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[Positive urine pneumococcal antigen test and vaccination].

作者信息

Salinas-Botrán Alejandro, Martín-Rico Patricia, Valdivia Antonio, Pellicer Ángel, Esparcia Óscar

机构信息

Servicio de Medicina Interna, Hospital de Denia, Denia, Alicante, España.

Servicio de Medicina Interna, Hospital de Denia, Denia, Alicante, España.

出版信息

Med Clin (Barc). 2016 Apr 15;146(8):346-7. doi: 10.1016/j.medcli.2015.10.019. Epub 2015 Dec 24.

Abstract

INTRODUCTION AND OBJECTIVE

Although urine pneumococcal antigen is an useful test, it has false positives such as pneumococcal vaccination.

MATERIAL AND METHODS

Positive urine pneumococcal antigen in Hospital de Denia (January-February/2015). We studied epidemiological, radiological and microbiological variables as well as previous pneumococcal vaccination (neumo-23 and/or neumo-13).

RESULTS

Urine pneumococcal antigen test was positive in 12.4% of 385 cases. Only 33.3% of positive cases had pneumonia in chest X-ray, and 35.4% of patients had previous pneumococcal vaccination. In most cases (87.5%), an antibiotic was prescribed.

CONCLUSIONS

Pneumococcal vaccination can produce a false positive result in the urine pneumococcal antigen test in clinical practice, leading to an unnecessary prescription of antibiotics.

摘要

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