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Table 1 Patient and selected diagnostic and infection characteristics in included CAP cases

From: Diagnostic stewardship aiming at expectorated or induced sputum promotes microbial diagnosis in community-acquired pneumonia

Variable

Hospital 1

Hospital 2

Hospital 3

Hospital 4

Hospital 5

Hospital 6

All

Intervention site

No

No

No

No

No

Yes

 

n

123

283

132

117

158

467

1280

Age average(years)

71.5

75.1

71.8

71.7

73.6

69.8

72

Age > 65 years (%)

74.8%

81.2%

75.0%

69.2%

75.3%

69.8%

73.9%

Male gender (%)

58.1%

50.1%

58.6%

50.4%

49.4%

52.3%

52.1%

Nursing home resident (%)

4.1%

3.5%

8.3%

1.7%

5.1%

5.8%

4.9%

Comorbidity status

 Chronic obstructive pulmonary disease

13 (10.6)

32 (11.3)

16 (12.1)

23 (19.7)

31 (19.6)

61 (13.1)

176 (13.8)

 Chronic congestive heart disease

10 (8.1)

38 (13.4)

18 (13.6)

20 (17.1)

36 (22.8)

58 (12.4)

180 (14.1)

CRB65 score (%)

 0

22.0%

12.0%

22.0%

19.7%

22.2%

25.1%

20.7%

 1

46.3%

50.5%

41.7%

50.4%

55.7%

46.0%

48.2%

 2

24.4%

29.0%

28.8%

23.1%

17.1%

23.1%

24.4%

 3

7.3%

8.1%

7.6%

6.0%

5.1%

5.1%

6.3%

 4

0.0%

0.4%

0.0%

0.9%

0.0%

0.6%

0.4%

Antimicrobial therapy before microbiological testing (average per year)

23.4%

19.4%

17.4%

23.4%

19.4%

20.6%

20.6%

ICU admittance, n (%)

19 (15.4)

42 (14.8)

26 (19.7)

23 (19.7)

10 (6.3)

37 (7.9)

157 (12.2)

Positive pressure ventilation

 Non-invasive, n (%)

9 (7.3)

34 (12.0)

12 (9.1)

14 (12.0)

13 (8.2)

87 (18.6)

169 (13.2)

 Invasive, n (%)

1 (0.8)

4 (1.4)

5 (3.8)

4 (3.4)

2 (1.2)

5 (1.1)

21 (1.6)

 Definite or probable new radiological infiltrate, n (%)

87 (70.7)

251 (88.7)

101 (76.5)

98 (83.4)

143 (90.5)

418 (89.5)

1098 (85.6)

Diagnostic tests performed

 Nasal secretions, n (%)

23 (18.7)

78 (27.6)

27 (20.5)

23 (19.7)

41 (25.9)

112 (24.0)

304 (23.8)

 Pharyngeal secretions, n (%)

11 (8.9)

14 (4.9)

14 (10.6)

11 (9.4)

17 (10.8)

54 (11.6)

121 (9.5)

 Expectorated or induced sputum, n (%)

35 (28.5)

65 (23.0)

34 (25.8)

34 (29.1)

60 (38.0)

171 (36.6)

399 (31.2)

 Tracheal secretions, n (%)

1 (0.8)

4 (1.4)

5 (3.8)

4 (3.4)

2 (1.3)

5 (1.3)

21 (1.6)

 Bronchoalveolar lavage, n (%)

2 (1.6)

6 (2.1)

2 (1.5)

2 (1.7)

3 (1.9)

11 (2.4)

26 (2.0)

 Pleural effusion aspiration, n (%)

1 (0.8)

3 (1.1)

1 (0.8)

1 (0.9)

2 (1.3)

16 (3.4)

24 (1.9)

 Blood culture, n (%)

118 (95.9)

272 (96.1)

121 (91.7)

112 (95.7)

139 (88.0)

452 (96.8)

1214 (94.8)

 NAAT, n (%)

26 (21.1)

68 (24.0)

34 (25.8)

22 (18.8)

44 (27.8)

127 (27.2)

321 (25.1)

  1. NAAT nuclear acid amplification test