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Original Article

Laboratory Tests for Pneumonia in General Practice: The Diagnostic Values Depend on the Duration of Illness

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Pages 234-240 | Received 01 Oct 1991, Accepted 01 Feb 1992, Published online: 12 Jul 2009

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Read on this site (12)

A.B. Moberg, U. Taléus, P. Garvin, S.-G. Fransson & M. Falk. (2016) Community-acquired pneumonia in primary care: clinical assessment and the usability of chest radiography. Scandinavian Journal of Primary Health Care 34:1, pages 21-27.
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Margaretha C. Minnaard, Alma C. van de Pol, Joris A. H. de Groot, Niek J. De Wit, Rogier M. Hopstaken, Sanne van Delft, Herman Goossens, Margareta Ieven, Christine Lammens, Paul Little, Chris C. Butler, Berna D. L. Broekhuizen & Theo J. M. Verheij. (2015) The added diagnostic value of five different C-reactive protein point-of-care test devices in detecting pneumonia in primary care: A nested case-control study. Scandinavian Journal of Clinical and Laboratory Investigation 75:4, pages 291-295.
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Kristin Alise Jakobsen, Hasse Melbye, Mark J. Kelly, Christina Ceynowa, Sigvard Mölstad, Kerenza Hood & Christopher C. Butler. (2010) Influence of CRP testing and clinical findings on antibiotic prescribing in adults presenting with acute cough in primary care. Scandinavian Journal of Primary Health Care 28:4, pages 229-236.
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Thomas Neumark, Lars Brudin & Sigvard Mölstad. (2010) Use of rapid diagnostic tests and choice of antibiotics in respiratory tract infections in primary healthcare—A 6-y follow-up study. Scandinavian Journal of Infectious Diseases 42:2, pages 90-96.
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Folke Lagerström, Peter Engfeldt & Hans Holmberg. (2006) C-reactive protein in diagnosis of community-acquired pneumonia in adult patients in primary care. Scandinavian Journal of Infectious Diseases 38:11-12, pages 964-969.
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Malin André, Åke Schwan & Inga Odenholt. (2004) The Use of CRP Tests in Patients with Respiratory Tract Infections in Primary Care in Sweden Can Be Questioned. Scandinavian Journal of Infectious Diseases 36:3, pages 192-197.
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Helle Z. Diederichsen, Merete Skamling, Axel Diederichsen, Per Grinsted, Steen Antonsen, Per H. Petersen, Anders P. Munck, Jakob Kragstrup. (2000) Randomised controlled trial of CRP rapid test as a guide to treatment of respiratory infections in general practice. Scandinavian Journal of Primary Health Care 18:1, pages 39-43.
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L.-O. Hansson, J. U. Hedlund & A. B. Ortqvist. (1997) Sequential changes of inflammatory and nutritional markers in patients with community-acquired pneumonia. Scandinavian Journal of Clinical and Laboratory Investigation 57:2, pages 111-118.
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G. Thue, S. Sandberg & P. Fugelli. (1994) The erythrocyte sedimentation rate in general practice: Clinical assessment based on case histories. Scandinavian Journal of Clinical and Laboratory Investigation 54:4, pages 291-300.
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G. J. Dinant, R. Costongs, R.M. F.M. Leclercq & J. W.J. Van Wersch. (1994) Reliability of C-reactive protein measurement in general practice in The Netherlands. Scandinavian Journal of Clinical and Laboratory Investigation 54:2, pages 113-117.
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Hasse Melbye & Bjørn Straume. (1993) The spectrum of patients strongly influences the usefulness of diagnostic tests for pneumonia. Scandinavian Journal of Primary Health Care 11:4, pages 241-246.
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Hasse Melbye, Bjørn P. Berdal, BjØrn Straume, Harold Russell, Lars Vorland & W. Lanier Thacker. (1992) Pneumonia – a Clinical or Radiographic Diagnosis?. Scandinavian Journal of Infectious Diseases 24:5, pages 647-655.
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Articles from other publishers (26)

Mark H. Ebell, Michelle Bentivegna, Xinyan Cai, Cassie Hulme & Maggie Kearney. (2020) Accuracy of Biomarkers for the Diagnosis of Adult Community‐acquired Pneumonia: A Meta‐analysis. Academic Emergency Medicine 27:3, pages 195-206.
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Tha Pyai Htun, Yinxiaohe Sun, Hui Lan Chua & Junxiong Pang. (2019) Clinical features for diagnosis of pneumonia among adults in primary care setting: A systematic and meta-review. Scientific Reports 9:1.
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Erin D. BiglerEllen Deibert. (2018) Concussion serum biomarkers. Neurology 91:23, pages 1035-1037.
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Soo Hyeon NohSeok Don ParkEun Jung Kim. (2016) Serum Procalcitonin Level Reflects the Severity of Cellulitis. Annals of Dermatology 28:6, pages 704.
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Young-Joo Kim. (2016) Clinical Usefulness of Procalcitonin as a Predictive Marker in Accordance with the Severity of Female Patients with Uncomplicated Acute Pyelonephritis. Urogenital Tract Infection 11:3, pages 109.
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Sandrine Nugteren, Bèr Pleumeekers & Just Eekhof. (2015) CRP-POCT: wanneer nodig en wanneer niet?. Huisarts en wetenschap 58:6, pages 322-326.
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Elena Andreeva & Hasse Melbye. (2014) Usefulness of C-reactive protein testing in acute cough/respiratory tract infection: an open cluster-randomized clinical trial with C-reactive protein testing in the intervention group. BMC Family Practice 15:1.
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Sylvain DeLisle, Bernard Kim, Janaki Deepak, Tariq Siddiqui, Adi Gundlapalli, Matthew Samore & Leonard D'Avolio. (2013) Using the Electronic Medical Record to Identify Community-Acquired Pneumonia: Toward a Replicable Automated Strategy. PLoS ONE 8:8, pages e70944.
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M. F. Engel, F. P. Paling, A. I. M. Hoepelman, V. van der Meer & J. J. Oosterheert. (2011) Evaluating the evidence for the implementation of C-reactive protein measurement in adult patients with suspected lower respiratory tract infection in primary care: a systematic review. Family Practice 29:4, pages 383-393.
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Hasse Melbye, Kristine Amundsen, Jan Brox & Anne-Elise Eggen. (2011) The Association Between Self-Reported Symptoms of Recent Airway Infection and CRP Values in a General Population. Inflammation 35:3, pages 1015-1022.
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G. Falk & T. Fahey. (2008) C-reactive protein and community-acquired pneumonia in ambulatory care: systematic review of diagnostic accuracy studies. Family Practice 26:1, pages 10-21.
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Rafael Sierra. (2007) C-Reactive Protein and Procalcitonin as Markers of Infection, Inflammatory Response, and Sepsis. Clinical Pulmonary Medicine 14:3, pages 127-139.
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U. Flückiger, M. Battegay & G. Laifer. (2007) Diagnostik bei ambulant erworbener PneumonieDiagnostic procedures for patients with community acquired pneumonia. Der Internist 48:5, pages 468-475.
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H. Gil, N. Méaux-Ruault, N. Magy, C. Hafsaoui, D. Bernard & J.-L. Dupond. (2007) Valeur pronostique du dosage de la protéine C réactive (CRP) dans les pneumopathies aiguës infectieuses du sujet âgé: corrélation avec le score de Fine 97. La Revue de Médecine Interne 28:4, pages 213-217.
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C. Mayaud, M. Fartoukh, H. Prigent, A. Parrot & J. Cadranel. (2006) 07 – Analyse critique et valeurs prédictives des signes de pneumonies aiguës communautaires en médecine ambulatoire. Médecine et Maladies Infectieuses 36:11-12, pages 625-635.
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   . (2006) CRP bij lageluchtweginfecties is zeer ten onrechte in diskrediet gebracht. Huisarts en Wetenschap 49:7, pages 532-533.
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Victor van der Meer, Arie Knuistingh Neven, Peterhans van den Broek & Pim Assendelft. (2006) Waarde CRP bij diagnostiek lageluchtweginfecties onzeker. Huisarts en Wetenschap 49:4, pages 276-282.
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M. Khanna, J. Fan, K. Pehler-Harrington, C. Waters, P. Douglass, J. Stallock, S. Kehl & K. J. Henrickson. (2005) The Pneumoplex Assays, a Multiplex PCR-Enzyme Hybridization Assay That Allows Simultaneous Detection of Five Organisms, Mycoplasma pneumoniae , Chlamydia ( Chlamydophila ) pneumoniae , Legionella pneumophila , Legionella micdadei , and Bordetella pertussis , and Its Real-Time Counterpart . Journal of Clinical Microbiology 43:2, pages 565-571.
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AW Graffelman, A Knuistingh Neven, S le Cessie, ACM Kroes, MP Springer & PJ van den Broek. (2005) Bacterieel of viraal?. Huisarts en Wetenschap 48:2, pages 915-921.
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Jordi Almirall, Ignasi Bolíbar, Pere Toran, Guillem Pera, Xavier Boquet, Xavier Balanzó & Goretti Sauca. (2004) Contribution of C-Reactive Protein to the Diagnosis and Assessment of Severity of Community-Acquired Pneumonia. Chest 125:4, pages 1335-1342.
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Scott A Flanders, John Stein, Guy Shochat, Karen Sellers, Miles Holland, Judith Maselli, W.Lawrence Drew, Art L Reingold & Ralph Gonzales. (2004) Performance of a bedside c-reactive protein test in the diagnosis of community-acquired pneumonia in adults with acute cough. The American Journal of Medicine 116:8, pages 529-535.
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Geert-Jan Dinant, Rogier Hopstaken & Loes van Bokhoven. (2004) Implementatie van diagnostisch onderzoek in de dagelijkse praktijk. Huisarts en wetenschap 47:2, pages 918-922.
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Rogier Hopstaken, Jean Muris, André Knottnerus, Arnold Kester, Paula Rinkens & Geert-Jan Dinant. (2004) De waarde van anamnese, lichamelijk onderzoek, BSE en CRP voor de diagnose pneumonie bij acute lage-luchtweginfectiesbronchitis. Huisarts en Wetenschap 47:1, pages 976-984.
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V. Gross, P. Fachinger, Th. Penzel, U. Koehler, P. Wichert & C. Vogelmeier. (2002) Detection of Bronchial Breathing Caused by Pneumonia. Die Detektion der durch Pneumonie verursachten Bronchialatmung. Biomedizinische Technik/Biomedical Engineering 47:6, pages 146-150.
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H. Laurichesse, L. Gerbaud, F. Gourdon, F. Robin, S. Ughetto, P. Pochet, P.Y. Glanddier, M. Rey & J. Beytout. (1998) Prise en charge des pneumonies aiguës communautaires en mèdecine générale. Etude prospective menée avec un réseau de 95 médecins généralistes du Puy-de-Dôme. Médecine et Maladies Infectieuses 28:10, pages 638-646.
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G. J. DINANT, C. A. DE KOCK & J. W. J. VAN WERSCH. (2008) Diagnostic value of C‐reactive protein measurement does not justify replacement of the erythrocyte sedimentation rate in daily general practice. European Journal of Clinical Investigation 25:5, pages 353-359.
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