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Community acquired lower respiratory tract infection Bacterial infection not uncommon

BMJ 1994; 308 doi: (Published 07 May 1994) Cite this as: BMJ 1994;308:1239
  1. J Macfarlane,
  2. J Prewett,
  3. A Guion,
  4. J H Winte,
  5. M A Woodhead
  1. Respiratory Medicine, City Hospital,
  2. Nottingham NG5 1PB Respiratory Infection Research Unit
  3. City Hospital Stenhouse Medical Centre
  4. Nottingham Arnold Health Centre
  5. Nottingham Pneumonia Subcommittee of the Research Committee of the British Thoracic Society, King's Cross Hospital, Dundee DD3 8EA.

    EDITOR, - The unreferenced statements by Harold S R Hosker and colleagues that viruses account for most cases of acute bronchitis and that in otherwise healthy people acute bronchitis is usually associated with a speedy recovery and few sequelae1 are not supported by our prospective study of the aetiology and outcome of lower respiratory tract infections in 480 adults in the community.2 Evidence of bacterial infection was found in 91 of 206 patients studied in detail and was commoner in those with underlying disease or in those aged over 60, but nearly a quarter …

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