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BTS guidelines for the management of community acquired pneumonia in adults: update 2009 British Thoracic Society Standards of Care Committee in collaboration with and endorsed by the Royal College of Physicians of London, Royal College of General Practitioners, College of Emergency Medicine, British Geriatrics Society, British Infection Society, British Society for Antimicrobial Chemotherapy, General Practice Airways Group, Health Protection Agency, Intensive Care Society and Society for Acute Medicine

《2009BTS成人社區獲得性肺炎診治指南》內容預覽

What microbiological investigations should be performed in the community?
13. For patients managed in the community, microbiological investigations are not recommended routinely. [D]
14. Examination of sputum should be considered for patients who do not respond to empirical antibiotic therapy. [D]
15. Examination of sputum for Mycobacterium tuberculosis should be considered for patients with a persistent productive cough, especially if malaise, weight loss or night sweats, or risk factors for tuberculosis (eg, ethnic origin, social deprivation, elderly) are present. [D]
16. Urine antigen investigations, PCR of upper (eg, nose and throat swabs) or lower (eg, sputum) respiratory tract samples or serological investigations may be considered during outbreaks (eg, Legionnaires’ disease) or epidemic mycoplasma years, or when there is a particular clinical or epidemiological reason. [D]


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