Streptococcus pneumoniae is the commonest cause of bacterial pneumonia in the UK. It is also one of the commonest cause of bacterial meningitis. The pneumococcal urinary antigen is useful for the diagnosis of severe community acquired pneumonia and remains positive several days into antibiotic treatment. Its sensitivity and specificity however, is sub-optimal and varies by patient group. Sensitivity and specificity is reported as approximately 70-90%.
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