Evaluation of the Japanese Respiratory Society guidelines for the identification of Mycoplasma pneumoniae pneumonia
Identifieur interne : 000515 ( Istex/Corpus ); précédent : 000514; suivant : 000516Evaluation of the Japanese Respiratory Society guidelines for the identification of Mycoplasma pneumoniae pneumonia
Auteurs : Yu-Dong Yin ; Fei Zhao ; Li-Li Ren ; Shu-Fan Song ; Ying-Mei Liu ; Jian-Zhong Zhang ; Bin CaoSource :
- Respirology [ 1323-7799 ] ; 2012-10.
English descriptors
- Teeft :
- Adult patients, Aetiological, Aetiology, Antibiotic, Asian society, Atypical, Atypical pneumonia, Authors respirology, Beijing hospital, Clinical diagnosis, Guideline, Intensive care unit, Microbial aetiology, Mycoplasma, Mycoplasma pneumoniae, Mycoplasma pneumoniae pneumonia, Ndings, None none, Pathogen, Pneumonia, Pneumoniae, Pneumoniae infection, Pneumoniae infections, Pneumoniae pneumonia, Present study, Respirology, Sputum, Sputum culture, Viral, Viral pneumonia.
Abstract
Background and objective: Community‐acquired pneumonia (CAP) is a leading cause of morbidity and mortality worldwide. Mycoplasma pneumoniae is one of the major causative pathogens of CAP. Early diagnosis of M. pneumoniae pneumonia is crucial for initiating appropriate antibiotic therapy. The aim of this study was to determine whether the Japanese Respiratory Society (JRS) guidelines on CAP are effective for diagnosing M. pneumoniae pneumonia. Methods: Between August 2008 and July 2009, adult outpatients with CAP were consecutively enrolled. The aetiology of CAP was determined by culture and real‐time polymerase chain reaction (PCR) methods to detect M. pneumoniae, urine antigen tests to detect Streptococcus pneumoniae and Legionella pneumoniae, blood and sputum culture for bacteria and real‐time PCR for eight common respiratory viruses. The predictive value of the JRS guidelines for differentiating M. pneumoniae pneumonia from typical bacterial and viral pneumonias was determined. Results: Data from 215 adult CAP outpatients was analyzed. An aetiological diagnosis was made for 105 patients (48.8%), including 62 patients with M. pneumoniae pneumonia, 17 patients with typical bacterial pneumonia and 23 patients with viral pneumonia. According to the JRS criteria for differential diagnosis of atypical pneumonia, 55 of 62 patients were correctly diagnosed with M. pneumoniae pneumonia (sensitivity 88.7%), and 31 of 40 patients with bacterial and viral pneumonia were correctly excluded (specificity 77.5%). Conclusions: The JRS guidelines on CAP provide a useful tool for the identification of M. pneumoniae pneumonia cases and differentiating these from cases of typical bacterial or viral pneumonia.
The Japanese Respiratory Society guidelines on community‐acquired pneumonia are useful for identifying cases of Mycoplasma pneumoniae pneumonia and differentiating these from cases of typical bacterial or viral pneumonia.
Url:
DOI: 10.1111/j.1440-1843.2012.02227.x
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ISTEX:DA6FBBFF06A86EDD2B2FCCB6905606563BD1AE15Le document en format XML
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Prevention and Control, Beijing, China</mods:affiliation></affiliation></author><author><name sortKey="Ren, Li I" sort="Ren, Li I" uniqKey="Ren L" first="Li-Li" last="Ren">Li-Li Ren</name><affiliation><mods:affiliation>Institute of Pathogen Biology, Chinese Academy of Medical Sciences</mods:affiliation></affiliation></author><author><name sortKey="Song, Shu An" sort="Song, Shu An" uniqKey="Song S" first="Shu-Fan" last="Song">Shu-Fan Song</name><affiliation><mods:affiliation>Department of Infectious Diseases and Clinical Microbiology</mods:affiliation></affiliation></author><author><name sortKey="Liu, Ying Ei" sort="Liu, Ying Ei" uniqKey="Liu Y" first="Ying-Mei" last="Liu">Ying-Mei Liu</name><affiliation><mods:affiliation>Department of Infectious Diseases and Clinical Microbiology</mods:affiliation></affiliation></author><author><name sortKey="Zhang, Jian Hong" sort="Zhang, Jian Hong" uniqKey="Zhang J" first="Jian-Zhong" last="Zhang">Jian-Zhong Zhang</name><affiliation><mods:affiliation>National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention</mods:affiliation></affiliation><affiliation><mods:affiliation>State Key Laboratory for Infectious Disease Prevention and Control, Beijing, China</mods:affiliation></affiliation></author><author><name sortKey="Cao, Bin" sort="Cao, Bin" uniqKey="Cao B" first="Bin" last="Cao">Bin Cao</name><affiliation><mods:affiliation>Department of Infectious Diseases and Clinical Microbiology</mods:affiliation></affiliation><affiliation><mods:affiliation>Beijing Institute of Respiratory Medicine, Beijing Chao‐Yang Hospital, Capital Medical University</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: caobin1999@gmail.com</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:DA6FBBFF06A86EDD2B2FCCB6905606563BD1AE15</idno><date when="2012" 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first="Fei" last="Zhao">Fei Zhao</name><affiliation><mods:affiliation>National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention</mods:affiliation></affiliation><affiliation><mods:affiliation>State Key Laboratory for Infectious Disease Prevention and Control, Beijing, China</mods:affiliation></affiliation></author><author><name sortKey="Ren, Li I" sort="Ren, Li I" uniqKey="Ren L" first="Li-Li" last="Ren">Li-Li Ren</name><affiliation><mods:affiliation>Institute of Pathogen Biology, Chinese Academy of Medical Sciences</mods:affiliation></affiliation></author><author><name sortKey="Song, Shu An" sort="Song, Shu An" uniqKey="Song S" first="Shu-Fan" last="Song">Shu-Fan Song</name><affiliation><mods:affiliation>Department of Infectious Diseases and Clinical Microbiology</mods:affiliation></affiliation></author><author><name sortKey="Liu, Ying Ei" sort="Liu, Ying Ei" uniqKey="Liu Y" first="Ying-Mei" last="Liu">Ying-Mei Liu</name><affiliation><mods:affiliation>Department of Infectious Diseases and Clinical Microbiology</mods:affiliation></affiliation></author><author><name sortKey="Zhang, Jian Hong" sort="Zhang, Jian Hong" uniqKey="Zhang J" first="Jian-Zhong" last="Zhang">Jian-Zhong Zhang</name><affiliation><mods:affiliation>National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention</mods:affiliation></affiliation><affiliation><mods:affiliation>State Key Laboratory for Infectious Disease Prevention and Control, Beijing, China</mods:affiliation></affiliation></author><author><name sortKey="Cao, Bin" sort="Cao, Bin" uniqKey="Cao B" first="Bin" last="Cao">Bin Cao</name><affiliation><mods:affiliation>Department of Infectious Diseases and Clinical Microbiology</mods:affiliation></affiliation><affiliation><mods:affiliation>Beijing Institute of Respiratory Medicine, Beijing Chao‐Yang Hospital, Capital Medical University</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: caobin1999@gmail.com</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Respirology</title><title level="j" type="alt">RESPIROLOGY</title><idno type="ISSN">1323-7799</idno><idno type="eISSN">1440-1843</idno><imprint><biblScope unit="vol">17</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="1131">1131</biblScope><biblScope unit="page" to="1136">1136</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2012-10">2012-10</date></imprint><idno type="ISSN">1323-7799</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1323-7799</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Adult patients</term><term>Aetiological</term><term>Aetiology</term><term>Antibiotic</term><term>Asian society</term><term>Atypical</term><term>Atypical pneumonia</term><term>Authors respirology</term><term>Beijing hospital</term><term>Clinical diagnosis</term><term>Guideline</term><term>Intensive care unit</term><term>Microbial aetiology</term><term>Mycoplasma</term><term>Mycoplasma pneumoniae</term><term>Mycoplasma pneumoniae pneumonia</term><term>Ndings</term><term>None none</term><term>Pathogen</term><term>Pneumonia</term><term>Pneumoniae</term><term>Pneumoniae infection</term><term>Pneumoniae infections</term><term>Pneumoniae pneumonia</term><term>Present study</term><term>Respirology</term><term>Sputum</term><term>Sputum culture</term><term>Viral</term><term>Viral pneumonia</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background and objective: Community‐acquired pneumonia (CAP) is a leading cause of morbidity and mortality worldwide. Mycoplasma pneumoniae is one of the major causative pathogens of CAP. Early diagnosis of M. pneumoniae pneumonia is crucial for initiating appropriate antibiotic therapy. The aim of this study was to determine whether the Japanese Respiratory Society (JRS) guidelines on CAP are effective for diagnosing M. pneumoniae pneumonia. Methods: Between August 2008 and July 2009, adult outpatients with CAP were consecutively enrolled. The aetiology of CAP was determined by culture and real‐time polymerase chain reaction (PCR) methods to detect M. pneumoniae, urine antigen tests to detect Streptococcus pneumoniae and Legionella pneumoniae, blood and sputum culture for bacteria and real‐time PCR for eight common respiratory viruses. The predictive value of the JRS guidelines for differentiating M. pneumoniae pneumonia from typical bacterial and viral pneumonias was determined. Results: Data from 215 adult CAP outpatients was analyzed. An aetiological diagnosis was made for 105 patients (48.8%), including 62 patients with M. pneumoniae pneumonia, 17 patients with typical bacterial pneumonia and 23 patients with viral pneumonia. According to the JRS criteria for differential diagnosis of atypical pneumonia, 55 of 62 patients were correctly diagnosed with M. pneumoniae pneumonia (sensitivity 88.7%), and 31 of 40 patients with bacterial and viral pneumonia were correctly excluded (specificity 77.5%). Conclusions: The JRS guidelines on CAP provide a useful tool for the identification of M. pneumoniae pneumonia cases and differentiating these from cases of typical bacterial or viral pneumonia.</div><div type="abstract">The Japanese Respiratory Society guidelines on community‐acquired pneumonia are useful for identifying cases of Mycoplasma pneumoniae pneumonia and differentiating these from cases of typical bacterial or viral pneumonia.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>pneumoniae</json:string><json:string>pneumoniae pneumonia</json:string><json:string>respirology</json:string><json:string>guideline</json:string><json:string>mycoplasma</json:string><json:string>aetiology</json:string><json:string>sputum</json:string><json:string>pneumonia</json:string><json:string>pathogen</json:string><json:string>viral</json:string><json:string>ndings</json:string><json:string>pneumoniae infections</json:string><json:string>atypical pneumonia</json:string><json:string>aetiological</json:string><json:string>mycoplasma pneumoniae</json:string><json:string>authors respirology</json:string><json:string>viral pneumonia</json:string><json:string>asian society</json:string><json:string>atypical</json:string><json:string>antibiotic</json:string><json:string>present study</json:string><json:string>adult patients</json:string><json:string>pneumoniae infection</json:string><json:string>mycoplasma pneumoniae pneumonia</json:string><json:string>sputum culture</json:string><json:string>microbial aetiology</json:string><json:string>beijing hospital</json:string><json:string>none none</json:string><json:string>intensive care unit</json:string><json:string>clinical diagnosis</json:string></teeft></keywords><author><json:item><name>YU‐DONG YIN</name><affiliations><json:string>Department of Infectious Diseases and Clinical Microbiology</json:string><json:string>Beijing Institute of Respiratory Medicine, Beijing Chao‐Yang Hospital, Capital Medical University</json:string></affiliations></json:item><json:item><name>FEI ZHAO</name><affiliations><json:string>National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention</json:string><json:string>State Key Laboratory for Infectious Disease Prevention and Control, Beijing, China</json:string></affiliations></json:item><json:item><name>LI‐LI REN</name><affiliations><json:string>Institute of Pathogen Biology, Chinese Academy of Medical Sciences</json:string></affiliations></json:item><json:item><name>SHU‐FAN SONG</name><affiliations><json:string>Department of Infectious Diseases and Clinical Microbiology</json:string></affiliations></json:item><json:item><name>YING‐MEI LIU</name><affiliations><json:string>Department of Infectious Diseases and Clinical Microbiology</json:string></affiliations></json:item><json:item><name>JIAN‐ZHONG ZHANG</name><affiliations><json:string>National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention</json:string><json:string>State Key Laboratory for Infectious Disease Prevention and Control, Beijing, China</json:string></affiliations></json:item><json:item><name>BIN CAO</name><affiliations><json:string>Department of Infectious Diseases and Clinical Microbiology</json:string><json:string>Beijing Institute of Respiratory Medicine, Beijing Chao‐Yang Hospital, Capital Medical University</json:string><json:string>E-mail: caobin1999@gmail.com</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>community‐acquired pneumonia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>diagnosis</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Japanese Respiratory Society guideline</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Mycoplasma pneumoniae</value></json:item></subject><articleId><json:string>RESP2227</json:string></articleId><arkIstex>ark:/67375/WNG-5HKLKW54-2</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Background and objective: Community‐acquired pneumonia (CAP) is a leading cause of morbidity and mortality worldwide. Mycoplasma pneumoniae is one of the major causative pathogens of CAP. Early diagnosis of M. pneumoniae pneumonia is crucial for initiating appropriate antibiotic therapy. The aim of this study was to determine whether the Japanese Respiratory Society (JRS) guidelines on CAP are effective for diagnosing M. pneumoniae pneumonia. Methods: Between August 2008 and July 2009, adult outpatients with CAP were consecutively enrolled. The aetiology of CAP was determined by culture and real‐time polymerase chain reaction (PCR) methods to detect M. pneumoniae, urine antigen tests to detect Streptococcus pneumoniae and Legionella pneumoniae, blood and sputum culture for bacteria and real‐time PCR for eight common respiratory viruses. The predictive value of the JRS guidelines for differentiating M. pneumoniae pneumonia from typical bacterial and viral pneumonias was determined. Results: Data from 215 adult CAP outpatients was analyzed. An aetiological diagnosis was made for 105 patients (48.8%), including 62 patients with M. pneumoniae pneumonia, 17 patients with typical bacterial pneumonia and 23 patients with viral pneumonia. According to the JRS criteria for differential diagnosis of atypical pneumonia, 55 of 62 patients were correctly diagnosed with M. pneumoniae pneumonia (sensitivity 88.7%), and 31 of 40 patients with bacterial and viral pneumonia were correctly excluded (specificity 77.5%). 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science</json:string><json:string>2 - respiratory system</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - respiratory system</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Pulmonary and Respiratory Medicine</json:string></scopus><inist><json:string>1 - sciences appliquees, technologies et medecines</json:string><json:string>2 - sciences biologiques et medicales</json:string><json:string>3 - sciences medicales</json:string></inist></categories><publicationDate>2012</publicationDate><copyrightDate>2012</copyrightDate><doi><json:string>10.1111/j.1440-1843.2012.02227.x</json:string></doi><id>DA6FBBFF06A86EDD2B2FCCB6905606563BD1AE15</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-5HKLKW54-2/fulltext.pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-5HKLKW54-2/bundle.zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/ark:/67375/WNG-5HKLKW54-2/fulltext.tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Evaluation of the Japanese Respiratory Society guidelines for the identification of Mycoplasma pneumoniae pneumonia</title><title level="a" type="short">JRS M. pneumoniae pneumonia guidelines</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><availability><licence>© 2012 The Authors. Respirology © 2012 Asian Pacific Society of Respirology</licence></availability><date type="published" when="2012-10"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Evaluation of the Japanese Respiratory Society guidelines for the identification of Mycoplasma pneumoniae pneumonia</title><title level="a" type="short">JRS M. pneumoniae pneumonia guidelines</title><author xml:id="author-0000"><persName><forename type="first">YU‐DONG</forename><surname>YIN</surname></persName><affiliation><orgName type="department">Department of Infectious Diseases and Clinical Microbiology</orgName></affiliation><affiliation><orgName 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Biology</orgName><orgName type="institution">Chinese Academy of Medical Sciences</orgName></affiliation></author><author xml:id="author-0003"><persName><forename type="first">SHU‐FAN</forename><surname>SONG</surname></persName><affiliation><orgName type="department">Department of Infectious Diseases and Clinical Microbiology</orgName></affiliation></author><author xml:id="author-0004"><persName><forename type="first">YING‐MEI</forename><surname>LIU</surname></persName><affiliation><orgName type="department">Department of Infectious Diseases and Clinical Microbiology</orgName></affiliation></author><author xml:id="author-0005"><persName><forename type="first">JIAN‐ZHONG</forename><surname>ZHANG</surname></persName><affiliation><orgName type="institution">National Institute for Communicable Disease Control and Prevention</orgName><orgName type="institution">Chinese Center for Disease Control and Prevention</orgName></affiliation><affiliation><orgName type="laboratory">State Key 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<ref target="http://www.tei-c.org/">We use TEI</ref></desc></application></appInfo></encodingDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p><hi rend="bold">Background and objective: </hi> Community‐acquired pneumonia (CAP) is a leading cause of morbidity and mortality worldwide. <hi rend="italic">Mycoplasma pneumoniae</hi> is one of the major causative pathogens of CAP. Early diagnosis of <hi rend="italic">M. pneumoniae</hi> pneumonia is crucial for initiating appropriate antibiotic therapy. The aim of this study was to determine whether the Japanese Respiratory Society (JRS) guidelines on CAP are effective for diagnosing <hi rend="italic">M. pneumoniae</hi> pneumonia.</p><p><hi rend="bold">Methods: </hi> Between August 2008 and July 2009, adult outpatients with CAP were consecutively enrolled. The aetiology of CAP was determined by culture and real‐time polymerase chain reaction (PCR) methods to detect <hi rend="italic">M. pneumoniae</hi>, urine antigen tests to detect <hi rend="italic">Streptococcus pneumoniae</hi> and <hi rend="italic">Legionella pneumoniae</hi>, blood and sputum culture for bacteria and real‐time PCR for eight common respiratory viruses. The predictive value of the JRS guidelines for differentiating <hi rend="italic">M. pneumoniae</hi> pneumonia from typical bacterial and viral pneumonias was determined.</p><p><hi rend="bold">Results: </hi> Data from 215 adult CAP outpatients was analyzed. An aetiological diagnosis was made for 105 patients (48.8%), including 62 patients with <hi rend="italic">M. pneumoniae</hi> pneumonia, 17 patients with typical bacterial pneumonia and 23 patients with viral pneumonia. According to the JRS criteria for differential diagnosis of atypical pneumonia, 55 of 62 patients were correctly diagnosed with <hi rend="italic">M. pneumoniae</hi> pneumonia (sensitivity 88.7%), and 31 of 40 patients with bacterial and viral pneumonia were correctly excluded (specificity 77.5%).</p><p><hi rend="bold">Conclusions: </hi> The JRS guidelines on CAP provide a useful tool for the identification of <hi rend="italic">M. pneumoniae</hi> pneumonia cases and differentiating these from cases of typical bacterial or viral pneumonia.</p></abstract><abstract style="short"><p>The Japanese Respiratory Society guidelines on community‐acquired pneumonia are useful for identifying cases of <hi rend="italic">Mycoplasma pneumoniae</hi> pneumonia and differentiating these from cases of typical bacterial or viral pneumonia.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">community‐acquired pneumonia</term><term xml:id="k2">diagnosis</term><term xml:id="k3">Japanese Respiratory Society guideline</term><term xml:id="k4"><hi rend="italic">Mycoplasma pneumoniae</hi></term></keywords><keywords rend="tocHeading1"><term>ORIGINAL ARTICLES</term></keywords><keywords rend="articleCategory"><term>ORIGINAL ARTICLE</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc><revisionDesc><change when="2019-12-20" who="#istex" xml:id="pub2tei">formatting</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-5HKLKW54-2/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Asia</publisherName><publisherLoc>Melbourne, Australia</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1440-1843</doi><issn type="print">1323-7799</issn><issn type="electronic">1440-1843</issn><idGroup><id type="product" value="RESP"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="RESPIROLOGY">Respirology</title></titleGroup></publicationMeta><publicationMeta level="part" position="10107"><doi origin="wiley">10.1111/res.2012.17.issue-7</doi><numberingGroup><numbering type="journalVolume" number="17">17</numbering><numbering type="journalIssue" number="7">7</numbering></numberingGroup><coverDate startDate="2012-10">October 2012</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="15" status="forIssue"><doi origin="wiley">10.1111/j.1440-1843.2012.02227.x</doi><idGroup><id type="unit" value="RESP2227"></id></idGroup><countGroup><count type="pageTotal" number="6"></count></countGroup><titleGroup><title type="tocHeading1">ORIGINAL ARTICLES</title><title type="articleCategory">ORIGINAL ARTICLE</title></titleGroup><copyright>© 2012 The Authors. Respirology © 2012 Asian Pacific Society of Respirology</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.1.6 mode:FullText" date="2012-09-21"></event><event type="publishedOnlineAccepted" date="2012-07-17"></event><event type="firstOnline" date="2012-09-21"></event><event type="publishedOnlineFinalForm" date="2012-09-21"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-08"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="1131">1131</numbering><numbering type="pageLast" number="1136">1136</numbering></numberingGroup><correspondenceTo>Bin Cao, Department of Infectious Diseases and Clinical Microbiology, Beijing Chao‐Yang Hospital, no. 8, Gongti South Road, Chaoyang District, Beijing 100020, China. Email: <email>caobin1999@gmail.com</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:RESP.RESP2227.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received 15 May 2011; invited to revise 28 June 2011, 24 November 2011, 22 March 2012; revised 25 September 2011, 22 February 2012, 20 April 2012; accepted 21 April 2012 (Associate Editor: Grant Waterer).</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="2"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="24"></count><count type="wordTotal" number="3037"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Evaluation of the Japanese Respiratory Society guidelines for the identification of <i>Mycoplasma pneumoniae</i> pneumonia</title><title type="shortAuthors">Y‐D Yin <i>et al</i>.</title><title type="short">JRS <i>M. pneumoniae</i> pneumonia guidelines</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1 #a2" noteRef="#fn1"><personName><givenNames>YU‐DONG</givenNames><familyName>YIN</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a4 #a5" noteRef="#fn1"><personName><givenNames>FEI</givenNames><familyName>ZHAO</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3" noteRef="#fn1"><personName><givenNames>LI‐LI</givenNames><familyName>REN</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>SHU‐FAN</givenNames><familyName>SONG</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a1"><personName><givenNames>YING‐MEI</givenNames><familyName>LIU</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a4 #a5"><personName><givenNames>JIAN‐ZHONG</givenNames><familyName>ZHANG</familyName></personName></creator><creator creatorRole="author" xml:id="cr7" affiliationRef="#a1 #a2" corresponding="yes"><personName><givenNames>BIN</givenNames><familyName>CAO</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Department of Infectious Diseases and Clinical Microbiology</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Beijing Institute of Respiratory Medicine, Beijing Chao‐Yang Hospital, Capital Medical University</unparsedAffiliation></affiliation><affiliation xml:id="a3"><unparsedAffiliation>Institute of Pathogen Biology, Chinese Academy of Medical Sciences</unparsedAffiliation></affiliation><affiliation xml:id="a4"><unparsedAffiliation>National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention</unparsedAffiliation></affiliation><affiliation xml:id="a5" countryCode="CN"><unparsedAffiliation>State Key Laboratory for Infectious Disease Prevention and Control, Beijing, China</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">community‐acquired pneumonia</keyword><keyword xml:id="k2">diagnosis</keyword><keyword xml:id="k3">Japanese Respiratory Society guideline</keyword><keyword xml:id="k4"><i>Mycoplasma pneumoniae</i></keyword></keywordGroup><supportingInformation><p><b>Appendix S1</b> Details of microbiological laboratory tests.</p><supportingInfoItem><mediaResource alt="supporting info item" href="urn-x:wiley:13237799:media:resp2227:RESP_2227_sm_AppS1"></mediaResource><caption>Supporting info item</caption></supportingInfoItem></supportingInformation><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p><b>Background and objective: </b> Community‐acquired pneumonia (CAP) is a leading cause of morbidity and mortality worldwide. <i>Mycoplasma pneumoniae</i> is one of the major causative pathogens of CAP. Early diagnosis of <i>M. pneumoniae</i> pneumonia is crucial for initiating appropriate antibiotic therapy. The aim of this study was to determine whether the Japanese Respiratory Society (JRS) guidelines on CAP are effective for diagnosing <i>M. pneumoniae</i> pneumonia.</p><p><b>Methods: </b> Between August 2008 and July 2009, adult outpatients with CAP were consecutively enrolled. The aetiology of CAP was determined by culture and real‐time polymerase chain reaction (PCR) methods to detect <i>M. pneumoniae</i>, urine antigen tests to detect <i>Streptococcus pneumoniae</i> and <i>Legionella pneumoniae</i>, blood and sputum culture for bacteria and real‐time PCR for eight common respiratory viruses. The predictive value of the JRS guidelines for differentiating <i>M. pneumoniae</i> pneumonia from typical bacterial and viral pneumonias was determined.</p><p><b>Results: </b> Data from 215 adult CAP outpatients was analyzed. An aetiological diagnosis was made for 105 patients (48.8%), including 62 patients with <i>M. pneumoniae</i> pneumonia, 17 patients with typical bacterial pneumonia and 23 patients with viral pneumonia. According to the JRS criteria for differential diagnosis of atypical pneumonia, 55 of 62 patients were correctly diagnosed with <i>M. pneumoniae</i> pneumonia (sensitivity 88.7%), and 31 of 40 patients with bacterial and viral pneumonia were correctly excluded (specificity 77.5%).</p><p><b>Conclusions: </b> The JRS guidelines on CAP provide a useful tool for the identification of <i>M. pneumoniae</i> pneumonia cases and differentiating these from cases of typical bacterial or viral pneumonia.</p></abstract><abstract type="short"><p>The Japanese Respiratory Society guidelines on community‐acquired pneumonia are useful for identifying cases of <i>Mycoplasma pneumoniae</i> pneumonia and differentiating these from cases of typical bacterial or viral pneumonia.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>
Drs Yu‐Dong Yin, Fei Zhao and Li‐Li Ren contributed equally to this article.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Evaluation of the Japanese Respiratory Society guidelines for the identification of Mycoplasma pneumoniae pneumonia</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>JRS M. pneumoniae pneumonia guidelines</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Evaluation of the Japanese Respiratory Society guidelines for the identification of Mycoplasma pneumoniae pneumonia</title></titleInfo><name type="personal"><namePart type="given">YU‐DONG</namePart><namePart type="family">YIN</namePart><affiliation>Department of Infectious Diseases and Clinical Microbiology</affiliation><affiliation>Beijing Institute of Respiratory Medicine, Beijing Chao‐Yang Hospital, Capital Medical University</affiliation><description>Drs Yu‐Dong Yin, Fei Zhao and Li‐Li Ren contributed equally to this article.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">FEI</namePart><namePart type="family">ZHAO</namePart><affiliation>National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention</affiliation><affiliation>State Key Laboratory for Infectious Disease Prevention and Control, Beijing, China</affiliation><description>Drs Yu‐Dong Yin, Fei Zhao and Li‐Li Ren contributed equally to this article.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">LI‐LI</namePart><namePart type="family">REN</namePart><affiliation>Institute of Pathogen Biology, Chinese Academy of Medical Sciences</affiliation><description>Drs Yu‐Dong Yin, Fei Zhao and Li‐Li Ren contributed equally to this article.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">SHU‐FAN</namePart><namePart type="family">SONG</namePart><affiliation>Department of Infectious Diseases and Clinical Microbiology</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">YING‐MEI</namePart><namePart type="family">LIU</namePart><affiliation>Department of Infectious Diseases and Clinical Microbiology</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">JIAN‐ZHONG</namePart><namePart type="family">ZHANG</namePart><affiliation>National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention</affiliation><affiliation>State Key Laboratory for Infectious Disease Prevention and Control, Beijing, China</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">BIN</namePart><namePart type="family">CAO</namePart><affiliation>Department of Infectious Diseases and Clinical Microbiology</affiliation><affiliation>Beijing Institute of Respiratory Medicine, Beijing Chao‐Yang Hospital, Capital Medical University</affiliation><affiliation>E-mail: caobin1999@gmail.com</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Asia</publisher><place><placeTerm type="text">Melbourne, Australia</placeTerm></place><dateIssued encoding="w3cdtf">2012-10</dateIssued><edition>Received 15 May 2011; invited to revise 28 June 2011, 24 November 2011, 22 March 2012; revised 25 September 2011, 22 February 2012, 20 April 2012; accepted 21 April 2012 (Associate Editor: Grant Waterer).</edition><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">2</extent><extent unit="formulas">0</extent><extent unit="references">24</extent><extent unit="linksCrossRef">0</extent><extent unit="words">3037</extent></physicalDescription><abstract lang="en">Background and objective: Community‐acquired pneumonia (CAP) is a leading cause of morbidity and mortality worldwide. Mycoplasma pneumoniae is one of the major causative pathogens of CAP. Early diagnosis of M. pneumoniae pneumonia is crucial for initiating appropriate antibiotic therapy. The aim of this study was to determine whether the Japanese Respiratory Society (JRS) guidelines on CAP are effective for diagnosing M. pneumoniae pneumonia. Methods: Between August 2008 and July 2009, adult outpatients with CAP were consecutively enrolled. The aetiology of CAP was determined by culture and real‐time polymerase chain reaction (PCR) methods to detect M. pneumoniae, urine antigen tests to detect Streptococcus pneumoniae and Legionella pneumoniae, blood and sputum culture for bacteria and real‐time PCR for eight common respiratory viruses. The predictive value of the JRS guidelines for differentiating M. pneumoniae pneumonia from typical bacterial and viral pneumonias was determined. Results: Data from 215 adult CAP outpatients was analyzed. An aetiological diagnosis was made for 105 patients (48.8%), including 62 patients with M. pneumoniae pneumonia, 17 patients with typical bacterial pneumonia and 23 patients with viral pneumonia. According to the JRS criteria for differential diagnosis of atypical pneumonia, 55 of 62 patients were correctly diagnosed with M. pneumoniae pneumonia (sensitivity 88.7%), and 31 of 40 patients with bacterial and viral pneumonia were correctly excluded (specificity 77.5%). Conclusions: The JRS guidelines on CAP provide a useful tool for the identification of M. pneumoniae pneumonia cases and differentiating these from cases of typical bacterial or viral pneumonia.</abstract><abstract type="short">The Japanese Respiratory Society guidelines on community‐acquired pneumonia are useful for identifying cases of Mycoplasma pneumoniae pneumonia and differentiating these from cases of typical bacterial or viral pneumonia.</abstract><subject lang="en"><genre>keywords</genre><topic>community‐acquired pneumonia</topic><topic>diagnosis</topic><topic>Japanese Respiratory Society guideline</topic><topic>Mycoplasma pneumoniae</topic></subject><relatedItem type="host"><titleInfo><title>Respirology</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><note type="content"> Appendix S1 Details of microbiological laboratory tests.Supporting Info Item: Supporting info item - </note><subject><genre>article-category</genre><topic>ORIGINAL ARTICLES</topic><topic>ORIGINAL ARTICLE</topic></subject><identifier type="ISSN">1323-7799</identifier><identifier type="eISSN">1440-1843</identifier><identifier type="DOI">10.1111/(ISSN)1440-1843</identifier><identifier type="PublisherID">RESP</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>17</number></detail><detail type="issue"><caption>no.</caption><number>7</number></detail><extent unit="pages"><start>1131</start><end>1136</end><total>6</total></extent></part></relatedItem><relatedItem type="references" displayLabel="cit1"><titleInfo><title>Management of community‐acquired pneumonia: a review and update</title></titleInfo><name type="personal"><namePart type="given">NK</namePart><namePart type="family">Brar</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">MS</namePart><namePart type="family">Niederman</namePart><role><roleTerm type="text">author</roleTerm></role></name><genre>journal-article</genre><note type="citation/reference">Brar NK, Niederman MS. 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