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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1991-12-23
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pubmed:abstractText |
The way in which microbiological investigations are used in routine clinical practice and the value of such tests in directing antibiotic prescribing, was studied in adults admitted to hospital with a diagnosis of community-acquired pneumonia. One-hundred and twenty-two consecutive patients admitted to one teaching and one district general hospital were studied between April 1988 and March 1989. Blood cultures were performed in 81% of cases, sputum was examined in 45% and complete serological tests were performed in 28%. No causative pathogen was found in 74% of cases and results of microbial tests directed a change in antibiotic therapy in only 8% of cases. Routine microbial investigation of all adults admitted to hospital with community-acquired pneumonia is unhelpful and probably unnecessary. We suggest a strategy for microbial investigation linked to initial illness severity to replace the current haphazard approach.
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pubmed:commentsCorrections | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Jul
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pubmed:issn |
0954-6111
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
85
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
|
pubmed:pagination |
313-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1947369-Adult,
pubmed-meshheading:1947369-Anti-Bacterial Agents,
pubmed-meshheading:1947369-Female,
pubmed-meshheading:1947369-Hospitals, District,
pubmed-meshheading:1947369-Hospitals, General,
pubmed-meshheading:1947369-Hospitals, Teaching,
pubmed-meshheading:1947369-Humans,
pubmed-meshheading:1947369-Male,
pubmed-meshheading:1947369-Microbial Sensitivity Tests,
pubmed-meshheading:1947369-Pneumonia,
pubmed-meshheading:1947369-Serotyping,
pubmed-meshheading:1947369-Sputum
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pubmed:year |
1991
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pubmed:articleTitle |
The value of routine microbial investigation in community-acquired pneumonia.
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pubmed:affiliation |
St George's Hospital, London, U.K.
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pubmed:publicationType |
Journal Article
|