Thoracic Society of Australia and New Zealand position statement: The safe clinical use of sputum induction for bio‐sampling of the lower airways in children and adults

Author:

Schultz André123ORCID,Balaguruswamy Sathya4,Dentice Ruth5,Dobler Claudia C.678ORCID,Geake James9,Gibson Peter1011ORCID,Goulter Patricia12,Jayaram Lata1314,Laird Pamela J.1215ORCID,Middleton Peter G.1617ORCID,Seale Helen18

Affiliation:

1. Wal‐yan Respiratory Research Centre Telethon Kids Institute Perth Western Australia Australia

2. Division of Paediatrics, Faculty of Medicine University of Western Australia Perth Western Australia Australia

3. Department of Respiratory and Sleep Medicine Perth Children's Hospital Perth Western Australia Australia

4. Department of Respiratory and Sleep Medicine Westmead Hospital Sydney New South Wales Australia

5. Department of Physiotherapy Royal Prince Alfred Hospital Sydney New South Wales Australia

6. Institute for Evidence‐Based Healthcare Bond University Gold Coast Queensland Australia

7. Department of Respiratory Medicine Liverpool Hospital Sydney New South Wales Australia

8. South Western Sydney Clinical School University of New South Wales Sydney New South Wales Australia

9. Department of Thoracic and Sleep Medicine Royal Adelaide Hospital Adelaide South Australia Australia

10. Centre of Excellence in Treatable Traits, College of Health, Medicine and Wellbeing University of Newcastle New Lambton Heights New South Wales Australia

11. Department of Respiratory and Sleep Medicine John Hunter Hospital New Lambton Heights New South Wales Australia

12. Physiotherapy Department Te Whatu Ora (Health New Zealand) Wellington New Zealand

13. Department of Respiratory and Sleep Medicine Western Health Melbourne Victoria Australia

14. Department of Medicine University of Melbourne Victoria Australia

15. Department Physiotherapy Perth Children's Hospital Perth Western Australia Australia

16. Westmead Clinical School, University of Sydney Department of Respiratory and Sleep Medicine, Westmead Hospital Sydney New South Wales Australia

17. Department of Respiratory and Sleep Medicine Westmead Hospital Westmead New South Wales Australia

18. Department of Physiotherapy The Prince Charles Hospital Brisbane Queensland Australia

Abstract

AbstractSputum induction is widely used in clinical settings for collection of biological samples from the lower airways. However, in recent years sputum induction has been associated with serious adverse events and even death. This position statement was commissioned by the Thoracic Society of Australia and New Zealand to address major adverse events of two deaths associated with sputum induction that have occurred in Australia in 2021, and outlines best practice for the safe use of sputum induction. The statement resulted from systematic literature searches by a multi‐disciplinary group including respiratory physicians, nurses and physiotherapists (paediatric and adults focused). Consumers had input to an advanced draft of the position statement. The position statement covers indications for sputum induction, informed consent, scope of practice of personnel administering the procedure, infection control considerations, details about the sputum induction procedure, safety considerations and risk assessment in clinical settings.image

Publisher

Wiley

Reference63 articles.

1. Comparison of Sputum Induction with Fiberoptic Bronchoscopy in the Diagnosis of Tuberculosis

2. Role of sputum induction in suspected cases of pleural tuberculosis;Ahmed M;Pak J Med Health Sci,2020

3. The role of induced sputum in the diagnosis of pulmonary tuberculosis

4. Yield of smear, culture and amplification tests from repeated sputum induction for the diagnosis of pulmonary tuberculosis;Al Zahrani K;Int J Tuberc Lung Dis,2001

5. Comparison of sputum induction and bronchoscopy in diagnosis of sputum smear-negative pulmonary tuberculosis: a systemic review and meta-analysis

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