[Evaluation of community-acquired pneumonia guidelines of Japanese Respiratory Society: differentiation of atypical pneumonia and bacterial pneumonia].
Nihon Kokyuki Gakkai Zasshi
; 40(12): 929-35, 2002 Dec.
Article
em Ja
| MEDLINE
| ID: mdl-12692942
ABSTRACT
To evaluate the usefulness of differentiation of atypical pneumonia and bacterial pneumonia in the community-acquired pneumonia guidelines of the Japanese Respiratory Society, we investigated 124 cases of three atypical pneumonias (Mycoplasma pneumonia, 62 cases; Chlamydia pneumoniae pneumonia, 46 cases; Chlamydia psittaci pneumonia, 13 cases) and 403 cases of bacterial pneumonia at our hospital over seven years. Overall, the sensitivity and specificity of the criteria in the guideline were 70.4% and 91.8%, respectively. High accordance was recognized in patients under 60 years old with atypical pneumonia. Items in the criteria that included subjective factors were considered inassessable. We found that the differentiation of pneumonias in the guideline is useful for the diagnosis of atypical pneumonia among younger patients, but it should be concise and objective. We therefore propose that the criteria would be more effective if they consisted of only 4 items age under 60 years, no underlying disorders, presence of stubborn dry cough, and normal peripheral white blood cell count.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pneumonia
/
Guias de Prática Clínica como Assunto
/
Infecções Comunitárias Adquiridas
/
Pneumonia Bacteriana
Tipo de estudo:
Diagnostic_studies
/
Guideline
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Humans
/
Middle aged
Idioma:
Ja
Ano de publicação:
2002
Tipo de documento:
Article