Relation of sputum colour to bacterial load in acute exacerbations of COPD

Respiratory Medicine

Volumn 103, Issue 4, 2009, Pages 601-606

  Brusse Keizer, M G J ^a   Grotenhuis, A J ^a   Kerstjens, H A M ^b,c   Telgen, M C ^a   van der Palen, J ^a   Hendrix, M G R ^d   van der Valk, P D L P M ^a  

^a MEDISCH SPECTRUM TWENTE   (Netherlands)

^b UNIVERSITY MEDICAL CENTER GRONINGEN   (Netherlands)

^c UNIVERSITY OF GRONINGEN   (Netherlands)

^d Regional Laboratory of Public Health   (Netherlands)

Author keywords

Antibiotics; Bacterial load; COPD; Sputum colour

Indexed keywords

ANTIBIOTIC AGENT; PREDNISOLONE; ANTIINFECTIVE AGENT; C REACTIVE PROTEIN; INTERLEUKIN DERIVATIVE;

AGED; ARTICLE; BACTERIUM EXAMINATION; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; DISEASE EXACERBATION; FEMALE; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; MALE; PRIORITY JOURNAL; SPUTUM ANALYSIS; SPUTUM DISCOLORATION; ACUTE DISEASE; BLOOD; METABOLISM; MICROBIOLOGICAL EXAMINATION; MICROBIOLOGY; MIDDLE AGED; NETHERLANDS; PIGMENTATION; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; SPUTUM; SUPPURATION;

ACUTE DISEASE; AGED; ANTI-BACTERIAL AGENTS; BACTERIOLOGICAL TECHNIQUES; C-REACTIVE PROTEIN; FEMALE; HOSPITALIZATION; HUMANS; INTERLEUKINS; MALE; MIDDLE AGED; NETHERLANDS; PIGMENTATION; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; SPUTUM; SUPPURATION;

EID: 60949098911     PISSN: 09546111     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.rmed.2008.10.012     Document Type: Article

References (16)

1. Van der Valk P., Monninkhof E., van der Palen J., Zielhuis G., van Herwaarden C., and Hendrix R. Clinical predictors of bacterial involvement in exacerbations of chronic obstructive pulmonary disease. Clin Infect Dis 39 7 (2004 Oct 1) 980-986
2. Seemungal T.A., Donaldson G.C., Bhowmik A., Jeffries D.J., and Wedzicha J.A. Time course and recovery of exacerbations in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 161 5 (2000 May) 1608-1613
3. Seemungal T.A., Donaldson G.C., Paul E.A., Bestall J.C., Jeffries D.J., and Wedzicha J.A. Effect of exacerbation on quality of life in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 157 5 Pt 1 (1998 May) 1418-1422
4. Greenberg S.B., Allen M., Wilson J., and Atmar R.L. Respiratory viral infections in adults with and without chronic obstructive pulmonary disease. Am J Respir Crit Care Med 162 1 (2000 Jul) 167-173
5. Greenberg S.B. Viral respiratory infections in elderly patients and patients with chronic obstructive pulmonary disease. Am J Med 112 Suppl. 6A (2002 Apr 22) 28S-32S
6. Seemungal T.A., Harper-Owen R., Bhowmik A., Jeffries D.J., and Wedzicha J.A. Detection of rhinovirus in induced sputum at exacerbation of chronic obstructive pulmonary disease. Eur Respir J 16 4 (2000 Oct) 677-683
7. Saint S., Bent S., Vittinghoff E., and Grady D. Antibiotics in chronic obstructive pulmonary disease exacerbations. A meta-analysis. JAMA 273 12 (1995 Mar 22) 957-960
8. Sethi S., and Murphy T.F. Bacterial infection in chronic obstructive pulmonary disease in 2000: a state-of-the-art review. Clin Microbiol Rev 14 2 (2001 Apr) 336-363
9. Fagon J.Y., Chastre J., Trouillet J.L., Domart Y., Dombret M.C., Bornet M., et al. Characterization of distal bronchial microflora during acute exacerbation of chronic bronchitis. Use of the protected specimen brush technique in 54 mechanically ventilated patients. Am Rev Respir Dis 142 5 (1990 Nov) 1004-1008
10. Stockley R.A., O'Brien C., Pye A., and Hill S.L. Relationship of sputum color to nature and outpatient management of acute exacerbations of COPD. Chest 117 6 (2000 Jun) 1638-1645
11. Anthonisen N.R., Manfreda J., Warren C.P.W., Hershfield E.S., Harding G.K.M., and Nelson N.A. Antibiotic therapy in exacerbations of chronic obstructive pulmonary disease. Ann Intern Med 106 (1987) 196-204
12. Stockley R.A., Bayley D., Hill S.L., Hill A.T., Crooks S., and Campbell E.J. Assessment of airway neutrophils by sputum colour: correlation with airways inflammation. Thorax 56 5 (2001 May) 366-372
13. Allegra L., Blasi F., Diano P., Cosentini R., Tarsia P., Confalonieri M., et al. Sputum color as a marker of acute bacterial exacerbations of chronic obstructive pulmonary disease. Respir Med 99 6 (2005 Jun) 742-747
14. Soler N., Agusti C., Angrill J., Puig De la B.J., and Torres A. Bronchoscopic validation of the significance of sputum purulence in severe exacerbations of chronic obstructive pulmonary disease. Thorax 62 1 (2007 Jan) 29-35
15. van der Lende R., Jansen-Koster E.J., Knijpstra S., Meinesz A.F., Wever A.M., and Orie N.G. Prevalence of cold in Vlagtwedde and Vlaardingen (computer diagnosis versus doctors' diagnosis). Ned Tijdschr Geneeskd 119 50 (1975 Dec 13) 1988-1996
16. Isenberg HD. Clinical microbiology procedures handbook; 2004.