Clinical predictors for Legionella in patients presenting with community-acquired pneumonia to the emergency department

BMC Pulmonary Medicine

Volumn 9, Issue , 2009, Pages

  Fiumefreddo, Rico ^a   Zaborsky, Roya ^a   Haeuptle, Jeannine ^a   Christ Crain, Mirjam ^a   Trampuz, Andrej ^a   Steffen, Ingrid ^b   Frei, Reno ^a   Müller, Beat ^c   Schuetz, Philipp ^a  

^a UNIVERSITY HOSPITAL BASEL   (Switzerland)

^b UNIVERSITY OF BASEL   (Switzerland)

^c Kantonsspital Aarau ^*  (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

C REACTIVE PROTEIN; CREATINE KINASE; CREATININE; GLUCOSE; LACTATE DEHYDROGENASE; LIVER ENZYME; PROCALCITONIN; SODIUM; UREA;

ADULT; AGED; ARTICLE; BODY TEMPERATURE; CLINICAL ASSESSMENT; COMMUNITY ACQUIRED PNEUMONIA; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; EMERGENCY WARD; FEMALE; HUMAN; LABORATORY TEST; LACTATE DEHYDROGENASE BLOOD LEVEL; LEGIONELLA; MAJOR CLINICAL STUDY; MALE; PREDICTOR VARIABLE; PROTEIN BLOOD LEVEL; RECEIVER OPERATING CHARACTERISTIC; RETROSPECTIVE STUDY; SCORING SYSTEM; SODIUM BLOOD LEVEL; SPUTUM ANALYSIS; THROMBOCYTE COUNT; BLOOD; COMMUNICABLE DISEASE; COMPARATIVE STUDY; EMERGENCY HEALTH SERVICE; LEGIONELLA PNEUMOPHILA; LEGIONNAIRE DISEASE; METABOLISM; MICROBIOLOGY; MIDDLE AGED; PHYSIOLOGY; PNEUMONIA; PREDICTION AND FORECASTING; REPRODUCIBILITY; ROC CURVE; SPUTUM; STATISTICAL MODEL; STATISTICS;

AGED; AGED, 80 AND OVER; BODY TEMPERATURE; C-REACTIVE PROTEIN; COMMUNITY-ACQUIRED INFECTIONS; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; L-LACTATE DEHYDROGENASE; LEGIONELLA PNEUMOPHILA; LEGIONNAIRES' DISEASE; LOGISTIC MODELS; MALE; MIDDLE AGED; PLATELET COUNT; PNEUMONIA; PREDICTIVE VALUE OF TESTS; REPRODUCIBILITY OF RESULTS; RETROSPECTIVE STUDIES; ROC CURVE; SODIUM; SPUTUM;

EID: 61349196928     PISSN: None     EISSN: 14712466     Source Type: Journal    
DOI: 10.1186/1471-2466-9-4     Document Type: Article

References (24)

1. Stout JE Yu VL Legionellosis N Engl J Med 1997, 337:682-687 10.1056/ NEJM199709043371006 9278466
2. Falco V Fernandez de Sevilla T Alegre J Ferrer A Martinez Vazquez JM Legionella pneumophila. A cause of severe community-acquired pneumonia Chest 1991, 100:1007-1011 10.1378/chest.100.4.1007 1914547
3. Kohler RB Winn WC Jr Wheat LJ Onset and duration of urinary antigen excretion in Legionnaires disease J Clin Microbiol 1984, 20:605-607 271393 6490846
4. von Baum H Ewig S Marre R Suttorp R Gonschior S Welte T Luck C Community-Acquired Legionella Pneumonia: New Insights from the German Competence Network for Community Acquired Pneumonia Clin Infect Dis 2008, 46:1356-64 10.1086/586741 18419436
5. Fernandez-Sabe N Roson B Carratala J Dorca J Manresa F Gudiol F Clinical diagnosis of Legionella pneumonia revisited: Evaluation of the Community-Based Pneumonia Incidence Study Group scoring system Clin Infect Dis 2003, 37:483-489 10.1086/376627 12905131
6. Gupta SK Imperiale TF Sarosi GA Evaluation of the Winthrop-University Hospital criteria to identify Legionella pneumonia Chest 2001, 120:1064-1071 10.1378/chest.120.4.1064 11591540
7. Fernandez JA Lopez P Orozco D Merino J Clinical study of an outbreak of Legionnaire's disease in Alcoy, Southeastern Spain Eur J Clin Microbiol Infect Dis 2002, 21:729-735 10.1007/s10096-002-0819-9 12415472
8. Mulazimoglu L Yu VL Can Legionnaires disease be diagnosed by clinical criteria? A critical review Chest 2001, 120:1049-1053 10.1378/ chest.120.4.1049 11591534
9. Cunha BA The atypical pneumonias: Clinical diagnosis and importance Clin Microbiol Infect 2006, 12(Suppl 3):12-24 10.1111/ j.1469-0691.2006.01393.x 16669925
10. Cunha BA Atypical pneumonias. Clinical diagnosis and empirical treatment Postgrad Med 1991, 90:89-90 95-88, 101 1924018
11. Sopena N Pedro-Botet L Mateu L Tolschinsky G Rey-Joly C Sabria M Community-acquired legionella pneumonia in elderly patients: characteristics and outcome J Am Geriatr Soc 2007, 55:114-119 10.1111/ j.1532-5415.2006.01021.x 17233694
12. Sopena N Sabria-Leal M Pedro-Botet ML Padilla E Dominguez J Morera J Tudela P Comparative study of the clinical presentation of Legionella pneumonia and other community-acquired pneumonias Chest 1998, 113:1195-1200 10.1378/chest.113.5.1195 9596294
13. Mandell LA Wunderink RG Anzueto A Bartlett JG Campbell GD Dean NC Dowell SF File TM Jr Musher DM Niederman MS Torres A Whitney CG Infectious Diseases Society of America; American Thoracic Society Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults Clin Infect Dis 2007, 44(Suppl 2):S27-72 10.1086/511159 17278083
14. Woodhead M Blasi F Ewig S Huchon G Leven M Ortqvist A Schaberg T Torres A Heijden van der G Verheij TJ Guidelines for the management of adult lower respiratory tract infections Eur Respir J 2005, 26:1138-1180 10.1183/09031936.05.00055705 16319346
15. Fang GD Fine M Orloff J Arisumi D Yu VL Kapoor W Grayston JT Wang SP Kohler R Muder RR et al New and emerging etiologies for community-acquired pneumonia with implications for therapy. A prospective multicenter study of 359 cases Medicine (Baltimore) 1990, 69:307-316 2205784
16. Guillemot D Courvalin P Better control of antibiotic resistance Clin Infect Dis 2001, 33:542-547 10.1086/322583 11462192
17. Christ-Crain M Stolz D Bingisser R Muller C Miedinger D Huber PR Zimmerli W Harbarth S Tamm M Muller B Procalcitonin Guidance of Antibiotic Therapy in Community-acquired Pneumonia: A Randomized Trial Am J Respir Crit Care Med 2006, 174:84-93 10.1164/rccm.200512-1922OC 16603606
18. Christ-Crain M Jaccard-Stolz D Bingisser R Gencay MM Huber PR Tamm M Muller B Effect of procalcitonin-guided treatment on antibiotic use and outcome in lower respiratory tract infections: Cluster-randomised, single-blinded intervention trial Lancet 2004, 363:600-607 10.1016/ S0140-6736(04)15591-8 14987884
19. Niederman MS Mandell LA Anzueto A Bass JB Broughton WA Campbell GD Dean N File T Fine MJ Gross PA Martinez F Marrie TJ Plouffe JF Ramirez J Sarosi GA Torres A Wilson R Yu VL American Thoracic Society 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, 163:1730-1754 11401897
20. Fine MJ Auble TE Yealy DM Hanusa BH Weissfeld LA Singer DE Coley CM Marrie TJ Kapoor WN A prediction rule to identify low-risk patients with community-acquired pneumonia N Engl J Med 1997, 336:243-250 10.1056/ NEJM199701233360402 8995086
21. Lim WS Eerden van der MM Laing R Boersma WG Karalus N Town GI Lewis SA Macfarlane JT Defining community acquired pneumonia severity on presentation to hospital: An international derivation and validation study Thorax 2003, 58:377-382 1746657 12728155 10.1136/thorax.58.5.377
22. Dominguez JA Gali N Pedroso P Fargas A Padilla E Manterola JM Matas L Comparison of the Binax Legionella urinary antigen enzyme immunoassay (EIA) with the Biotest Legionella Urin antigen EIA for detection of Legionella antigen in both concentrated and nonconcentrated urine samples J Clin Microbiol 1998, 36:2718-2722 105190 9705420
23. Lee TC Vickers RM Yu VL Wagener MM Growth of 28 Legionella species on selective culture media: A comparative study J Clin Microbiol 1993, 31:2764-2768 266009 8253978
24. Lee RW Lindstrom ST A teaching hospital's experience applying the Pneumonia Severity Index and antibiotic guidelines in the management of community-acquired pneumonia Respirology 2007, 12:754-758 10.1111/ j.1440-1843.2007.01121.x 17875067