Published in:
01-06-2007 | Commentary
The simple and the simpler in pneumonia diagnosis
Authors:
Thiago Lisboa, Jordi Rello
Published in:
Critical Care
|
Issue 3/2007
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Abstract
In the absence of a perfect 'gold standard' for diagnosing pneumonia, comparing diagnostic performance between techniques remains controversial. El Solh and coworkers present a study evaluating use of quantitative endotracheal aspirate culture to enhance diagnostic accuracy in pneumonia patients admitted from nursing homes. We discuss the use of quantitative cultures and thresholds to differentiate between colonization and infection in pneumonia patients; we also consider the inaccuracy of diagnostic studies, which compromises the reproducibility of these data in clinical practice.