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http://hdl.handle.net/2445/171566
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DC Field | Value | Language |
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dc.contributor.author | Rio Pertuz, Gaspar del | - |
dc.contributor.author | Gutierrez, Juan F. | - |
dc.contributor.author | Triana, Abel J. | - |
dc.contributor.author | Molinares, Jorge L. | - |
dc.contributor.author | Robledo Solano, Andrea B. | - |
dc.contributor.author | Meza, Jose L. | - |
dc.contributor.author | Ariza Bolivar, Orlando M. | - |
dc.contributor.author | Acosta Reyes, Jorge | - |
dc.contributor.author | Garavito, Argenis | - |
dc.contributor.author | Viasus, Diego | - |
dc.contributor.author | Carratalà, Jordi | - |
dc.date.accessioned | 2020-10-27T15:54:05Z | - |
dc.date.available | 2020-10-27T15:54:05Z | - |
dc.date.issued | 2019-05-10 | - |
dc.identifier.issn | 1471-2334 | - |
dc.identifier.uri | http://hdl.handle.net/2445/171566 | - |
dc.description.abstract | Background: implementation of sputum Gram stain in the initial assessment of community-acquired pneumonia (CAP) patients is still controversial. We performed a systematic review and meta-analysis to investigate the usefulness of sputum Gram stain for defining the etiologic diagnosis of CAP in adult patients. Methods: we systematically searched the Medline, Embase, Science Direct, Scopus and LILACS databases for full-text articles. Relevant studies were reviewed by at least three investigators who extracted the data, pooled them using a random effects model, and carried out quality assessment. For each bacterium (Streptococcus pneumoniae, Haemophilus influenzae, Staphylococcus aureus, and Gram-negative bacilli), pooled sensitivity, specificity, positive and negative likelihood ratios were reported. Results: after a review of 3539 abstracts, 20 articles were included in the present meta-analysis. The studies included yielded 5619 patients with CAP. Pooled sensitivity and pooled specificity of sputum Gram stain were 0.59 (95% CI, 0.56-0.62) and 0.87 (95% CI, 0.86-0.89) respectively for S. pneumoniae, 0.78 (95% CI, 0.72-0.84) and 0.96 (95% CI, 0.94-0.97) for H. influenzae, 0.72 (95% CI, 0.53-0.87) and 0.97 (95% CI, 0.95-0.99) for S. aureus, and 0.64 (95% CI, 0.49-0.77) and 0.99 (95% CI, 0.97-0.99) for Gram-negative bacilli. Conclusion: Sputum Gram stain test is sensitive and highly specific for identifying the main causative pathogens in adult patients with CAP. | - |
dc.format.extent | 12 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | BioMed Central | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1186/s12879-019-4048-6 | - |
dc.relation.ispartof | BMC Infectious Diseases, 2019, vol. 19, num. 1, p. 403 | - |
dc.relation.uri | https://doi.org/10.1186/s12879-019-4048-6 | - |
dc.rights | cc-by (c) Rio-Pertuz, Gaspar del et al., 2019 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Pneumònia adquirida a la comunitat | - |
dc.subject.classification | Metaanàlisi | - |
dc.subject.classification | Esput | - |
dc.subject.other | Community-acquired pneumonia | - |
dc.subject.other | Meta-analysis | - |
dc.subject.other | Sputum | - |
dc.title | Usefulness of sputum gram stain for etiologic diagnosis in community-acquired pneumonia: a systematic review and meta-analysis | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 694765 | - |
dc.date.updated | 2020-10-27T15:54:05Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 31077143 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
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694765.pdf | 2.45 MB | Adobe PDF | View/Open |
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