2010 French SPILF-AFSSAPS guiding criteria for Streptococcuspneumoniae acute community-acquired pneumonia: Evaluation in patients of the PACSCAN-ESCAPED cohort
| Autor: | Yann-Erick Claessens, M. Ben Hayoun, Xavier Duval, Catherine Leport, Jean-Marc Naccache, H. Le Floch, Sarah Tubiana, Emmanuelle Varon |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Chest pain Polymerase Chain Reaction Cohort Studies 03 medical and health sciences Community-acquired pneumonia Internal medicine Nasopharynx medicine Humans Blood culture Medical history Prospective Studies Aged Aged 80 and over 0303 health sciences medicine.diagnostic_test 030306 microbiology business.industry Sputum Middle Aged Pneumonia Pneumococcal medicine.disease Community-Acquired Infections Radiography Pneumonia Infectious Diseases Streptococcus pneumoniae Cohort Practice Guidelines as Topic Etiology Female medicine.symptom business Emergency Service Hospital Tomography X-Ray Computed |
| Zdroj: | Infectious diseases now. 52(2) |
| ISSN: | 2666-9919 |
| Popis: | Objective To assess the proportion of patients meeting the 2010 SPILF-AFSSAPS guiding criteria for Streptococcus pneumoniae in patients consulting at the emergency departments of four French university hospitals for acute community-acquired pneumonia (CAP) suspicion. Patients and methods The PACSCAN study prospectively included 319 patients. Medical history, clinical, biological, and radiological presentations were collected. An adjudication committee retrospectively classified the diagnostic certainty based on the initial chest CT scan data and the follow-up data up to Day 28. S. pneumoniae was looked for according to the clinician's choice of blood culture, pneumococcal urinary antigen test, nasopharyngeal PCR, and/or sputum microbiological examination. Results All patients (100%) met at least one criterion for S. pneumoniae CAP and six (2%) met all criteria. The distribution of criteria ranged from 32% (chest pain criterion) to 86% (age ≥ 40 years criterion). These figures were respectively 100%, 3%, 38%, and 82% when the study population was restricted to the 139 patients with definite or probable CAP, according to the adjudication committee. Taking into account the microbiological results, the criteria taken one by one or combined did not make it possible to differentiate the 19 S. pneumoniae CAP from the other CAPs. Conclusion The 2010 SPILF-AFSSAPS guiding criteria for S. pneumoniae CAP are found in very variable proportions and do not, in their current form, make it possible to accurately guide towards a pneumococcal etiology in patients included in the PACSCAN study. |
| Databáze: | OpenAIRE |
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