IndicationBlood cultureSputum cultureLegionella urine antigen testPneumococcal urine antigen testOther
Admission to intensive care unitEndotracheal aspirate if intubated
Alcohol abuse
Asplenia
Cavitary infiltratesFungal and tuberculosis cultures
Chronic severe liver disease
Leukopenia
Outpatient therapy ineffective
Pleural effusionThoracentesis and pleural fluid cultures
Positive Legionella urine antigen test result
Positive pneumococcal urine antigen test result
Recent travel (within past two weeks)
Severe obstructive lung disease