Gautam Swotantra, Neupane Aakash, Mercado Luis Isea, Nguyen Phuong, Bhusal Suzit
Department of Internal Medicine, Advent Health Orlando, Florida, USA.
Department of Internal Medicine, B.P. Koirala Institute of Health Sciences. Dharan, Sunsari, Nepal.
JNMA J Nepal Med Assoc. 2024 May 31;62(274):411-413. doi: 10.31729/jnma.8621.
Legionella spp. is an underreported cause of Community Acquired pneumonia that affects significant population specially in urban areas and its prevalence is on an increasing trend. The routine practice of testing for urinary antigen of Legionella in all suspected cases of pneumonia is prevalent is resource rich western countries. Although several studies have shown no distinct advantage of performing routine urinary antigen testing, this practice continues to be preferred by clinicians. In this viewpoint, we have discussed the advantages and disadvantages of urinary antigen testing, its relevance in current practice and its impact on clinical outcomes.
军团菌属是社区获得性肺炎的一个报告不足的病因，它影响着相当多的人群，特别是在城市地区，并且其患病率呈上升趋势。在资源丰富的西方国家，对所有疑似肺炎病例进行军团菌尿抗原检测的常规做法很普遍。尽管多项研究表明进行常规尿抗原检测没有明显优势，但这种做法仍然受到临床医生的青睐。在这一观点中，我们讨论了尿抗原检测的优缺点、其在当前实践中的相关性及其对临床结果的影响。
