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J Clin Pathol 57:1302-1305 doi:10.1136/jcp.2004.018861
  • Original article

Impact of positive legionella urinary antigen test on patient management and improvement of antibiotic use

Table 1

 Characteristics of the 27 study patients with pneumonia and positive urinary antigen test

Sex Age (years) Diagnosis at admission Main underlying diseases Stay in ICU/FO Delay between A and T* Delay between T and R* Delay between R and ST†* Delay between R and NST* Nosocomial legionellosis Impact‡
*Measured in days; †negative values indicate that the patient had already been treated empirically with anti-legionella antibiotics; ‡impact of urinary antigen test on start of legionella treatment/stop of non-legionella treatment.
CD, cerebrovascular disease; COPD, chronic obstructive pulmonary disease; FO, fatal outcome; GS, Goodpasture’s syndrome; NST, stopping of non-specific treatment; PC, pseudomembranous colitis; R, result; ST start of specific treatment; T, test; WG, Wegener’s granulomatosis.
1 Female 60 Fulminant hepatitis Diabetes Yes/Yes 11 1 NA NA Definite No/No
2 Male 50 Pneumonia None Yes/No 4 1 −5 0 No No/Yes
3 Male 59 Pneumonia Thrombosis No/No 2 1 0 2 No Yes/No
4 Female 30 Fever/neutropenia HD No/No 2 0 0 10 No Yes/No
5 Female 37 Pneumonia AIDS, HCV No/No 1 3 0 4 No Yes/No
6 Female 46 Pneumonia Alcoholism No/No 3 1 −3 0 No No/Yes
7 Male 60 Pneumonia Stroke, hypertension No/No 4 2 −5 0 No No/Yes
8 Male 47 Pneumonia None Yes/No 2 0 −2 1 No No/Yes
9 Female 3 Fallot’s tetralogy Fallot’s tetralogy, PC Yes/No 20 2 −2 2 Definite No/No
10 Female 82 Myocardial infarct Heart disease, WG Yes/No 12 3 −3 −3 Definite No/No
11 Female 78 Pneumonia Hypertension Yes/No 1 2 −2 0 No No/Yes
12 Female 43 Pneumonia None No/No 0 2 0 0 No Yes/Yes
13 Male 39 Pneumonia Pneumothorax Yes/No 1 5 −5 2 No No/No
14 Male 75 Pneumonia CD Yes/Yes 37 2 0 12 Definite Yes/No
15 Male 61 Pneumonia Hypertension Yes/No 1 2 −2 1 No No/Yes
16 Female 67 Pneumonia Rheumatoid polyarthritis No/No 3 0 −1 0 No No/Yes
17 Female 63 Pneumonia COPD Yes/No 0 4 −3 −4 No No/No
18 Male 39 Pneumonia AIDS No/No 0 4 −4 0 No No/Yes
19 Male 58 Renal Insufficiency GS, renal transplantation Yes/No 18 5 −7 5 No (infection during home leave)10 No/No
20 Male 78 Diverticulitis Asthma Yes/No 2 1 −1 −3 No No/No
21 Male 74 Pneumonia Cardiac failure No/No 2 1 0 −2 No Yes/No
22 Male 55 Pneumonia Alcoholism Yes/No 2 0 −2 3 No No/No
23 Male 51 Pneumonia Hypercholesterolaemia No/No 2 2 −4 0 No No/Yes
24 Female 75 Pneumonia COPD Yes/No 0 1 −1 13 No No/No
25 Female 63 Pneumonia Hypertension No/No 1 2 0 0 No Yes/Yes
26 Male 79 Pneumonia Prostatic carcinoma Yes/Yes 1 5 −6 2 No No/No
27 Male 60 Pneumonia Alcoholism No/No 0 6 −3 0 No No/Yes

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