0
Clinical Investigations: INFECTIONS |

Nonvalue of the Initial Microbiological Studies in the Management of Nonsevere Community-Acquired Pneumonia*

Ravichandran Theerthakarai, MD; Walid El-Halees, MD; Medhat Ismail, MD; Roberto A. Solis, MD; M. Anees Khan, MD, FCCP
Author and Funding Information

*From the Pulmonary Division, St. Joseph’s Hospital and Medical Center (Drs. Theerthakarai, El-Halees, Ismail, and Solis), Paterson, NJ; and Seton Hall University, School of Graduate Medical Education (Dr. Khan), South Orange, NJ.

Correspondence to: M. Anees Khan, MD, FCCP, Chief, Pulmonary Division, St. Joseph’s Hospital and Medical Center, 703 Main St, Paterson, NJ 07503



Chest. 2001;119(1):181-184. doi:10.1378/chest.119.1.181
Text Size: A A A
Published online

Study objective: To assess the value of the initial microbiological studies (MBS), consisting of sputum Gram’s stains, sputum cultures, and blood cultures, in the etiologic diagnosis of community-acquired pneumonia (CAP) without comorbidity.

Design: A prospective study of 74 adult patients hospitalized with nonsevere CAP empirically treated according to the American Thoracic Society guidelines (ATS-GL) and evaluated with Gram’s stains and cultures of valid sputum specimens and blood cultures.

Setting: University-affiliated community hospital.

Results: Gram’s stain of a valid sputum specimen failed to identify the etiologic agent in all patients. Sputum cultures identified pathogens in only four patients (5%). The results of all blood cultures were negative. All patients responded to the initial empiric antibiotic coverage selected according to the ATS-GL, and the results of the initial MBS had no clinical impact.

Conclusion: The initial MBS, such as sputum Gram’s stains, sputum cultures, and blood cultures, have no value in the management of nonsevere CAP without comorbid factors.


Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543