Table 2 Bacteria and viruses in induced sputum in children with community-acquired pneumonia
MicrobeAll children (n = 76)No (%)Children without preceding antibiotic treatment (n = 37)No (%)Children with preceding antibiotic treatment (n = 39)*No (%)
Bacteria
    Streptococcus pneumoniae35 (46)23 (62)12 (31)‡
    Haemophilus influenzae22 (29)5 (14)17 (44)§
    Moraxella catarrhalis21 (28)11 (30)10 (26)
    Staphylococcus aureus9 (12)5 (14)4 (10)
    Mycoplasma pneumoniae2 (3)1 (3)1 (3)
    Other bacteria**3 (4)2 (5)1 (3)
    Normal/mixed flora11 (14)5 (14)6 (15)
    Negative2 (3)0 (0)2 (5)
    Total60 (79)30 (81)30 (77)
Viruses
    Rhinovirus22 (29)13 (35)9 (23)
    Human bocavirus14 (18)4 (11)10 (26)
    Human metapneumovirus10 (13)3 (8)7 (18)
    Respiratory syncytial virus3 (4)0 (0)3 (8)
    Enteroviruses2 (3)1 (3)1 (3)
    Parainfluenzae type 3 virus1 (1)1 (3)0 (0)
    Influenza A virus1 (1)0 (0)1 (3)
    Influenza B virus1 (1)1 (3)0 (0)
    Adenovirus0 (0)0 (0)0 (0)
    Parainfluenzae type 1 virus0 (0)0 (0)0 (0)
    Parainfluenzae type 2 virus0 (0)0 (0)0 (0)
    Total42 (55)17 (46)25 (64)
  • *Antibiotic treatment was as follows: penicillin G, 68%; penicillin G and macrolide or clindamycin, 13%; intravenous cephalosporin, 9%; intravenous cephalosporin and macrolide or clindamycin, 3%; oral amoxicillin or macrolide, 7%. Sputum induction was performed before administration of one intravenous antibiotic dosage in 9 children, after two intravenous antibiotic dosages in 21 children, after three intravenous antibiotic dosages in 3 children and after oral antibiotic treatment in 6 children.

  • †In one child Streptococcus pneumoniae was also isolated from blood culture.

  • ‡p = 0.006 by χ2 test, comparison between children with preceding antibiotic treatment and those without.

  • §p = 0.004 by χ2 test, comparison between children with preceding antibiotic treatment and those without.

  • Mycoplasma pneumoniae was detected by PCR.

  • **Streptococcus agalactie, Streptococcus pyogenes, Pseudomonas-like Gram-negative rod.