Airway management

Microbiome Profiling Demonstrates Concordance of Endotracheal Tube Aspirates With Direct Lower Airway Sampling in Intubated Patients

ChestPublished Diagnostic concordance study

Authors' conclusion

Unbiased molecular profiling shows that standard clinical ETA sampling has good concordance with the authentic lower airway microbiome in intubated patients.

Study context

Population
Intubated patients undergoing percutaneous tracheostomy following prolonged (median, 15 days) intubation
Participants
13 patients
Comparison
ETA vs Tracheostomy
Outcome
Concordance of bacterial composition, diversity and relative quantification between ETA and lower airway microbiome
Methodological details16S rRNA V1-V2 gene sequencing, contemporaneous gold standard sampling
  • 16S rRNA V1-V2 gene sequencing
  • Contemporaneous gold standard sampling

Performance

As reported in the abstract

Bacterial composition, diversity and quantification
  • Pre-tracheostomy endotracheal aspirates (ETAs) closely resembled gold standard post-tracheostomy airway microbiomes in composition, diversity and quantification

Further findings

Endotracheal tube and suction catheter biofilms

Biofilms resembled cognate ETA and fresh tracheostomy communities

Original publication

Microbiome Profiling Demonstrates Concordance of Endotracheal Tube Aspirates With Direct Lower Airway Sampling in Intubated Patients. Chest. Published 9 January 2024. doi:10.1016/j.chest.2024.01.007

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