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JNMA J Nepal Med Assoc · May 2024
Practicing Medicine Wisely: Routine Use of Urine Legionella in Suspicious Pneumonia - Are we Overdoing?
- Swotantra Gautam, Aakash Neupane, Luis Isea Mercado, Phuong Nguyen, and Suzit Bhusal.
- Department of Internal Medicine, Advent Health Orlando, Florida, USA.
- JNMA J Nepal Med Assoc. 2024 May 31; 62 (274): 411413411-413.
AbstractLegionella spp. is an underreported cause of Community Acquired pneumonia that affects significant population specially in urban areas and its prevalence is on an increasing trend. The routine practice of testing for urinary antigen of Legionella in all suspected cases of pneumonia is prevalent is resource rich western countries. Although several studies have shown no distinct advantage of performing routine urinary antigen testing, this practice continues to be preferred by clinicians. In this viewpoint, we have discussed the advantages and disadvantages of urinary antigen testing, its relevance in current practice and its impact on clinical outcomes.
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