Validation of a Prediction Rule for Legionella Pneumonia in Emergency Department Patients

Author:

Bolliger Rebekka12,Neeser Olivia12,Merker Meret12,Vukajlovic Tanja2,Felder Laetitia2,Fiumefreddo Rico1,Haubitz Sebastian13,Koch Daniel1,Hammerer-Lercher Angelika4,Ottiger Cornelia4,Fux Christoph A13,Mueller Beat12,Schuetz Philipp12

Affiliation:

1. Department of General Internal and Emergency Medicine, University Department of Medicine, Kantonsspital Aarau, Aarau, Switzerland

2. Faculty of Medicine, University of Basel, Basel, Switzerland

3. Department of Infectious Diseases, University Department of Medicine, Kantonsspital Aarau, Aarau, Switzerland

4. Department of Laboratory Medicine, Kantonsspital Aarau, Aarau, Switzerland

Abstract

Abstract We validated a clinical prediction rule for Legionella based on clinical parameters (dry cough, fever) and laboratory findings (C-reactive protein, lactate dehydrogenase, sodium, platelet counts) in 713 consecutive patients with community-acquired pneumonia. The Legionella Score performed well in estimating the likelihood for Legionella infection and thus may help to direct diagnostic and therapeutic decisions.

Funder

Swiss National Science Foundation

Research Council of the Kantonsspital Aarau

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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