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Improvement of pneumococcal pneumonia diagnostics by the use of rt-PCR on plasma and respiratory samples.Špik, Vesna, 1976- ...Background: The aim of the study was to assess the performance of a real-time polymerase chain reaction (rt-PCR) assay on plasma and respiratory samples for the diagnosis of pneumococcal pneumonia. ... Methods: Three hundred and forty patients (160 children and 180 adults) with community-acquired pneumonia were included prospectively from January 2011 to May 2012. Blood samples were obtained simultaneously for culture and rt-PCR targeting the lytA gene. Respiratory samples were also obtained: nasopharyngeal swab in nearly all patients and sputum or tracheal aspirate when available. Results: Streptococcus pneumoniae was detected in 222 (65%) of 340 patients: 143 (89%) children and 79 (44%) adults. Pneumonia was assigned as definite pneumococcal in 96 (28.2%) of 340 patients, according to S. pneumoniae detected in blood: in 54 (33.8%) children - by rt-PCR in 51 (31.9%) and by culture in 5 (3.1%); and in 42 (23.3%) adults - by rt-PCR in 41 (22.8%) and by culture in 12 (6.7%). Pneumonia was considered as probably pneumococcal in 19 (10.6%) adults according to S. pneumoniae detected in sputum/tracheal aspirate, by rt-PCR in 19 and by culture in 5. In 18 adults and 89 children with S. pneumoniae detected only in the nasopharynx, pneumonia was considered as possibly pneumococcal; however it should be noted that nasopharyngeal colonization with S. pneumoniae is also common in children with other aetiologies of pneumonia. Conclusions: rt-PCR on plasma and other samples performed significantly better than culture for the detection of pneumococcal pneumonia (p < 0.0005) in children and adults.Source: Scandinavian journal of infectious diseases. - ISSN 0036-5548 (Vol. 45, iss. 10, Oct. 2013, str. 731-737)Type of material - article, component partPublish date - 2013Language - englishCOBISS.SI-ID - 30822873
Author
Špik, Vesna, 1976- |
Beović, Bojana |
Pokorn, Marko |
Drole Torkar, Ana, 1983- |
Vidmar Vovko, Darja, dr. med. |
Papst, Lea |
Seme, Katja, 1966- |
Kogoj, Rok |
Müller-Premru, Manica
Topics
pneumococcal pneumonia |
children and adults |
blood and respiratory samples |
pnevmokokna pljučnica |
otroci in odrasli |
vzorci krvi in dihal




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Database name | Field | Year |
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Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
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Špik, Vesna, 1976- | 25990 |
Beović, Bojana | 08312 |
Pokorn, Marko | 15476 |
Drole Torkar, Ana, 1983- | 34908 |
Vidmar Vovko, Darja, dr. med. | 34858 |
Papst, Lea | 32184 |
Seme, Katja, 1966- | 14504 |
Kogoj, Rok | 29937 |
Müller-Premru, Manica | 12193 |
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