A Clinical Investigation of Community-Acquired Pneumonia in Mokpo Area / 결핵
Tuberculosis and Respiratory Diseases
;
: 17-24, 2001.
Artigo
em Coreano
| WPRIM
| ID: wpr-219594
ABSTRACT
BACKGROUND:
Community-acquired pneumonia(CAP) remains a leading cause of morbidity and mortality worldwide. Recently, the evolution of drug-resistant microorganisms has become a serious problem in CAP management. Specific antimicrobial therapy is the cornerstone of CAP management. However, obtaining an accurate etiologic diagnosis clinically is not easy and empirical antimicrobial treatment is usually administered prior to the correct microbiologic diagnosis. In this study, the clinical usefulness of empirical CAP treatment was investigated.METHODS:
A total 35 cases were studied prospectively over a 16-month period in Mokpo Catholic Hospital from Dec. 1995 to Mar. 1997. The microbiologic diagnosis was made by sputum, blood culture, a specific serum antibody test and an immunologic study.RESULTS:
The causative organisms were isolated in 10 (30%) out of 33 cases 8 cases and 1 case on the sputum culture and blood culture respectively, and 1 case by an indirect hemagglutinin test. 12 cases had underlying diseases pulmonary tuberculosis 4, alcoholism 4, diabetes mellitus 3, and liver cirrhosis 1. Antimicrobial treatment was given empirically and all cases recovered.CONCLUSION:
A definite microbiologic diagnosis before commencing the appropriate treatment in CAP is not straightforward. Empirical therapy according to a clinical assessment is important and helpful. However, every effort to make the correct etiologic diagnosis should be taken.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonia
/
Escarro
/
Tuberculose Pulmonar
/
Estudos Prospectivos
/
Mortalidade
/
Diabetes Mellitus
/
Diagnóstico
/
Alcoolismo
/
Hemaglutininas
/
Cirrose Hepática
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Idioma:
Coreano
Revista:
Tuberculosis and Respiratory Diseases
Ano de publicação:
2001
Tipo de documento:
Artigo
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