“…Several studies reported in LAC countries a sensitivity of blood culture to detect pneumococcal pneumonia of <10%. 36,54,69,70 The addition of non-culture methods, as polymerase chain reaction (PCR) testing, to routinely performed culture analysis may improve the estimated burden of disease. Arguedas reported, in a prospective epidemiologic surveillance study, an IPD incidence rate for culture positive only of 33.7/100,000 per year.…”