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Journal of Antimicrobial Chemotherapy (2000) 45, 217-219
© 2000 The British Society for Antimicrobial Chemotherapy


Brief reports

Antimicrobial effects of lidocaine in bronchoalveolar lavage fluid

Keith M. Olsena,*, Tom E. Peddicorda, G. Douglas Campbellb and Mark E. Ruppc

a Department of Pharmacy Practice, University of Nebraska Medical Center, Omaha, NE 68198-6045; b Section of Pulmonary and Critical Care Medicine, Louisiana State University Medical Center, Shreveport, LA 71130; c Division of Infectious Diseases, University of Nebraska Medical Center, Omaha, NE 68198, USA

The antimicrobial activity of lidocaine in bronchoalveolar lavage fluid (BALf) was investigated. Clinical respiratory isolates were added to BALf suspensions containing lidocaine and to normal saline. The growth of two of four isolates of Streptococcus pneumoniae was significantly reduced in the presence of lidocaine–BALf compared with controls in saline. Growth of Moraxella catarrhalis isolates was reduced in normal saline when compared with BALf containing lidocaine. There was no effect upon the growth of Haemophilus influenzae, Pseudomonas aeruginosa and Candida albicans isolates. The recovery of isolates of S. pneumoniae may be reduced below the critical threshold of 105 cfu/mL during bronchoscopy when using lidocaine as a local anaesthetic.

* Corresponding author. Tel: +1-402-559-9016; Fax: +1-402-559-5673; E-mail: kolsen{at}unmc.edu


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