Table. 9—

Microbiological investigations in hospitalised patients with severe community-acquired pneumonia

Microbiological investigations
 Blood culture
 Sputum or lower respiratory tract sample for Gram stain and culture
 Pleural fluid analysis
 Urinary antigen test for Legionella spp. and Streptococcus pneumoniae
 Respiratory samples for direct immunofluorescence for influenza and respiratory syncytial virus in winter months
 Respiratory samples for culture or PCR for Mycoplasma pneumoniae, Chlamydia pneumoniae and Legionella spp. if well validated test available
 Initial and follow-up serology for Legionella spp. and atypical pathogens if no PCR available; retrospective results