eTable. Recommendations for diagnosis of hospital-acquired pneumonia*1.
Recommendation | Remark | GRADE | |
---|---|---|---|
Biomarkers (CRP, PCT) | Limited | If pneumogenic sepsis is suspected, PCT testing is indicated | 1B |
Blood culture | Yes | Bacteremia, identification of extrapulmonary foci | 1C |
Legionella antigen in urine | Limited | If nosocomial infection is suspected | 1C |
Respiratory culture (TBAS; BAL) | Yes | Quantitative culture; sample must be taken before start of antibiotic treatment | 1B |
Fungus diagnosis | Limited | Yeast fungus: no targeted diagnosis; Aspergillus: in at-risk patients*2 | 1B |
*1Source: (11)
*2Bronchiectasis, liver cirrhosis, rheumatological diseases; CRP, C-reactive protein; PCT, procalcitonin; TBAS, tracheobronchial aspirate; BAL, bronchoalveolar lavage