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[社区获得性肺炎——病原体与评估]

[Community-acquired pneumonia--pathogens and assessment].

作者信息

Dusch H, Täuber M G

机构信息

Institut für Infektionskrankheiten, Bern.

出版信息

Ther Umsch. 2001 Oct;58(10):575-81. doi: 10.1024/0040-5930.58.10.575.

Abstract

Pneumonia is one of the most important infectious diseases, both in terms of incidence as well as potential severity. Streptococcus pneumoniae remains the most prevalent etiologic agent, accounting for about two-thirds of bacteremic cases. Diagnostic procedures include chest radiography, blood culture, Gram staining and culture of expectorated sputum, urine antigen assays for Legionella pneumophila and pneumococci, and asservation of an initial serum sample for comparative serologic investigations. Molecular biology techniques continue to gain importance for the diagnosis of Chlamydia pneumoniae, Mycoplasma pneumoniae, Legionellae and viral respiratory infections, however, their availability at present is mainly restricted to research and reference laboratories.

摘要

肺炎是最重要的传染病之一,无论在发病率还是潜在严重程度方面都是如此。肺炎链球菌仍然是最常见的病原体,约占血行感染病例的三分之二。诊断程序包括胸部X光检查、血培养、痰液革兰氏染色和培养、嗜肺军团菌和肺炎球菌的尿抗原检测,以及采集初始血清样本用于比较血清学研究。分子生物学技术在肺炎衣原体、肺炎支原体、军团菌和病毒性呼吸道感染的诊断中越来越重要,然而,目前它们的应用主要限于研究和参考实验室。

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