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Usefulness of sputum culture for diagnosis of bacterial pneumonia in HIV-infected patients.
Eur J Clin Microbiol Infect Dis. 2002 May; 21(5):362-7.EJ

Abstract

The use of sputum culture in immunocompetent patients with community-acquired pneumonia is controversial. The usefulness of this technique in HIV-infected patients has not been evaluated. A prospective, observational, multicenter, hospital-based study of bacterial community-acquired pneumonia was carried out to analyze the value of sputum culture in HIV-infected patients. Only good-quality sputum samples were cultured. Altogether, 355 cases of bacterial community-acquired pneumonia were included. An etiological diagnosis was obtained in 190 (53.5%) cases. Sputum was cultured in 313 (88.1%) cases, being diagnostic in 108 (34.5%). The microorganism identified in sputum culture was the same as that identified in sterile samples in 26 of 27 (96.3%) cases in which both cultures were diagnostic. The microbiologic findings in sputum and bronchoscopic cultures were concordant in seven of eight (87.5%) cases in which both were positive. These results suggest that sputum culture is a useful technique, given its availability and ease of performance and its good correlation with culture of sterile samples.

Authors+Show Affiliations

Infectious Diseases Service, Hospital Universitario Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville, Spain. mcordero@cica.esNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article
Multicenter Study

Language

eng

PubMed ID

12072920

Citation

Cordero, E, et al. "Usefulness of Sputum Culture for Diagnosis of Bacterial Pneumonia in HIV-infected Patients." European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology, vol. 21, no. 5, 2002, pp. 362-7.
Cordero E, Pachón J, Rivero A, et al. Usefulness of sputum culture for diagnosis of bacterial pneumonia in HIV-infected patients. Eur J Clin Microbiol Infect Dis. 2002;21(5):362-7.
Cordero, E., Pachón, J., Rivero, A., Girón-González, J. A., Gómez-Mateos, J., Merino, M. D., Torres-Tortosa, M., González-Serrano, M., Aliaga, L., Collado, A., Hernández-Quero, J., Barrera, A., & Nuño, E. (2002). Usefulness of sputum culture for diagnosis of bacterial pneumonia in HIV-infected patients. European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology, 21(5), 362-7.
Cordero E, et al. Usefulness of Sputum Culture for Diagnosis of Bacterial Pneumonia in HIV-infected Patients. Eur J Clin Microbiol Infect Dis. 2002;21(5):362-7. PubMed PMID: 12072920.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Usefulness of sputum culture for diagnosis of bacterial pneumonia in HIV-infected patients. AU - Cordero,E, AU - Pachón,J, AU - Rivero,A, AU - Girón-González,J A, AU - Gómez-Mateos,J, AU - Merino,M D, AU - Torres-Tortosa,M, AU - González-Serrano,M, AU - Aliaga,L, AU - Collado,A, AU - Hernández-Quero,J, AU - Barrera,A, AU - Nuño,E, Y1 - 2002/05/07/ PY - 2002/6/20/pubmed PY - 2002/9/19/medline PY - 2002/6/20/entrez SP - 362 EP - 7 JF - European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology JO - Eur J Clin Microbiol Infect Dis VL - 21 IS - 5 N2 - The use of sputum culture in immunocompetent patients with community-acquired pneumonia is controversial. The usefulness of this technique in HIV-infected patients has not been evaluated. A prospective, observational, multicenter, hospital-based study of bacterial community-acquired pneumonia was carried out to analyze the value of sputum culture in HIV-infected patients. Only good-quality sputum samples were cultured. Altogether, 355 cases of bacterial community-acquired pneumonia were included. An etiological diagnosis was obtained in 190 (53.5%) cases. Sputum was cultured in 313 (88.1%) cases, being diagnostic in 108 (34.5%). The microorganism identified in sputum culture was the same as that identified in sterile samples in 26 of 27 (96.3%) cases in which both cultures were diagnostic. The microbiologic findings in sputum and bronchoscopic cultures were concordant in seven of eight (87.5%) cases in which both were positive. These results suggest that sputum culture is a useful technique, given its availability and ease of performance and its good correlation with culture of sterile samples. SN - 0934-9723 UR - https://www.unboundmedicine.com/medline/citation/12072920/Usefulness_of_sputum_culture_for_diagnosis_of_bacterial_pneumonia_in_HIV_infected_patients_ L2 - https://dx.doi.org/10.1007/s10096-002-0729-x DB - PRIME DP - Unbound Medicine ER -