Pneumonie: identification des pathogenes respiratoires. [Pneumonia: identification of respiratory pathogens]

Details

Serval ID
serval:BIB_CC84EC7071FA
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Pneumonie: identification des pathogenes respiratoires. [Pneumonia: identification of respiratory pathogens]
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Bille  J.
ISSN
0036-7672
Publication state
Published
Issued date
01/1991
Peer-reviewed
Oui
Volume
121
Number
4
Pages
119-24
Notes
English Abstract
Journal Article --- Old month value: Jan 26
Abstract
The etiological diagnosis of pneumonia is necessary because it will condition therapy. The broad spectrum of potential pathogens is reduced when the host's condition and the events around the pneumonia episode are taken in account. Community acquired pneumonia in an immunocompetent host most often is caused by bacteria (predominantly S. pneumoniae) or by mycoplasma or respiratory viruses. Microbiological diagnosis relies on direct sputum examination and culture (for bacterial agents) and on serology (for nonbacterial agents). In a compromised host, the spectrum of etiological agents is broader; sputum examination often is unrewarding and invasive investigations are necessary. Bronchoscopy with bronchoalveolar lavage is increasingly used, allowing an abundant material to be analyzed with a battery of tests directed against the pathogens most probable in view of the clinical setting. Direct examinations with special stains for bacteria, fungi, parasites, and viruses offer a rapid diagnosis in some cases. Various cultural procedures for bacteria, viruses and fungi, particularly in the absence of previous antimicrobial therapy, will establish the etiological diagnosis in the majority of pneumonia cases and help to select specific therapy.
Keywords
Bronchoalveolar Lavage Fluid/immunology/microbiology Bronchoscopy Humans Microbiological Techniques Pneumonia/immunology/*microbiology Sputum/immunology/*microbiology
Pubmed
Web of science
Create date
11/02/2008 12:40
Last modification date
20/08/2019 15:47
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