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. 2003 Nov 6;22(12):720–725. doi: 10.1007/s10096-003-1042-z

Table 3.

Etiologic diagnoses

Pathogen Total diagnoses Diagnostic accuracy Timing of diagnosis after admission Delay LRTI onset – admissionf
Definitea Probableb Earlyc diagnosis Lated diagnosis ≤3 days (n=70) 4–7 days (n=24) >7 days (n=30)
diagnosis diagnosis
Influenza 43 43 (100%) 0 22 (51.2%) 21 (48.8%) 20 (46.5%) 7 (16.3%) 9 (20.9%)
RSV 6 6 (100%) 0 1 (16.6%) 5 (83.4%) 1 (16.6%) 0 1 (16.6%)
Parainfluenza 2 2 (100%) 0 0 2 (100%) 2 (100%) 0 0
S. pneumoniae 6 6 (100%) 0 6 (100%) 0 2 (33.3%) 2 (33.3%) 2 (33.4%)
S. aureus 2 1 (50%) 1 (50%) 2 (100%) 0 0 1 (50%) 0
Gram negativee 7 1 (14%) 6 (86%) 7 (100%) 0 3 (42.9%) 1 (14.3%) 2 (28.5%)
M. pneumoniae 1 1 (100%) 0 0 1 (100%) 0 1 (100%) 0
Total (n=165) 67 (40.1%) 60 (36.4%) 7 (4.2%) 38 (23%) 29 (17.6%) 28 (17%) 12 (7.3%) 14 (8.5%)

RSV, respiratory syncytial virus

aDefinite diagnosis: positive hemoculture, positive viral culture, fourfold rise in serological titres

bProbable diagnosis: good-quality sputum (i.e. more polymorphonuclear than squamous epithelial cells) and a sputum culture with 1 pathogen

cEarly diagnosis: established ≤72 h after admission

dLate diagnosis: established >72 h after admission (i.e. fourfold rise in serological titres)

eGram-negative: A. lwoffi 1 positive blood culture; H. influenzae 2, E. coli 3, E. cloacae 1 positive sputum cultures

fFor 41 patients, exact onset was indefinable