Neumonía neumocócica bacteriémica en adultos en hospital regional de Chile / Bacteremic pneumococcal pneumonia in adults admitted to a general hospital: experience in 60 cases
Rev. méd. Chile
; 146(7): 839-845, jul. 2018. tab
Article
em Es
| LILACS
| ID: biblio-961469
Biblioteca responsável:
CL1.1
ABSTRACT
Background:
Bacteremic pneumococcal pneumonia (BPP) is a preventable disease with high morbimortality.Aim:
To evaluate clinical aspects and mortality on BPP patients admitted to a Chilean regional hospital. Patients andMethods:
We looked for adult patients with Streptococcus pneumoniae isolated from blood cultures between 2010 and 2014 years and reviewed clinical records of those who were admitted with pneumonia.Results:
We identified 70 BPP patients 58% were men, mean age was 56 years, 30% were > 65 years, 70% with basic public health insurance, 26% were alcoholics, 86% had comorbidities. Only two patients were vaccinated against S. pneumoniae. CURB-65 severity index for community acquired pneumonia was > 3 in 37% of patients. Twenty-four patients were admitted to ICU, twenty required mechanical ventilation and twenty-four died (34%). Mortality was associated with an age over 65 years, presence of comorbidities and complications of pneumonia. A total of 22 serotypes of S. pneumoniae were identified, five of them (1,3,7F,14 y 9V) were present in 57% of cases.Conclusions:
Elevated mortality of our BNN patients was associated with comorbidities and possibly with socio economic factors, which conditioned a late access to medical care.Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Pneumonia Pneumocócica
/
Bacteriemia
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
País/Região como assunto:
America do sul
/
Chile
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2018
Tipo de documento:
Article