Appropriateness of laboratory tests: requests for atypical pneumonia serology in a teaching hospital.

Hdl Handle:
http://hdl.handle.net/10147/209229
Title:
Appropriateness of laboratory tests: requests for atypical pneumonia serology in a teaching hospital.
Authors:
Jackson, L M; Shanahan, F; Cryan, B; Bredin, C P; Cronin, C C
Affiliation:
Department of Medicine, Cork University Hospital, Wilton, Ireland.
Citation:
Ir J Med Sci. 1996 Apr-Jun;165(2):93-4.
Journal:
Irish journal of medical science
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209229
PubMed ID:
8698563
Abstract:
The cost of providing medical care is ever-increasing but the resources available are at best static. Major savings can be made by reducing inappropriate investigations. Using serological testing for organisms causing atypical pneumonia as an example, we examined the appropriateness of requests and also physicians' understanding of the test. Of 119 patients tested, only 3 had titres indicative of acute infection. Most patients were tested within 2 days of hospital admission, before receipt of results excluding more likely diagnoses. Forty-five patients had no current or recent respiratory symptoms, in whom infection was highly unlikely. Titres were most often requested by the least experienced members of the clinical team. Of 70 patients with an acute illness in whom a definitive diagnosis, bacteriological or otherwise, was not made, in only 9 was a convalescent specimen sent for follow-up titres. Most requests for serology for organisms causing atypical pneumonia were inappropriate. Furthermore, in the majority of cases the test was incorrectly used.
Language:
eng
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Atypical Bacterial Forms/*isolation & purification; Female; Hospitals, Teaching/*standards; Humans; Male; Middle Aged; Pneumonia/*diagnosis/microbiology; Retrospective Studies; Sensitivity and Specificity; Serologic Tests/*standards
ISSN:
0021-1265 (Print); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorJackson, L Men_GB
dc.contributor.authorShanahan, Fen_GB
dc.contributor.authorCryan, Ben_GB
dc.contributor.authorBredin, C Pen_GB
dc.contributor.authorCronin, C Cen_GB
dc.date.accessioned2012-02-03T15:15:41Z-
dc.date.available2012-02-03T15:15:41Z-
dc.date.issued2012-02-03T15:15:41Z-
dc.identifier.citationIr J Med Sci. 1996 Apr-Jun;165(2):93-4.en_GB
dc.identifier.issn0021-1265 (Print)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid8698563en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209229-
dc.description.abstractThe cost of providing medical care is ever-increasing but the resources available are at best static. Major savings can be made by reducing inappropriate investigations. Using serological testing for organisms causing atypical pneumonia as an example, we examined the appropriateness of requests and also physicians' understanding of the test. Of 119 patients tested, only 3 had titres indicative of acute infection. Most patients were tested within 2 days of hospital admission, before receipt of results excluding more likely diagnoses. Forty-five patients had no current or recent respiratory symptoms, in whom infection was highly unlikely. Titres were most often requested by the least experienced members of the clinical team. Of 70 patients with an acute illness in whom a definitive diagnosis, bacteriological or otherwise, was not made, in only 9 was a convalescent specimen sent for follow-up titres. Most requests for serology for organisms causing atypical pneumonia were inappropriate. Furthermore, in the majority of cases the test was incorrectly used.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshAtypical Bacterial Forms/*isolation & purificationen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHospitals, Teaching/*standardsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPneumonia/*diagnosis/microbiologyen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshSensitivity and Specificityen_GB
dc.subject.meshSerologic Tests/*standardsen_GB
dc.titleAppropriateness of laboratory tests: requests for atypical pneumonia serology in a teaching hospital.en_GB
dc.contributor.departmentDepartment of Medicine, Cork University Hospital, Wilton, Ireland.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceMunster-

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