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. 2002 Jun;40(6):2134–2140. doi: 10.1128/JCM.40.6.2134-2140.2002

TABLE 2.

Diagnostic yields of the different techniques according the type of pneumonia

Specimen Yielda for indicated type of:
Global diagnostic yieldd
Bacterial pneumonia
Fungal pneumonia
Mycobacteriosis
Viral pneumonia, ASb
ASb OSc ASb OSc ASb OSc
BAS 23/35 (66)
    Culture 12/15 (80) 11/12 (92) 10/11 (91)e 10/11 (91) 1/1 1/1
    Gram stain 11/15 (73) 11/12 (92) 9/11 (82)e 9/11 (82)
    Ziehl-Neelsen stain 1/1 1/1
BAL 70/134 (52)
    Culture 11/18 (61) 7/7 (100) 7/12 (58)e 6/8 (75) 7/8 (87) 2/2 (100) 14/15 (93)
    Gram stain 8/18 (44) 5/7 (71) 2/12 (17)e 2/8 (25)
    Ziehl-Neelsen stain 3/8 (37.5) 2/2 (100)
    GMS stain 22/22 (100)f 10/10 (100)
    Viral Ag detection 9/17 (53)
Sputum 38/187 (20)
    Culture 20/35 (57) 20/21 (95)g 5/14 (36)e 5/13 (38) 13/15 (87) 13/14 (93)
    Ziehl-Neelsen stain 9/15 (60) 9/14 (64)
PSB 14/110 (12)
    Culture 8/13 (61) 4/4 (100) 6/12 (50)e 3/4 (75)
    Gram stain 5/13 (38) 4/4 (100) 1/12 (8)e 1/4 (25)
Pleural fluid culture 0/3 0/3 0/11e 0/11 1/11 (9) 1/11 (9) 1/11 (9)
Blood culture 15/42 (36) 15/42 (36) 2/16 (13)e 2/16 (13) 17/208 (8)
NPW 3/47 (6)
    Culture 3/10 (30)
    Viral Ag detection 1/10 (10)
Bacterial serology 0/5 0/5 0/35
Viral serology 1/2 (50) 1/20 (5)
Induced-sputum GMS stain 1/8 (12)f 1/4 (25) 1/56 (2)
L. pneumophila Ag urine 0/28 0/28 0/151
a

Total number of diagnoses (diagnoses of pneumonia etiology)/total number of specimens fulfilling the criteria for AS or OS (the specimens included in each classification are described in footnotes b and c, respectively. Percentages are in parentheses.

b

All specimens (AS) from patients with the indicated diagnoses are included.

c

Specimens not fulfilling the criteria for optimum specimen (OS) quality are excluded.

d

Total number of diagnoses (including both infectious- and noninfectious-agent etiologies)/total number of specimens collected.

e

Cases of filamentous fungi and yeasts.

f

Cases of P. carinii.

g

P < 0.05.