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Infect Dis Now ; 51(4): 377-379, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33096201

RESUMEN

OBJECTIVE: We aimed to determine the proportion of elderly patients hospitalised for community-acquired pneumonia (CAP) in whom a 5-day antibiotic therapy would achieve clinical stability according to American Thoracic Society (ATS) criteria. METHODS: Patients aged≥75 years, hospitalised for CAP between November 2018 and August 2019, were analysed retrospectively. The American Thoracic Society (ATS) clinical stability criteria (temperature≤37°C, heart rate≤100/min, respiratory rate≤24/min, systolic blood pressure≥90mmHg, oxygen saturation≥90% in room air) were assessed after five days of antibiotic therapy. RESULTS: Seventy-five patients (mean age 88 years, 49% requiring oxygen therapy) were included. Six died, and at day 5, 36/69 (52%) fulfilled 4/5 stability criteria. The median duration of treatment was 9 days. In 28 patients (41%), it was ≤7 days. CONCLUSION: In 52% of elderly patients with CAP, a 5-day treatment regimen resulted in clinical stability.


Asunto(s)
Antibacterianos/administración & dosificación , Hospitalización/estadística & datos numéricos , Neumonía/tratamiento farmacológico , Anciano , Anciano de 80 o más Años , Infecciones Comunitarias Adquiridas/tratamiento farmacológico , Infecciones Comunitarias Adquiridas/mortalidad , Femenino , Humanos , Masculino , Neumonía/mortalidad , Guías de Práctica Clínica como Asunto , Frecuencia Respiratoria , Estudios Retrospectivos , Índice de Severidad de la Enfermedad , Resultado del Tratamiento
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