[THE DIAGNOSTIC VALUE OF MODERN METHODS OF MICROBIOLOGICAL VERIFICATION OF COMMUNITY-ACQUIRED PNEUMONIA IN CLINICAL PRACTICE]

Klin Lab Diagn. 2015 Dec;60(12):31-4.
[Article in Russian]

Abstract

The study was carried out to determine etiological structure and informativeness of different methods of detection of agents of community-acquired pneumonia, the sampling included 274 examined patients aged from 16 to 80 years with community-acquired pneumonia of different degree of severity and being under hospital treatment. Besides of standard laboratory and clinical methods of examination ofpatients with community-acquired pneumonia special techniques of etiological verification were applied: molecular genetic analysis (polymerase chain reaction) of phlegm, qualitative detection of antigen Legionella pneumophila of serogroup 1 and antigen Streptococcus pneumoniae in samples of urine using quick immune chromatographic test, detection of level of serum specific immunoglobulines class M and G to Chlamidophilia pneumoniae, Mycoplasma pListeria monocytogenes in dynamics using immunoenzyme technique. The etiological structure of community-acquired pneumonia was established based of study results. The analysis of informativeness of different methods of etiological verification of diagnosis of community-acquired pneumonia demonstrated that combination ofpolymerase chain reaction and serological method is the optimal one.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antibodies, Bacterial / blood*
  • Chlamydophila pneumoniae / genetics
  • Chlamydophila pneumoniae / immunology
  • Chlamydophila pneumoniae / isolation & purification
  • Community-Acquired Infections
  • Female
  • Humans
  • Immunoassay / methods*
  • Immunoglobulin G / blood
  • Immunoglobulin M / blood
  • Legionella pneumophila / genetics
  • Legionella pneumophila / immunology
  • Legionella pneumophila / isolation & purification
  • Listeria monocytogenes / genetics
  • Listeria monocytogenes / immunology
  • Listeria monocytogenes / isolation & purification
  • Male
  • Middle Aged
  • Mucus / microbiology
  • Mycoplasma pneumoniae / genetics
  • Mycoplasma pneumoniae / immunology
  • Mycoplasma pneumoniae / isolation & purification
  • Pneumonia, Bacterial / blood
  • Pneumonia, Bacterial / diagnosis*
  • Polymerase Chain Reaction / methods*
  • Serotyping
  • Severity of Illness Index
  • Streptococcus pneumoniae / genetics
  • Streptococcus pneumoniae / immunology
  • Streptococcus pneumoniae / isolation & purification

Substances

  • Antibodies, Bacterial
  • Immunoglobulin G
  • Immunoglobulin M