van Engelen Tjitske S R, Kanglie Maadrika M N P, van den Berk Inge A H, Altenburg Josje, Dijkgraaf Marcel G W, Bossuyt Patrick M M, Stoker Jaap, Prins Jan M
Department of Internal Medicine, Division of Infectious Diseases, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands.
Department of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands.
Open Forum Infect Dis. 2023 Apr 20;10(5):ofad215. doi: 10.1093/ofid/ofad215. eCollection 2023 May.
Patients clinically suspected of community-acquired pneumonia (CAP) were randomized between ultralow-dose chest computed tomography ([ULDCT] 261 patients) and chest radiograph ([CXR] 231 patients). We did not find evidence that performing ULDCT instead of CXR affects antibiotic treatment policy or patient outcomes. However, in a subgroup of afebrile patients, there were more patients diagnosed with CAP in the ULDCT group (ULDCT, 106 of 608 patients; CXR, 71 of 654 patients; = .001).
临床上疑似社区获得性肺炎（CAP）的患者被随机分为两组，一组接受超低剂量胸部计算机断层扫描（[ULDCT]，261例患者），另一组接受胸部X光检查（[CXR]，231例患者）。我们没有发现证据表明用ULDCT代替CXR会影响抗生素治疗策略或患者预后。然而，在无发热的患者亚组中，ULDCT组诊断为CAP的患者更多（ULDCT组，608例患者中有106例；CXR组，654例患者中有71例；P = 0.001）。
