Your browser doesn't support javascript.
loading
Neumonía adquirida en la comunidad que se hospitaliza: estudio etiológico / Community acquired pneumonia in a hospitalized community: etiological study
Fernández, M; Zagolin, M; Ruiz, M; Martínez, M. A; Díaz, J. C.
  • Fernández, M; Universidad de Chile. Hospital Clínico. Departamento de Medicina Interna. Santiago. CL
  • Zagolin, M; s.af
  • Ruiz, M; s.af
  • Martínez, M. A; s.af
  • Díaz, J. C; s.af
Rev. méd. Chile ; 131(5): 498-504, mayo 2003.
Artigo em Espanhol | LILACS | ID: lil-356111
ABSTRACT

BACKGROUND:

Community-acquired pneumonia (CAP) that requires hospitalization, is a common and serious disease. A permanent assessment in specialized centers, to define therapeutic guidelines according to local epidemiological factors, is mandatory.

AIM:

To study the etiology of CAP requiring hospital admission. PATIENTS AND

METHODS:

Adult patients with CAP, admitted to the Clinical Hospital of the University of Chile between 1999 and 2001 were studied. A clinical, radiological and microbiological assessment was done in all patients. Blood and sputum cultures and serology for Chlamydia and Mycoplasma pneumoniae were performed.

RESULTS:

Thirty one patients aged 62 +/- 18 years, 12 female, met inclusion criteria. An etiologic diagnosis was made in 74 per cent of cases, (52 per cent definitive, 22 per cent probable). Frequency of definitive diagnosis was 25 per cent Mycoplasma pneumoniae, 19 per cent Chlamydia pneumoniae and 13 per cent Streptococcus pneumoniae. Mixed etiology was found in 16 per cent and a final diagnosis was not obtained in 26 per cent of the cases. No correlation was found between clinical and radiological patterns, and the etiologic agent. C reactive protein and erythrosedimentation rate were significantly higher in CAP due to Chlamydia and Streptococcus pneumoniae.

CONCLUSIONS:

The higher frequency of Mycoplasma and Chlamydia pneumoniae, than previously reported, suggests that atypical agents should be considered in the initial antimicrobial therapy prescribed to these patients.
Assuntos
Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: Pneumonia Bacteriana / Hospitalização Tipo de estudo: Estudo de etiologia / Guia de Prática Clínica / Estudo observacional / Fatores de risco Limite: Adulto / Feminino / Humanos / Masculino País/Região como assunto: América do Sul / Chile Idioma: Espanhol Revista: Rev. méd. Chile Assunto da revista: Medicina Ano de publicação: 2003 Tipo de documento: Artigo País de afiliação: Chile Instituição/País de afiliação: Universidad de Chile/CL

Similares

MEDLINE

...
LILACS

LIS

Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: Pneumonia Bacteriana / Hospitalização Tipo de estudo: Estudo de etiologia / Guia de Prática Clínica / Estudo observacional / Fatores de risco Limite: Adulto / Feminino / Humanos / Masculino País/Região como assunto: América do Sul / Chile Idioma: Espanhol Revista: Rev. méd. Chile Assunto da revista: Medicina Ano de publicação: 2003 Tipo de documento: Artigo País de afiliação: Chile Instituição/País de afiliação: Universidad de Chile/CL