ArticleScandinavian journal of primary health care2009
Sputum colour for diagnosis of a bacterial infection in patients with acute cough.
Article in Scandinavian journal of primary health care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 62 citations in OpenAlex.
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- Converting habits of antibiotic prescribing for respiratory tract infections in German primary care--the cluster-randomized controlled CHANGE-2 trial.BMC family practice · 2012Trial
- Chlamydia psittaci Pneumonia: Diagnosis, Treatment, and Challenges in the Context of COVID-19.The American journal of case reports · 2024Article
- A high α1-antitrypsin/interleukin-10 ratio predicts bacterial pneumonia in adults with community-acquired pneumonia: a prospective cohort study.Pneumonia (Nathan Qld.) · 2023Article
- Physician's Knowledge and Attitudes on Antibiotic Prescribing and Resistance: A Cross-Sectional Study from Hail Region of Saudi Arabia.Healthcare (Basel, Switzerland) · 2023Article
- The conceptualization of acute bronchitis in general practice - a fuzzy problem with consequences? A qualitative study in primary care.BMC primary care · 2023Article
- Diagnostic Stewardship of Endotracheal Aspirate Cultures in a PICU.Pediatrics · 2021Article
- Understanding determinants of patients' decisions to attend their family physician and to take antibiotics for upper respiratory tract infections: a qualitative descriptive study.BMC family practice · 2020Article
- Clinical Practice Guidelines for Diagnosis and Management of Cough-Chinese Thoracic Society (CTS) Asthma Consortium.Journal of thoracic disease · 2018Review
- [Acute tracheal and bronchial tree infections].Medicine · 2018Article
- Antibiotic prescribing behavior among general practitioners - a questionnaire-based study in Germany.BMC infectious diseases · 2018Article
- The diagnosis and treatment of acute cough in adults.Deutsches Arzteblatt international · 2014Article
- Article
- Improvement of Mycobacterium tuberculosis detection in sputum using DNA extracted by sonication.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious DiseasesArticle
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveSputum colour plays an important role in the disease concepts for acute cough, both in the patients' and the doctors' view. However, it is unclear whether the sputum colour can be used for diagnosis of a bacterial infection.
designCross-sectional study.
settingA total of 42 GP practices in Dusseldorf, Germany. SUBJECTS: Sputum samples obtained from 241 patients suffering from an episode of acute cough seeing their doctor within a routine consultation.
main outcome measuresRelation of sputum colour and microbiological proof of bacterial infection defined as positive culture and at least a moderate number of leucocytes per low magnification field.
resultsIn 28 samples (12%) a bacterial infection was proven. Yellowish or greenish colour of the sputum sample and bacterial infection showed a significant correlation (p = 0.014, Fisher's exact test). The sensitivity of yellowish or greenish sputum used as a test for a bacterial infection was 0.79 (95% CI 0.63-0.94); the specificity was 0.46 (95% CI 0.038-0.53). The positive likelihood-ratio (+LR) was 1.46 (95% CI 1.17-1.85).
conclusionsThe sputum colour of patients with acute cough and no underlying chronic lung disease does not imply therapeutic consequences such as prescription of antibiotics.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.