:

  • To determine the incidence of infectious complications following pleuroscopy performed in negative pressure rooms.
  • To compare the safety profile of pleuroscopy in negative versus positive pressure environments.
  • To evaluate the overall safety of negative pressure room pleuroscopy.

Main Methods:

  • Retrospective cohort study of 318 patients undergoing pleuroscopy in negative pressure rooms (January 2005-January 2018).
  • Primary outcome: incidence of infectious complications at 14 and 30 days post-procedure.
  • Data collected on patient diagnoses and pleural drainage methods (catheter, chest tube).

Main Results:

  • No empyema cases within 14 days post-pleuroscopy.
  • Three patients (0.9%) developed empyema within 30 days, presumed to be related to pleural catheter infection.
  • The patient cohort included individuals with hematological malignancies, lung cancer, and other solid cancers.

Conclusions:

  • Pleuroscopy performed in negative pressure rooms demonstrates a low incidence of infectious complications.
  • Adherence to proper sterile precautions is crucial for minimizing infectious risks.
  • The findings support the safety of pleuroscopy in negative pressure rooms when executed meticulously.

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