Clinical, Epidemiological, And Etiological Profile Of Inpatients With Community-acquired Pneumonia At A General Hospital In The Sumaré Microregion Of Brazil.

dc.creatorDonalisio, Maria Rita
dc.creatorArca, Carlos Henrique Mamud
dc.creatorMadureira, Paulo Roberto de
dc.date
dc.date2015-11-27T13:21:22Z
dc.date2015-11-27T13:21:22Z
dc.date.accessioned2018-03-29T01:13:02Z
dc.date.available2018-03-29T01:13:02Z
dc.identifierJornal Brasileiro De Pneumologia : Publicaça̋o Oficial Da Sociedade Brasileira De Pneumologia E Tisilogia. v. 37, n. 2, p. 200-8
dc.identifier1806-3756
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/21537656
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/199409
dc.identifier21537656
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1299642
dc.descriptionTo analyze the clinical, etiological, and epidemiological aspects of community-acquired pneumonia (CAP) in hospitalized individuals. We prospectively studied 66 patients (> 14 years of age) with CAP admitted to the Hospital Estadual Sumaré, located in the Sumaré 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). 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 Sumaré 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. 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.description200-8
dc.languageeng
dc.languagepor
dc.relationJornal Brasileiro De Pneumologia : Publicaça̋o Oficial Da Sociedade Brasileira De Pneumologia E Tisilogia
dc.relationJ Bras Pneumol
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 And Over
dc.subjectBrazil
dc.subjectChi-square Distribution
dc.subjectCommunity-acquired Infections
dc.subjectFemale
dc.subjectHospitals, General
dc.subjectHumans
dc.subjectInfluenza Vaccines
dc.subjectInpatients
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPneumonia, Bacterial
dc.subjectProspective Studies
dc.subjectRisk Factors
dc.subjectVaccination
dc.subjectYoung Adult
dc.titleClinical, Epidemiological, And Etiological Profile Of Inpatients With Community-acquired Pneumonia At A General Hospital In The Sumaré Microregion Of Brazil.
dc.typeArtículos de revistas


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