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Manejo ambulatorio de la neumonía comunitaria del adulto en las unidades de emergencia. Servicio de Salud Viña del Mar - Quillota de la V Región / Assessment of the management of community - acquired pneumonia in adults outpatients
Pavié G., Juana; de la Prida C., Julio Manuel; Díaz F., Alejandro; Saldías P., Fernando.
Afiliação
  • Pavié G., Juana; Hospital de Quillota. Servicio de Medicina. Santiago de Chile. CL
  • de la Prida C., Julio Manuel; Servicio de Salud Viña del Mar-Quillota. Santiago de Chile. CL
  • Díaz F., Alejandro; Pontificia Universidad Católica de Chile. Departamento de Enfermedades Respiratorias. Santiago de Chile. CL
  • Saldías P., Fernando; Pontificia Universidad Católica de Chile. Departamento de Enfermedades Respiratorias. Santiago de Chile. CL
Rev. méd. Chile ; 133(11): 1322-1330, nov. 2005. tab, graf
Artigo em Espanhol | LILACS | ID: lil-419936
Biblioteca responsável: BR1.1
RESUMEN

Background:

There is limited information about the effectiveness of the treatment of community-acquired pneumonia (CAP) in Chilean emergency rooms.

Aim:

To assess the treatment of CAP in emergency rooms at the Viña del Mar Health Service in Chile. Material and

methods:

Prospective study of immunocompetent adult patients consulting for a CAP in emergency rooms. Those that required hospital admission were considered ineligible. The initial clinical and laboratory assessment, antimicrobial treatment and their condition after 30 days of follow up, were recorded.

Results:

Three hundred eleven adult patients aged 57±22 years (152 males), were evaluated. Patients with class I CAP (40% of cases) were treated with Clarithromycin (71.8%) or Amoxicillin (26.6%) for 10 days. Patients with class II CAP (60%) were treated with Amoxicillin-clavulanate (80.7%) or Levofloxacin (18.2%) for 10 days. Three hundred eight patients (99%) were cured without need of hospital admission; three patients (1%) were subsequently hospitalized because of clinical failure of ambulatory treatment. Overall, three patients (1%) died; all deaths occurred during or immediately after hospitalization and were related to the severity of lung infection but not to the choice of antibiotic treatment.

Conclusions:

The outpatient management of CAP by general practitioners working at emergency rooms was clinically effective with low rates of hospital admission and mortality.
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Pneumonia / Assistência Ambulatorial / Antibacterianos Tipo de estudo: Ensaio clínico controlado / Estudo de avaliação Limite: Adolescente / Adulto / Idoso / Feminino / Humanos / Masculino Idioma: Espanhol Revista: Rev. méd. Chile Assunto da revista: Medicina Ano de publicação: 2005 Tipo de documento: Artigo País de afiliação: Chile Instituição/País de afiliação: Hospital de Quillota/CL / Pontificia Universidad Católica de Chile/CL / Servicio de Salud Viña del Mar-Quillota/CL

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Pneumonia / Assistência Ambulatorial / Antibacterianos Tipo de estudo: Ensaio clínico controlado / Estudo de avaliação Limite: Adolescente / Adulto / Idoso / Feminino / Humanos / Masculino Idioma: Espanhol Revista: Rev. méd. Chile Assunto da revista: Medicina Ano de publicação: 2005 Tipo de documento: Artigo País de afiliação: Chile Instituição/País de afiliação: Hospital de Quillota/CL / Pontificia Universidad Católica de Chile/CL / Servicio de Salud Viña del Mar-Quillota/CL
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