Rapid urine antigen testing for Streptococcus pneumoniae in adults with community-acquired pneumonia: clinical use and barriers

Harris, Aaron M.; Beekmann, Susan E.; Polgreen, Philip M.; Moore, Matthew R.

doi:10.1016/j.diagmicrobio.2014.05.008

i

Rapid urine antigen testing for Streptococcus pneumoniae in adults with community-acquired pneumonia: clinical use and barriers

Supporting Files

May 17 2014
By Harris, Aaron M. ; Beekmann, Susan E. ; Polgreen, Philip M. ; ...

File Language:

English

Details

Alternative Title:

Diagn Microbiol Infect Dis
Personal Author:

Harris, Aaron M. ; Beekmann, Susan E. ; Polgreen, Philip M. ; Moore, Matthew R.
Description:

Streptococcus pneumoniae (pneumococcus) is the most common bacterial etiology of community-acquired pneumonia (CAP) in adults, a leading cause of death. The majority of pneumococcal CAP is diagnosed by blood culture, which likely underestimates the burden of disease. The 2007 CAP guidelines recommend routine use of the rapid pneumococcal urinary antigen (UAg) test. To assess the how pneumococcal UAg testing is being used among hospitalized adult CAP patients and what barriers restrict its use, a Web-based survey was distributed in 2013 to 1287 infectious disease physician members of the Emerging Infectious disease Network of the Infectious Disease Society of America. Of 493 eligible responses, 65% use the pneumococcal UAg test. The primary barrier to UAg use was availability (46%). UAg users reported ordering fewer other diagnostic tests and tailoring antibiotic therapy. Increased access to UAg tests could improve pneumonia management and pneumococcal CAP surveillance.
Subjects:

Antigens, Bacterial Community-Acquired Infections Disease Management Health Care Surveys Humans Immunologic Tests Pneumonia, Pneumococcal Practice Patterns, Physicians' Streptococcus Pneumoniae Urinalysis
Source:

Diagn Microbiol Infect Dis. 79(4):454-457.
Pubmed ID:

24938760
Pubmed Central ID:

PMC5800492
Document Type:

Journal Article
Funding:

CC999999/Intramural CDC HHS/United States ; 5U50CK000187/CK/NCEZID CDC HHS/United States
Place as Subject:

United States
Volume:

79
Issue:

4
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:7ca5df5110fb026b02de41732418ad7527e62112005c4ceafcaf864f0324b3bc
Download URL:

https://stacks.cdc.gov/view/cdc/51435/cdc_51435_DS1.pdf
File Type:

[PDF - 300.19 KB ]

nihms938375.nxml

Download xml

File Language:

English

ON THIS PAGE

Details Supporting Files

CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners.

As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.