Sputum specimens can be obtained from patients with community-acquired pneumonia in primary care.
OBJECTIVE
To improve the aetiological diagnosis in community-acquired pneumonia (CAP) increased efforts were made to obtain expectorated sputum specimens from patients with CAP.


METHODS
A prospective, clinical study. Patients were encouraged to cough spontaneously and to expectorate a sputum specimen. If unsuccessful, they were asked to inhale nebulized hypertonic saline to induce secretion and cough.


METHODS
One primary health care centre in Orebro, Sweden.


METHODS
Patients attending the Health Centre with acute symptoms of CAP.


METHODS
Availability and quality of sputum specimen from patients with CAP in primary care.


RESULTS
177 patients were included, 63% were women and the mean age was 51 years. 28% were smokers and 46% showed infiltrates on chest X-ray. Sputum specimens were obtained from 125 patients. Fifty-nine were expectorated spontaneously and 66 were induced. Ninety-one of the specimens were found to be acceptable, whereas 34 were discarded. Potential pathogens were found in 57% of the 91 specimens.


CONCLUSIONS
Acceptable sputum specimens can be obtained with some effort from approximately half of the patients in primary care. Sputum culture might improve the knowledge of the bacterial aetiology of CAP in selected patients and in epidemiological studies.
Lagerström
Folke
F
Varberga Health Centre, Orebro, Sweden. folke.lagerstrom@orebroll.se
Fredlund
Hans
H
Holmberg
Hans
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D017714:Community-Acquired Infections / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000382:microbiology; D011320:Primary Health Care / Q000458:organization & administration*; D011446:Prospective Studies; D013183:Sputum; D013548:Sweden