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[Evaluation of community-acquired pneumonia guidelines of Japanese Respiratory Society: differentiation of atypical pneumonia and bacterial pneumonia].
- Source :
-
Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society [Nihon Kokyuki Gakkai Zasshi] 2002 Dec; Vol. 40 (12), pp. 929-35. - Publication Year :
- 2002
-
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.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Child
Chlamydia Infections diagnosis
Chlamydophila pneumoniae
Chlamydophila psittaci
Humans
Middle Aged
Pneumonia, Mycoplasma diagnosis
Psittacosis diagnosis
Community-Acquired Infections diagnosis
Pneumonia diagnosis
Pneumonia, Bacterial diagnosis
Practice Guidelines as Topic
Subjects
Details
- Language :
- Japanese
- ISSN :
- 1343-3490
- Volume :
- 40
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society
- Publication Type :
- Academic Journal
- Accession number :
- 12692942