Article: Nonvalue of the initial microbiological studies in the management of nonsevere community-acquired pneumonia.
2001 Volume 119, Issue 1, Page(s) 181–184
Abstract: ... cultures, have no value in the management of nonsevere CAP without comorbid factors. ... Study objective: To assess the value of the initial microbiological studies (MBS), consisting ... acquired pneumonia (CAP) without comorbidity.: Design: A prospective study of 74 adult patients ...
| Abstract | Study objective: To assess the value of the initial microbiological studies (MBS), consisting of sputum Gram's stains, sputum cultures, and blood cultures, in the etiologic diagnosis of community-acquired pneumonia (CAP) without comorbidity. Design: A prospective study of 74 adult patients hospitalized with nonsevere CAP empirically treated according to the American Thoracic Society guidelines (ATS-GL) and evaluated with Gram's stains and cultures of valid sputum specimens and blood cultures. Setting: University-affiliated community hospital. Results: Gram's stain of a valid sputum specimen failed to identify the etiologic agent in all patients. Sputum cultures identified pathogens in only four patients (5%). The results of all blood cultures were negative. All patients responded to the initial empiric antibiotic coverage selected according to the ATS-GL, and the results of the initial MBS had no clinical impact. Conclusion: The initial MBS, such as sputum Gram's stains, sputum cultures, and blood cultures, have no value in the management of nonsevere CAP without comorbid factors. |
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| MeSH term(s) | Adult ; Bacteriological Techniques ; Community-Acquired Infections/diagnosis ; Community-Acquired Infections/microbiology ; Female ; Gentian Violet ; Humans ; Male ; Middle Aged ; Phenazines ; Pneumonia, Bacterial/diagnosis ; Pneumonia, Bacterial/microbiology ; Predictive Value of Tests ; Prospective Studies ; Sputum/microbiology | ||||||||||
| Chemical Substances | Gram's stain ; Phenazines ; Gentian Violet (J4Z741D6O5) | ||||||||||
| Language | English | ||||||||||
| Publishing date | 2001-01 | ||||||||||
| Publishing country | United States | ||||||||||
| Document type | Journal Article | ||||||||||
| ZDB-ID | 1032552-9 | ||||||||||
| ISSN | 1931-3543 ; 0012-3692 | ||||||||||
| ISSN (online) | 1931-3543 | ||||||||||
| ISSN | 0012-3692 | ||||||||||
| DOI | 10.1378/chest.119.1.181 | ||||||||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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