How often is a work-up for <it>Legionella </it>pursued in patients with pneumonia? A retrospective study
<p>Abstract</p> <p>Background</p> <p>It is unclear how often patients with pneumonia are assessed for <it>Legionella </it>in endemic areas. Additionally, the sensitivity of the IDSA/ATS criteria for recommended <it>Legionella </it>testing is unde...
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| Format: | Article |
| Language: | English |
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BMC
2011-09-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1471-2334/11/237 |
| _version_ | 1828495541348073472 |
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| author | Mermel Leonard A Dupont Irene Hollenbeck Brian |
| author_facet | Mermel Leonard A Dupont Irene Hollenbeck Brian |
| author_sort | Mermel Leonard A |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>It is unclear how often patients with pneumonia are assessed for <it>Legionella </it>in endemic areas. Additionally, the sensitivity of the IDSA/ATS criteria for recommended <it>Legionella </it>testing is undefined.</p> <p>Methods</p> <p>We performed a single-center, retrospective study of patients diagnosed with <it>Legionella </it>pneumonia at our hospital to determine: 1) how often <it>Legionella </it>diagnostic testing is obtained on patients with pneumonia at the time of hospitalization or when pneumonia developed during hospitalization; and 2) how often patient's with <it>Legionella </it>pneumonia met at least one of the five criteria in the IDSA/ATS guidelines recommending a work-up for <it>Legionella</it>. Patients with <it>Legionella </it>pneumonia were identified using an infection control software program. Medical records of these patients were then reviewed.</p> <p>Results</p> <p>Thirty-five percent of patients with a discharge diagnosis of pneumonia had <it>Legionella </it>urine antigen testing and/or a <it>Legionella </it>culture performed. Forty-four percent of patients who had a bronchoscopic specimen sent for microbiologic testing had a <it>Legionella </it>culture performed on the bronchoscopic specimen and/or <it>Legionella </it>urine antigen testing. Of 37 adult patients with <it>Legionella </it>pneumonia, 22 (59%) met the IDSA-ATS criteria recommending <it>Legionella </it>testing.</p> <p>Conclusion</p> <p>Following current recommendations for <it>Legionella </it>testing missed 41% of <it>Legionella </it>cases in adults in our single-center study. A work-up for <it>Legionella </it>(i.e., urine antigen test and/or culture) was performed in less than half of patients who have a bronchoscopic specimen sent for microbiologic testing.</p> |
| first_indexed | 2024-12-11T12:14:00Z |
| format | Article |
| id | doaj.art-62cfd29430ea4ad6ac03793d0eceb068 |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-12-11T12:14:00Z |
| publishDate | 2011-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-62cfd29430ea4ad6ac03793d0eceb0682022-12-22T01:07:42ZengBMCBMC Infectious Diseases1471-23342011-09-0111123710.1186/1471-2334-11-237How often is a work-up for <it>Legionella </it>pursued in patients with pneumonia? A retrospective studyMermel Leonard ADupont IreneHollenbeck Brian<p>Abstract</p> <p>Background</p> <p>It is unclear how often patients with pneumonia are assessed for <it>Legionella </it>in endemic areas. Additionally, the sensitivity of the IDSA/ATS criteria for recommended <it>Legionella </it>testing is undefined.</p> <p>Methods</p> <p>We performed a single-center, retrospective study of patients diagnosed with <it>Legionella </it>pneumonia at our hospital to determine: 1) how often <it>Legionella </it>diagnostic testing is obtained on patients with pneumonia at the time of hospitalization or when pneumonia developed during hospitalization; and 2) how often patient's with <it>Legionella </it>pneumonia met at least one of the five criteria in the IDSA/ATS guidelines recommending a work-up for <it>Legionella</it>. Patients with <it>Legionella </it>pneumonia were identified using an infection control software program. Medical records of these patients were then reviewed.</p> <p>Results</p> <p>Thirty-five percent of patients with a discharge diagnosis of pneumonia had <it>Legionella </it>urine antigen testing and/or a <it>Legionella </it>culture performed. Forty-four percent of patients who had a bronchoscopic specimen sent for microbiologic testing had a <it>Legionella </it>culture performed on the bronchoscopic specimen and/or <it>Legionella </it>urine antigen testing. Of 37 adult patients with <it>Legionella </it>pneumonia, 22 (59%) met the IDSA-ATS criteria recommending <it>Legionella </it>testing.</p> <p>Conclusion</p> <p>Following current recommendations for <it>Legionella </it>testing missed 41% of <it>Legionella </it>cases in adults in our single-center study. A work-up for <it>Legionella </it>(i.e., urine antigen test and/or culture) was performed in less than half of patients who have a bronchoscopic specimen sent for microbiologic testing.</p>http://www.biomedcentral.com/1471-2334/11/237<it>Legionella</it>Legionnaires' diseasepneumonia |
| spellingShingle | Mermel Leonard A Dupont Irene Hollenbeck Brian How often is a work-up for <it>Legionella </it>pursued in patients with pneumonia? A retrospective study BMC Infectious Diseases <it>Legionella</it> Legionnaires' disease pneumonia |
| title | How often is a work-up for <it>Legionella </it>pursued in patients with pneumonia? A retrospective study |
| title_full | How often is a work-up for <it>Legionella </it>pursued in patients with pneumonia? A retrospective study |
| title_fullStr | How often is a work-up for <it>Legionella </it>pursued in patients with pneumonia? A retrospective study |
| title_full_unstemmed | How often is a work-up for <it>Legionella </it>pursued in patients with pneumonia? A retrospective study |
| title_short | How often is a work-up for <it>Legionella </it>pursued in patients with pneumonia? A retrospective study |
| title_sort | how often is a work up for it legionella it pursued in patients with pneumonia a retrospective study |
| topic | <it>Legionella</it> Legionnaires' disease pneumonia |
| url | http://www.biomedcentral.com/1471-2334/11/237 |
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