Diagnostic value of signs, symptoms and laboratory values in lower respiratory tract infection

Swiss Medical Weekly

Volumn 136, Issue 27-28, 2006, Pages 434-440

  Stolz, Daiana ^a,b   Christ Crain, Mirjam ^a   Gencay, Mikael M ^a   Bingisser, Roland ^a   Huber, Peter R ^a   Müller, Beat ^a   Tamm, Michael ^a  

^a UNIVERSITY OF BASEL   (Switzerland)

^b UNIVERSITY HOSPITAL BASEL   (Switzerland)

Author keywords

Bacterial infection; Laboratory markers; LRTI; Procalcitonin

Indexed keywords

ANTIBIOTIC AGENT; C REACTIVE PROTEIN; PROCALCITONIN;

ADULT; AGED; ARTICLE; CLINICAL PRACTICE; DIAGNOSTIC VALUE; FEMALE; HOSPITAL ADMISSION; HUMAN; LEUKOCYTE COUNT; LOWER RESPIRATORY TRACT INFECTION; MAJOR CLINICAL STUDY; MALE; SENSITIVITY AND SPECIFICITY; SYMPTOMATOLOGY;

EID: 33746818275     PISSN: 14247860     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (37)

1. Murphy TF, Sethi S. Bacterial infection in chronic obstructive pulmonary disease. Am Rev Respir Dis 1992;146:1067-83.
2. Mogyoros M. Challenges of managed care organizations in treating respiratory tract infections in an age of antibiotic resistance. Am J Manag Care 2001;7:S163-9.
3. Committee ESoC-aPE. Guidelines for management of adult community-acquired lower respiratory tract infections. Eur Respir J 1998;11:986-91.
4. Macfarlane J, Lewis SA, Macfarlane R, Holmes W. Contemporary use of antibiotics in 1089 adults presenting with acute lower respiratory tract illness in general practice in the U.K.: implications for developing management guidelines. Respir Med 1997;91:427-34.
5. Evans AT, Husain S, Durairaj L, Sadowski LS, Charles-Damte M, Wang Y. Azithromycin for acute bronchitis: a randomised, double-blind, controlled trial. Lancet 2002;359:1648-54.
6. Mandell LA, Bartlett JG, Dowell SF, File TM Jr, Musher DM, Whitney C. Update of practice guidelines for the management of community-acquired pneumonia in immunocompetent adults. Clin Infect Dis 2003;37:1405-33.
7. Guidelines for the management of community-acquired pneumonia in adults admitted to hospital. The British Thoracic Society. Br J Hosp Med 1993;49:346-50.
8. Suchyta MR, Dean NC, Narus S, Hadlock CJ. Effects of a practice guideline for community-acquired pneumonia in an outpatient setting. Am J Med 2001;110:306-9.
9. Fang GD, Fine M, Orloff J, Arisumi D, Yu VL, Kapoor W, et al. New and emerging etiologies for community-acquired pneumonia with implications for therapy. A prospective multicenter study of 359 cases. Medicine (Baltimore) 1990;69:307-16.
10. Macfarlane J, Holmes W, Gard P, Macfarlane R, Rose D, Weston V, et al. Prospective study of the incidence, aetiology and outcome of adult lower respiratory tract illness in the community. Thorax 2001;56:109-14.
11. Holmberg H, Bodin L, Jonsson I, Krook A. Rapid aetiological diagnosis of pneumonia based on routine laboratory features. Scand J Infect Dis 1990;22:537-45.
12. Burman LA, Trollfors B, Andersson B, Henrichsen J, Juto P, Kallings I, et al. Diagnosis of pneumonia by cultures, bacterial and viral antigen detection tests, and serology with special reference to antibodies against pneumococcal antigens. J Infect Dis 1991;163:1087-93.
13. Christ-Grain M, Jaccard-Stolz D, Bingisser R, Gencay MM, Huber PR, Tamm M, et al. Effect of procalcitonin-guided treatment on antibiotic use and outcome in lower respiratory tract infections: cluster-randomised, single-blinded intervention trial. Lancet 2004;363:600-7.
14. Niederman MS, Mandell LA, Anzueto A, Bass JB, Broughton WA, Campbell GD, et al. Guidelines for the management of adults with community-acquired pneumonia. Diagnosis, assessment of severity, antimicrobial therapy, and prevention. Am J Respir Crit Care Med 2001;163:1730-54.
15. Global initiative for chronic obstructive lung disease - Executive Summary - Update. Paper presented at the Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. 2003.
16. Gonzales R, Sande MA. Uncomplicated acute bronchitis. Ann Intern Med 2000;133:981-91.
17. National Institutes of Health NH, Lung, and Blood Institute. Expert panel report 2. (1997). Guidelines for diagnosis and management of asthma.
18. Murray PR, Washington JA. Microscopic and baceriologic analysis of expectorated sputum. Mayo Clin Proc 1975;50:339-44.
19. http://orgenium.corn/orgloy/products/content/respiscreen.asp.
20. Meisner M. Pathobiochemistry and clinical use of procalcitonin. Clin Chim Acta 2002;323:17-29.
21. Young J. When should you use statistics? Swiss Med Wkly 2005;135:337-8.
22. Lidman C, Burman LG, Lagergren A, Ortqvist A. Limited value of routine microbiological diagnostics in patients hospitalized for community-acquired pneumonia. Scand J Infect Dis 2002;34:873-9.
23. McKean MC. Evidence based medicine: review of BTS guidelines for the management of community acquired pneumonia in adults. J Infect 2002;45:213-8.
24. Greenberg SB. Viral pneumonia. Infect Dis Clin North Am 1991;5:603-21.
25. ERS Task Force Report. Guidelines for management of adult community-acquired lower respiratory tract infections. European Respiratory Society. Eur Respir J 1998;11:986-91.
26. Glezen WP, Greenberg SB, Atmar RL, Piedra PA, Couch RB. Impact of respiratory virus infections on persons with chronic underlying conditions. Jama 2000;283:499-505.
27. Ewig S, Torres A, Angeles Marcos M, Angrill J, Rano A, de Roux A, et al. Factors associated with unknown aetiology in patients with community-acquired pneumonia. Eur Respir J 2002;20:1254-62.
28. Graffelman AW, Knuistingh Neven A, le Cessie S, Kroes AC, Springer MP, van den Broek PJ. A diagnostic rule for the aetiology of lower respiratory tract infections as guidance for antimicrobial treatment. Br J Gen Pract 2004;54:20-4.
29. Hopstaken RM, Muris JW, Knottnerus JA, Kester AD, Rinkens PE, Dinant GJ. Contributions of symptoms, signs, erythrocyte sedimentation rate, and C-reactive protein to a diagnosis of pneumonia in acute lower respiratory tract infection. Br J Gen Pract 2003;53:358-64.
30. BTS Guidelines for the Management of Community Acquired Pneumonia in Adults. Thorax 2001;56(Suppl 4):IV1-64.
31. Bartlett JG, Dowell SF, Mandell LA, File Jr TM, Musher DM, Fine MJ. Practice guidelines for the management of community-acquired pneumonia in adults. Infectious Diseases Society of America. Clin Infect Dis 2000;31:347-82.
32. Macfarlane J. Lower respiratory tract infection and pneumonia in the community. Semin Respir Infect 1999;14:151-62.
33. Wipf JE, Lipsky BA, Hirschmann JV, Boyko EJ, Takasugi J, Peugeot RL, Davis CL. Diagnosing pneumonia by physical examination: relevant or relic? Arch Intern Med 1999;159:1082-7.
34. Lieberman D, Shvartzman P, Korsonsky I. Aetiology of respiratory tract infections: clinical assessment versus serological tests. Br J Gen Pract 2001;51:998-1000.
35. Lahde S, Jarrti A, Broas M, Koivisto M, Syriala H. HRCT findings in the lungs of primary care patients with lower respiratory tract infection. Acta Radiol 2002;43:159-63.
36. Simpson JC, Hulse P, Taylor PM, Woodhead M. Do radiographic features of acute infection influence management of lower respiratory tract infections in the community? Eur Respir J 1998;12:1384-7.
37. Huchon GJ, Gialdroni-Grassi G, Leophonte P, Manresa F, Schaberg T, Woodhead M. Initial antibiotic therapy for lower respiratory tract infection in the community: a European survey. Eur Respir J 1996;9:1590-5.