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. 2017 Jan 16;189(2):E50–E55. doi: 10.1503/cmaj.151364

Table 2:

Independent items for diagnosing bacterial lower respiratory tract infection (LRTI) and bacterial pneumonia in patients presenting with acute cough in primary care*

Diagnostic variable Diagnosis; OR (95% CI)
Bacterial LRTI Bacterial pneumonia
Comorbidity (pulmonary, cardiac, diabetes mellitus)§ 2.05 (1.03–4.09)
Discoloured sputum 1.63 (1.34–1.99)
Temperature ≥ 38°C 2.89 (0.98–8.56)
Crackles on lung auscultation 4.66 (2.25–9.65)

Note: CI = confidence interval, OR = odds ratio.

*

Results shown had p < 0.10 in multivariable analysis after backward selection; nonsignificant items are not shown.

Variables entered in the multivariable regression model for bacterial LRTI, based on the literature: age ≥ 75 years, male sex, current smoker, comorbidity, discoloured sputum, temperature ≥ 38°C and crackles on lung auscultation.

Variables entered in the multivariable regression model for bacterial pneumonia, based on the literature: age ≥ 75 years, comorbidity, discoloured sputum, temperature ≥ 38°C and crackles on lung auscultation.

§

Pulmonary comorbidities were history of chronic obstructive pulmonary disease, asthma or other lung disease. Cardiac comorbidities were history of heart failure, ischemic heart disease or other heart disease.

Green, yellow or blood-stained.