Does sputum culture affect the management and/or outcome of community-acquired pneumonia?
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792-799
This prospective study was conducted in 6 hospitals in Edmonton, Canada to determine the factors associated with obtaining sputum for culture and the effect of sputum culture on the management of patients with community-acquired pneumonia [CAP]. Participants were 1362 adults who were hospitalized with CAP. Sputum was obtained from 539 [39.6%] patients, of which 507 [94.1%] were good quality, acceptable for culture; 171 [33.7%] of these had a positive sputum culture.Levofloxacin, cefuroxime and azithromycin were the most common antibiotics prescribed for the groups with positive sputum culture and no sputum collection. Positive sputum culture was demonstrated in only a small number of patients with CAP; this did not affect antimicrobial therapy or mortality
This prospective study was conducted in 6 hospitals in Edmonton, Canada to determine the factors associated with obtaining sputum for culture and the effect of sputum culture on the management of patients with community-acquired pneumonia [CAP]. Participants were 1362 adults who were hospitalized with CAP. Sputum was obtained from 539 [39.6%] patients, of which 507 [94.1%] were good quality, acceptable for culture; 171 [33.7%] of these had a positive sputum culture.Levofloxacin, cefuroxime and azithromycin were the most common antibiotics prescribed for the groups with positive sputum culture and no sputum collection. Positive sputum culture was demonstrated in only a small number of patients with CAP; this did not affect antimicrobial therapy or mortality