明智行医：在可疑肺炎中常规使用尿液军团菌--我们是否做得太过了？

IF 0.5 4区医学 Q3 Medicine

Journal of Nepal Medical Association Pub Date : 2024-05-31 DOI:10.31729/jnma.8621

Swotantra Gautam, Aakash Neupane, Luis Isea Mercado, Phuong Nguyen, Suzit Bhusal

{"title":"明智行医：在可疑肺炎中常规使用尿液军团菌--我们是否做得太过了？","authors":"Swotantra Gautam, Aakash Neupane, Luis Isea Mercado, Phuong Nguyen, Suzit Bhusal","doi":"10.31729/jnma.8621","DOIUrl":null,"url":null,"abstract":"Abstract: 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.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 274","pages":"411-413"},"PeriodicalIF":0.5000,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185304/pdf/","citationCount":"0","resultStr":"{\"title\":\"Practicing Medicine Wisely: Routine Use of Urine Legionella in Suspicious Pneumonia - Are we Overdoing?\",\"authors\":\"Swotantra Gautam, Aakash Neupane, Luis Isea Mercado, Phuong Nguyen, Suzit Bhusal\",\"doi\":\"10.31729/jnma.8621\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Abstract: 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.\",\"PeriodicalId\":54785,\"journal\":{\"name\":\"Journal of Nepal Medical Association\",\"volume\":\"62 274\",\"pages\":\"411-413\"},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2024-05-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185304/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nepal Medical Association\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.31729/jnma.8621\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nepal Medical Association","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.31729/jnma.8621","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

摘要：军团菌是社区获得性肺炎的一个低报病因，影响着大量人群，尤其是在城市地区，而且其流行率呈上升趋势。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液抗原检测的常规做法非常普遍。尽管多项研究表明，进行常规尿抗原检测并无明显优势，但临床医生仍倾向于采用这种做法。在本文中，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。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Practicing Medicine Wisely: Routine Use of Urine Legionella in Suspicious Pneumonia - Are we Overdoing?

Abstract: 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.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Nepal Medical Association PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-MEDICINE, GENERAL & INTERNAL

CiteScore

1.00

自引率

0.00%

发文量

233

审稿时长

>12 weeks

期刊介绍： Journal of Nepal Medical Association is an internationally peer-reviewed, MedLine/PubMed indexed, a monthly general medical journal published by Nepal Medical Association. JNMA is the first and oldest medical journal from Nepal since 1963 AD.