Community-onset pneumonia: what role for pneumococcal urinary antigen testing?
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- Pneumocococcal urinary antigen testing (UAT) is inexpensive and noninvasive and can lead to significant narrowing of empiric antibiotic therapy.
Why this matters
- Targeted antibiotic therapy towards Streptococcus pneumonia is reasonable even if pneumocococcal UAT is the only positive microbiologic test.
- “Real world,” multihospital observational study.
- Secondary analysis, electronic medical data.
- Adult emergency department patients admitted with radiographic evidence of community-onset pneumonia.
- Usual care cultures, viral, and UAT at clinician discretion.
- Review of those with positive pneumocococcal UAT to determine effect on antibiotic treatment.
- Funding: Intermountain Research and Medical Foundation, Salt Lake City, UT.