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Table 5 Comparative yield of positive microbiological results obtained for viruses and atypical bacteria in 525 children and adolescents with community acquired pneumonia 

From: Etiology and the challenge of diagnostic testing of community-acquired pneumonia in children and adolescents

Microorganism, n (%)

mPCR

IFA

Paired Serology

IFA + mPCR

Paired Serology + mPCR

IFA + Paired Serology

IFA + mPCR + Paired Serology

Total cases of CAP attributed to each microorganisma

Respiratory Syncytial Virus A and B

64 (39)

11 (6.7)

37 (22.6)

13 (7.9)

24 (14.6)

5 (3)

10 (6.1)

164

Parainfluenza virus 1/2/3/4

48 (39.3)

22 (18)

30 (24.6)

4 (3.3)

11 (9)

2 (1.6)

5 (4.1)

122

Rhinovirus A/B/C

111 (100)

NA

NA

NA

NA

NA

NA

111

Influenza A and B

40 (41.7)

8 (8.3)

37 (38.6)

0 (0)

7 (7.3)

4 (4.2)

0 (0)

96

Adenovirus

2 (2.9)

19 (27.9)

45 (66.2)

0 (0)

2 (2.9)

0 (0)

0 (0)

68

Metapneumovirus

37 (100)

NA

NA

NA

NA

NA

NA

37

Coronavirus 229E/NL63and OC43

15 (100)

NA

NA

NA

NA

NA

NA

15

Enterovirusb

6 (100)

NA

NA

NA

NA

NA

NA

6

Bocavirus 1/2/3/4b

2 (100)

NA

NA

NA

NA

NA

NA

2

Mycoplasma pneumoniae

40 (54.8)

NA

19 (26)

NA

14 (19.2)

NA

NA

73

Bordetella pertussis

7 (28)

17 (68)

1 (4)

0 (0)

NA

NA

NA

25

Chlamydophila pneumoniae

1 (10)

NA

9 (90)

NA

0 (0)

NA

NA

10

Legionella pneumophila

0

NA

9 (100)

NA

0

NA

NA

9

Coxiella burnetii

NA

NA

5 (100)

NA

NA

NA

NA

5

  1. mPCR multiplex PCR, IFA indirect immunofluorescence assay, RSV Respiratory Syncytial Virus, NA Not applicable
  2. aEach column corresponds to the number of children with a positive result by the diagnostic techniques reported in the first row of the table (All columns are mutually exclusive)
  3. bEnterovirus and Bocavirus 1/2/3/4 were studied in just 379 children because the first kit employed to detect respiratory viruses did not include these two ones