کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6129780 | 1593021 | 2014 | 7 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Predicting pneumococcal community-acquired pneumonia in the emergency department
ترجمه فارسی عنوان
پیش بینی پنومونک پنوموکوک در جوامع اورژانس
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کلمات کلیدی
پنومونی به دست آمده در جامعه، تشخیص، پیش بینی قانون، استرپتوکوک پنومونیه، آزمون آنتیژن ادرار
موضوعات مرتبط
علوم زیستی و بیوفناوری
ایمنی شناسی و میکروب شناسی
میکروب شناسی
چکیده انگلیسی
The aim of this study was to quantify the value of clinical predictors available in the emergency department (ED) in predicting Streptococcus pneumoniae as the cause of community-acquired pneumonia (CAP). A prospective, observational, cohort study of patients with CAP presenting in the ED was performed. Pneumococcal aetiology of CAP was based on either bacteraemia, or S. pneumoniae being cultured from sputum, or urinary immunochromatographic assay positivity, or positivity of a novel serotype-specific urinary antigen detection test. Multivariate logistic regression was used to identify independent predictors and various cut-off values of probability scores were used to evaluate the usefulness of the model. Three hundred and twenty-eight (31.0%) of 1057 patients with CAP had pneumococcal CAP. Nine independent predictors for pneumococcal pneumonia were identified, but the clinical utility of this prediction model was disappointing, because of low positive predictive values or a small yield. Clinical criteria have insufficient diagnostic capacity to predict pneumococcal CAP. Rapid antigen detection tests are needed to diagnose S. pneumoniae at the time of hospital admission.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Microbiology and Infection - Volume 20, Issue 12, December 2014, Pages 1316-1322
Journal: Clinical Microbiology and Infection - Volume 20, Issue 12, December 2014, Pages 1316-1322
نویسندگان
S.M. Huijts, W.G. Boersma, D.E. Grobbee, W.C. Gruber, K.U. Jansen, J.A.J.W. Kluytmans, B.A.F. Kuipers, F. Palmen, M.W. Pride, C. Webber, M.J.M. Bonten, on behalf of the CAP Diagnostics investigators on behalf of the CAP Diagnostics investigators,