2003
DOI: 10.1128/jcm.41.7.2810-2813.2003
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Rapid Diagnosis of Bacteremic Pneumococcal Infections in Adults by Using the Binax NOW Streptococcus pneumoniae Urinary Antigen Test: a Prospective, Controlled Clinical Evaluation

Abstract: The diagnosis of severe pneumococcal infections is inadequate, relying heavily on culture of Streptococcus pneumoniae from blood or other normally sterile fluids, and is severely limited by prior administration of antibiotics. We evaluated prospectively the Binax NOW S. pneumoniae urinary antigen test, a rapid immunochromatographic assay, for the diagnosis of bacteremic pneumococcal infections in hospitalized adult patients.

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Cited by 198 publications
(130 citation statements)
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“…Moreover, diagnoses of pneumococcal infections using pneumococcal urinary antigen test with specimens other than urine such as middle ear fluids, nasopharyngeal secretions, pleural fluids, pericardial fluid, and blood cultures have been reported (4-6, 13). Although pneumococcal urinary antigen tests are significantly greater in patients with pneumonia (87%) than in patients with other pneumococcal infections (70%) (14), positivity of pneumococcal urinary antigen test can indicate pneumococcal infections other than pneumonia. Reported sensitivity for pneumococcal bacteremia was high at 82% (14).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Moreover, diagnoses of pneumococcal infections using pneumococcal urinary antigen test with specimens other than urine such as middle ear fluids, nasopharyngeal secretions, pleural fluids, pericardial fluid, and blood cultures have been reported (4-6, 13). Although pneumococcal urinary antigen tests are significantly greater in patients with pneumonia (87%) than in patients with other pneumococcal infections (70%) (14), positivity of pneumococcal urinary antigen test can indicate pneumococcal infections other than pneumonia. Reported sensitivity for pneumococcal bacteremia was high at 82% (14).…”
Section: Discussionmentioning
confidence: 99%
“…Although pneumococcal urinary antigen tests are significantly greater in patients with pneumonia (87%) than in patients with other pneumococcal infections (70%) (14), positivity of pneumococcal urinary antigen test can indicate pneumococcal infections other than pneumonia. Reported sensitivity for pneumococcal bacteremia was high at 82% (14). Moreover, we should clarify the past history of pneumococcal pneumonia when pneumococcal urinary antigen test is positive.…”
Section: Discussionmentioning
confidence: 99%
“…Improved laboratory diagnostic methods like antigen assays, rapid diagnostic kits and noninvasive procedures like urinary antigen detection test have demonstrated successful identification of respiratory pathogens and hence must be inducted in the clinical practice. [36][37][38] Incidence of ARI and malnutrition can be reduced with necessary and timely interventions. We need to teach proper hand-washing techniques to the concerned caretakers of the children as data suggests a strong relation between hand-washing and respiratory infections.…”
Section: Recommendationsmentioning
confidence: 99%
“…It has sensitivity of 80% or more in adults and children when positive blood cultures are used as reference standard. [50][51][52][53][54] Rationale for the study…”
Section: Diagnostic Tests For Streptococcus Pneumoniaementioning
confidence: 99%