Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
1997-2-3
pubmed:abstractText
Of 342 patients with community-acquired pneumonia, 100 were diagnosed etiologically. In these patients, disease epidemiology, prognostic factors, and influence of antibiotic treatment were analyzed prospectively. Fifty-two patients were treated with a broad-spectrum antibiotic (ceftriaxone), and 48 received a medium-spectrum antibiotic (cefuroxime); some patients in each group also received erythromycin. Streptococcus pneumoniae was the most frequently isolated microorganism (43%), followed by Chlamydia pneumoniae (21%), Haemophilus influenzae (19%), and Mycoplasma pneumoniae (11%). Factors significantly associated with increased mortality were initially critical or poor clinical condition, involvement of two or more lobules, and complications. Prior administration of antibiotics was predictive of penicillin and erythromycin resistance in Streptococcus pneumoniae, but had no effect on the course of the disease. Eight patients died, 89 were cured, and three had recurrences; there was no significant difference in outcome between treatment groups, regardless of whether patients also received erythromycin. Increased knowledge of epidemiological, predictive, and prognostic factors can significantly improve early diagnosis of community-acquired pneumonia and facilitate the choice of appropriate antibiotic treatment, thereby helping to reduce morbidity and mortality.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0934-9723
pubmed:author
pubmed:issnType
Print
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
556-60
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:8874072-Adolescent, pubmed-meshheading:8874072-Adult, pubmed-meshheading:8874072-Aged, pubmed-meshheading:8874072-Anti-Bacterial Agents, pubmed-meshheading:8874072-Ceftriaxone, pubmed-meshheading:8874072-Cefuroxime, pubmed-meshheading:8874072-Cephalosporins, pubmed-meshheading:8874072-Chlamydophila pneumoniae, pubmed-meshheading:8874072-Community-Acquired Infections, pubmed-meshheading:8874072-Drug Resistance, Microbial, pubmed-meshheading:8874072-Erythromycin, pubmed-meshheading:8874072-Female, pubmed-meshheading:8874072-Haemophilus influenzae, pubmed-meshheading:8874072-Humans, pubmed-meshheading:8874072-Male, pubmed-meshheading:8874072-Middle Aged, pubmed-meshheading:8874072-Mycoplasma pneumoniae, pubmed-meshheading:8874072-Penicillin Resistance, pubmed-meshheading:8874072-Pneumonia, Bacterial, pubmed-meshheading:8874072-Prognosis, pubmed-meshheading:8874072-Prospective Studies, pubmed-meshheading:8874072-Streptococcus pneumoniae
pubmed:year
1996
pubmed:articleTitle
Prospective study of epidemiology and prognostic factors in community-acquired pneumonia.
pubmed:affiliation
Unidad de Enfermedades Infecciosas, Hospital Universitario Virgen de Arrixaca.
pubmed:publicationType
Journal Article