| Reappraisal of lung tap: review of an old method for better etiologic diagnosis of childhood pneumonia. | |
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MedLine Citation:
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PMID: 11229839 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Identification of the etiology of childhood pneumonia is difficult, even in the cases that most likely have bacterial origins. A positive blood culture result is diagnostic but rare (< 10% of cases), and other noninvasive microbiological methods are nonspecific or are at least shadowed by interpretation problems. However, lung tap (or aspiration), a method developed a century ago, warrants reappraisal, especially since the prevalence of pneumococcal resistance to penicillin is increasing. An analysis of 59 studies that were published in 6 languages led us to conclude that (1) bacterial etiology is disclosed in approximately 50% of cases (virological tests were rarely done); (2) lung tap is safer than is generally considered; (3) potential pneumothorax is mostly symptomless and resolves spontaneously without impairing recovery; and (4) in comparison with routine diagnostic tools, lung tap offers so many advantages that it warrants reconsideration at centers where personnel have experience in handling potential pneumothorax. |
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Authors:
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E Vuori-Holopainen; H Peltola |
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Publication Detail:
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Type: Journal Article; Review Date: 2001-02-23 |
Journal Detail:
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Title: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America Volume: 32 ISSN: 1058-4838 ISO Abbreviation: Clin. Infect. Dis. Publication Date: 2001 Mar |
Date Detail:
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Created Date: 2001-03-20 Completed Date: 2001-08-02 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9203213 Medline TA: Clin Infect Dis Country: United States |
Other Details:
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Languages: eng Pagination: 715-26 Citation Subset: IM |
Affiliation:
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Helsinki University Central Hospital, Hospital for Children and Adolescents, FIN-00029 Helsinki, Finland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Biopsy, Needle* / adverse effects Child Child, Preschool Humans Infant Infant, Newborn Lung / microbiology, pathology, virology Pneumonia, Bacterial / diagnosis*, microbiology Pneumonia, Viral / diagnosis*, virology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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