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Título: | C-Reactive protein levels in community acquired pneumonia |
Fecha de publicación: | 24-oct-2002 |
Editorial: | European Respiratory Society (ERS) |
Cita bibliográfica: | European Respiratory Journal. 2003; 21(4): 702-705 |
ISSN: | Print: 0903-1936 Electronic: 1399-3003 |
Palabras clave: | Aetiology C-reactive protein Community-acquired pneumonia Diagnosis Legionella pneumophila |
Resumen: | The diagnostic value of C-reactive protein (CRP) admission serum levels as an indicator of the aetiology of community acquired pneumonia (CAP) was evaluated. A cohort of 1,222 patients with CAP was assessed. CRP levels were analysed in 258 patients with a single aetiological diagnosis. The mean CRP values in patients with pyogenic, atypical, viral and Legionella pneumophila pneumonia were: 16 mg?dL-1 , 13 mg?dL-1 , 14 mg?dL -1 and 25 mg?dL-1 , respectively. CRP levels were not significantly different among patients outcome research team (PORT) groups (19 mg?dL -1 in groups I–II, 16 mg?dL-1 in group III and 16 mg?dL -1 in groups IV–V. A cut-off point of 25 mg?dL-1 had a sensibility, specificity, positive predictive value and negative predictive value of 0.6, 0.83, 0.3, and 0.94, respectively. After controlling for age and PORT score, the odds of having a CRP level w25 mg?dL-1 was 6.9 times higher in patients with L. pneumophila pneumonia than in those with non-L. pneumophila pneumonia. Patients with Legionella pneumophila pneumonia had higher C-reactive protein levels than those with pneumonia of any other aetiology, independently of severity of infection. Being a cheap and readily available test, C-reactive protein may be a useful adjunctive procedure in the diagnosis of community acquired pneumonia. |
Autor/es principal/es: | García-Vázquez, Elisa Martínez, J.A. Mensa, J. Sánchez, F. Marcos, M.A. Roux, A. de Torres, A. |
Facultad/Departamentos/Servicios: | Facultades, Departamentos, Servicios y Escuelas::Departamentos de la UMU::Medicina Interna |
Versión del editor: | https://erj.ersjournals.com/content/21/4/702 |
URI: | http://hdl.handle.net/10201/142846 |
DOI: | https://doi.org/10.1183/09031936.03.00080203 |
Tipo de documento: | info:eu-repo/semantics/article |
Número páginas / Extensión: | 4 |
Derechos: | info:eu-repo/semantics/openAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
Descripción: | ©2003. ERS Journals Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. This document is the Accepted, version of a Published Work that appeared in final form in European Respiratory Journal. To access the final edited and published work see https://doi.org/10.1183/09031936.03.00080203 |
Aparece en las colecciones: | Artículos: Medicina |
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