Is there a real need for sputum culture for community-acquired pneumonia diagnostics? Results from a retrospective study in Russia
-
Olga S. Kobyakova
,
Ivan A. Deev
,
Daria A. Vinokurova
,
Anastasia P. Zima
,
Denis S. Tyufilin
,
Vera E. Yun
,
Ekaterina A. Chernysheva
,
Nikolay D. Yarovoy
,
Ksenia R. Ratkina
,
Anna I. Shemuratova
,
Emmanuel U. Agbo
,
Kristina V. Kulikova
,
Ekaterina K. Tagina
and
Evgeny S. Kulikov
Abstract
Objectives
The mortality rate associated with community-acquired pneumonia is still considered high as it occupies a leading position among all infectious diseases. The primary purpose of this study is to evaluate the implementation of the respiratory bacterial culture sampling in the clinical practice of the Russian Federation’s therapeutic departments and its impact on inpatient care.
Methods
The study included 1,344 patients with community-acquired pneumonia. The analysis of the obtained data was performed using the statistical software package SPSS 23.0 (IBM SPSS Statistics). The description of quantitative indicators was carried out with an indication of the median (25; 75 percentile). Qualitative with an indication of the absolute and relative frequencies n (%).
Results
It was noted that a third of the sample did not pass through the first stage (bacterioscopy). We noticed the predominance of oropharyngeal flora in the results. The sputum collection was carried out on average 3 (1; 5) days after the start of hospitalization, while antibiotic therapy was prescribed to all patients on the first day, the results of the bacteriological study were ready on average 6 (4; 8th) calendar days after hospitalization, while in 20 (1.5%) cases, the patient was already discharged. Due to the inefficiency of the starting regimen, antimicrobial agents have changed in 84 (6.3%) patients and averaged 5.5 (4.0; 10.0) days from the start of hospitalization.
Conclusions
The violation of the technique and the time of sputum collection resulted in a reduction in the method’s value.
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Research funding: None declared.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: Authors state no conflict of interest.
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Ethical approval: The Ethics Committee of the Siberian State Medical University approved the study; Committee Conclusion No. 5789 of February 26, 2018.
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© 2020 Walter de Gruyter GmbH, Berlin/Boston
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Articles in the same Issue
- Frontmatter
- Editorial
- Chest pain management and biomarkers: the lack of trust in cardiac troponins measurement
- Reviews
- Bringing the clinical laboratory into the strategy to advance diagnostic excellence
- Atrial fibrillation: is there a role for cardiac troponin?
- Opinion Papers
- Towards better metainterpretation: improving the clinician’s interpretation of the radiology report
- The challenges of diagnosing diabetes in childhood
- Guidelines and Recommendations
- Measuring patient experience of diagnostic care and acceptability of testing
- Original Articles
- Clinical assessment of the Roche SARS-CoV-2 rapid antigen test
- Delayed treatment of bacteremia during the COVID-19 pandemic
- Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective: a focus group study
- Identifying trigger concepts to screen emergency department visits for diagnostic errors
- Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors
- Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes
- The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial
- Resident-faculty overnight discrepancy rates as a function of number of consecutive nights during a week of night float
- CONUT: a tool to assess nutritional status. First application in a primary care population
- Is there a real need for sputum culture for community-acquired pneumonia diagnostics? Results from a retrospective study in Russia
- Differentiating solid breast masses: comparison of the diagnostic efficacy of shear wave elastography and magnetic resonance imaging
- Short Communication
- Chest pain management: use of troponins in internal medicine wards
- Case Report
- Learning from tragedy – The Jessica Barnett story: challenges in the diagnosis of long QT syndrome
- Letters to the Editor
- Usability of non-medicinal swabs for SARS-CoV-2 detection to circumvent supply shortages
- Medical decision making during the COVID-19 epidemic: an opportunity to think how we think
