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