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TECHNOLOGY, COMPUTING, AND SIMULATION - (Society for Technology in Anesthesia) - CRITICAL CARE AND TRAUMA - An Evaluation of the Gram Stain in Protected Bronchoalveolar Lavage Fluid for the Early Diagnosis of Ventilator-Associated Pneumonia - IMPLICATIONS: We investigated the reliability of direct examination versus quantitative cultures in the early diagnosis of ventilator-associated pneumonia using the protected bronchoalveolar lavage in 104 patients. Regarding detection of bacteria using the Gram stain, we found low sensitivity and negative predictive value and high specificity and positive predictive value./
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