Clinical, epidemiological, and etiological profile of inpatients with community-acquired pneumonia at a general hospital in the Sumare microregion of Brazil

dc.creatorDonalisio, MR
dc.creatorArca, CHM
dc.creatorde Madureira, PR
dc.date2011
dc.dateMAR-APR
dc.date2014-07-30T13:59:51Z
dc.date2015-11-26T16:32:33Z
dc.date2014-07-30T13:59:51Z
dc.date2015-11-26T16:32:33Z
dc.date.accessioned2018-03-28T23:14:00Z
dc.date.available2018-03-28T23:14:00Z
dc.identifierJornal Brasileiro De Pneumologia. Soc Brasileira Pneumologia Tisiologia, v. 37, n. 2, n. 200, n. 208, 2011.
dc.identifier1806-3713
dc.identifierWOS:000289742000010
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/56072
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/56072
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1270555
dc.descriptionObjective: To analyze the clinical, etiological, and epidemiological aspects of community-acquired pneumonia (CAP) in hospitalized individuals. Methods: We prospectively studied 66 patients (> 14 years of age) with CAP admitted to the Hospital Estadual Sumare, located in the Sumare microregion of Brazil, between October of 2005 and September of 2007. We collected data related to clinical history, physical examination, pneumonia severity index (PSI) scores, and laboratory tests (blood culture; sputum smear microscopy and culture; serology for Chlamydophila pneumoniae, Mycoplasma pneumoniae, and Legionella pneumophila; and detection of Legionella sp. and Streptococcus pneumoniae antigens in urine). Results: The mean age of patients was 53 years. Most had a low level of education, and 55.7% presented with at least one comorbidity at the time of hospitalization. The proportion of elderly people vaccinated against influenza was significantly lower among the inpatients than in the general population of the Sumare microregion (52.6% vs. > 70%). Fever was less common among the elderly patients (p < 0.05). The clinical evolution was associated with the PSI scores but not with age. The etiology was confirmed in 31 cases (50.8%) and was attributed to S. pneumoniae, principally detected by the urinary antigen test, in 21 (34.4%), followed by C. pneumoniae, in 5 (8.2%). The mortality rate was 4.9%, and 80.3% of the patients were classified as cured at discharge. Conclusions: The knowledge of the etiologic profile of CAP at the regional level favors the appropriate choice of empirical treatment, which is particularly relevant in elderly patients and in those with comorbidities. The lack of influenza vaccination in elderly patients is a risk factor for hospitalization due to CAP.
dc.description37
dc.description2
dc.description200
dc.description208
dc.languagept
dc.publisherSoc Brasileira Pneumologia Tisiologia
dc.publisherBrasilia Df
dc.publisherBrasil
dc.relationJornal Brasileiro De Pneumologia
dc.relationJ. Bras. Pneumol.
dc.rightsaberto
dc.sourceWeb of Science
dc.subjectChlamydophila pneumoniae
dc.subjectCommunity-acquired infections
dc.subjectPneumonia
dc.subjectStreptococcus pneumoniae
dc.subjectInfluenza vaccines
dc.subjectInfluenza Vaccination
dc.subjectAdults
dc.subjectSputum
dc.subjectGuidelines
dc.subjectDiagnosis
dc.subjectMortality
dc.subjectDiseases
dc.subjectImpact
dc.subjectRisk
dc.titleClinical, epidemiological, and etiological profile of inpatients with community-acquired pneumonia at a general hospital in the Sumare microregion of Brazil
dc.typeArtículos de revistas


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