C-reactive protein and community-acquired pneumonia in ambulatory care: Systematic review of diagnostic accuracy studies

Family Practice

Volumn 26, Issue 1, 2009, Pages 10-21

  Falk, Gavin ^a   Fahey, Tom ^a  

^a Royal College of Surgeons in Ireland Medical School   (Ireland)

Author keywords

Ambulatory care; C reactive protein; Diagnosis; Pneumonia

Indexed keywords

ANTIBIOTIC AGENT; C REACTIVE PROTEIN;

AMBULATORY CARE; CLINICAL TRIAL; COHORT ANALYSIS; COMMUNITY ACQUIRED PNEUMONIA; CONTROLLED CLINICAL TRIAL; CROSS-SECTIONAL STUDY; DIAGNOSTIC ACCURACY; EMBASE; GENETIC HETEROGENEITY; HUMAN; MAJOR CLINICAL STUDY; MEDICAL DECISION MAKING; MEDLINE; PATIENT REFERRAL; PREVALENCE; PRIMARY MEDICAL CARE; PROBABILITY; REVIEW; SYSTEMATIC REVIEW; THORAX RADIOGRAPHY;

AMBULATORY CARE; C-REACTIVE PROTEIN; COMMUNITY-ACQUIRED INFECTIONS; HUMANS; PNEUMONIA;

EID: 59849123144     PISSN: 02632136     EISSN: 14602229     Source Type: Journal    
DOI: 10.1093/fampra/cmn095     Document Type: Review

References (31)

1. Macfarlane J, Holmes W, Gard P et al. Prospective study of the incidence, aetiology and outcome of adult lower respiratory tract illness in the community. Thorax 2001; 56: 109-114.
2. Metlay JP, Fine MJ. Testing strategies in the initial management of patients with community-acquired pneumonia. Ann Intern Med 2003; 138: 109-118.
3. Holmes WF, Macfarlane JT, Macfarlane RM, Hubbard R. Symptoms, signs, and prescribing for acute lower respiratory tract illness. Br J Gen Pract 2001; 51: 177-181.
4. Clyne B, Olshaker JS. The C-reactive protein. J Emerg Med 1999; 17: 1019-1025.
5. Morley JJ, Kushner I. Serum C-reactive protein levels in disease. Ann N Y Acad Sci 1982; 389: 406-418.
6. Dahler-Eriksen BS, Lassen JF, Petersen PH, Lund ED, Lauritzen T, Brandslund I. Evaluation of a near-patient test for C-reactive protein used in daily routine in primary healthcare by use of difference plots. Clin Chem 1997; 43: 2064-2075.
7. Esposito S, Tremolati E, Begliatti E, Bosis S, Gualtieri L, Principi N. Evaluation of a rapid bedside test for the quantitative determination of C-reactive protein. Clin Chem Lab Med 2005; 43: 438-440.
8. Putto A, Ruuskanen O, Meurman O et al. C reactive protein in the evaluation of febrile illness. Arch Dis Child 1986; 61: 24-29.
9. Meehan TP, Fine MJ, Krumholz HM et al. Quality of care, process, and outcomes in elderly patients with pneumonia. J Am Med Assoc 1997; 278: 2080-2084.
10. Gleason PP, Meehan TP, Fine JM, Galusha DH, Fine MJ. Associations between initial antimicrobial therapy and medical outcomes for hospitalized elderly patients with pneumonia. Arch Intern Med 1999; 159: 2562-2572.
11. Dorca J, Torres A. Lower respiratory tract infections in the community: towards a more rational approach. Eur Respir J 1996; 9: 1588-1589.
12. Simpson JC, Macfarlane JT, Watson J, Woodhead MA. A national confidential enquiry into community acquired pneumonia deaths in young adults in England and Wales. British Thoracic Society Research Committee and Public Health Laboratory Service. Thorax 2000; 55: 1040-1045.
13. Melbye H, Stocks N. Point of care testing for C-reactive protein - a new path for Australian GPs? Aust Fam Physician 2006; 35: 513-517.
14. Haynes RB, Wilczynski N, McKibbon KA, Walker CJ, Sinclair JC. Developing optimal search strategies for detecting clinically sound studies in MEDLINE. J Am Med Inform Assoc 1994; 1: 447-458.
15. Medion Database. University of Maastricht, http://www.mediondatabase.nl/. (last accessed 26 November 2008).
16. Moher D, Pham B, Klassen TP et al. What contributions do languages other than English make on the results of meta-analyses? J Clin Epidemiol 2000; 53: 964-972.
17. Whiting P, Rutjes AW, Reitsma JB, Bossuyt PM, Kleijnen J. The development of QUADAS: A tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Med Res Methodol 2003; 3: 25.
18. Zamora J, Abraira V, Muriel A, Khan K, Coomarasamy A. Meta-DiSc: A software for meta-analysis of test accuracy data. BMC Med Res Methodol 2006; 6: 31.
19. Grimes DA, Schulz KF. Refining clinical diagnosis with likelihood ratios. Lancet 2005; 365: 1500-1505.
20. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. Br Med J 2003; 327: 557-560.
21. Flanders SA, Stein J, Shochat G et al. Performance of a bedside c-reactive protein test in the diagnosis of community-acquired pneumonia in adults with acute cough. Am J Med 2004; 116: 529-535.
22. Müller B, Harbarth S, Stolz D et al. Diagnostic and prognostic accuracy of clinical and laboratory parameters in community-acquired pneumonia. BMC Infect Dis 2007; 7: 10.
23. Lagerstrom F, Engfeldt P, Holmberg H. C-reactive protein in diagnosis of community-acquired pneumonia in adult patients in primary care. Scand J Infect Dis 2006; 38: 964-969.
24. Melbye H, Straume B, Aasebo U, Brox J. The diagnosis of adult pneumonia in general practice. The diagnostic value of history, physical examination and some blood tests. Scand J Prim Health Care 1988; 6: 111-117.
25. Melbye H, Straume B, Brox J. Laboratory tests for pneumonia in general practice: The diagnostic values depend on the duration of illness. Scand J Prim Health Care 1992; 10: 234-240.
26. 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: 358-364.
27. Holm A, Nexoe J, Bistrup LA et al. Aetiology and prediction of pneumonia in lower respiratory tract infection in primary care. Br J Gen Pract 2007; 57: 547-554.
28. Almirall J, Bolibar I, Toran P et al. Contribution of C-reactive protein to the diagnosis and assessment of severity of community-acquired pneumonia. Chest 2004; 125: 1335-1342.
29. van der Meer V, Neven AK, van den Broek PJ, Assendelft WJ. Diagnostic value of C reactive protein in infections of the lower respiratory tract: Systematic review. Br Med J 2005; 331: 26.
30. Hopstaken RM, Butler CC, Muris JW et al. Do clinical findings in lower respiratory tract infection help general practitioners prescribe antibiotics appropriately? An observational cohort study in general practice. Fam Pract 2006; 23: 180-187.
31. Reilly BM, Evans AT. Translating clinical research into clinical practice: Impact of using prediction rules to make decisions. Ann Intern Med 2006; 144: 201-209.