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CLINICAL PREDICTORS OF BACTEREMIA IN IMMUNOCOMPETENT ADULT PATIENTS HOSPITALIZED FOR COMMUNITY-ACQUIRED PNEUMONIA.

Predictores clínicos de bacteriemia en adultos inmunocompetentes hospitalizados por neumonia adquirida en la comunidad

dc.contributoren-US
dc.contributores-ES
dc.creatorSaldías P, Fernando; Neumotisiología Medicina PUC
dc.creatorReyes B, Tomás
dc.creatorSáez B, Josefina
dc.creatorRain M, Carmen
dc.creatorIllanes C, Pamela
dc.creatorBriceño V, Catalina
dc.creatorDíaz P, Orlando
dc.date2015-04-16
dc.date.accessioned2019-11-11T18:26:50Z
dc.date.available2019-11-11T18:26:50Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/3767
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/110865
dc.descriptionBackground: The clinical usefulness of blood cultures in the management of patients hospitalized with community-acquired pneumonia (CAP) is controversial. Aim: To determine clinical predictors of bacteremia in a cohort of adult patients hospitalized for community-acquired pneumonia. Material and methods: A prospective cohort of 605 immunocompetent adult patients aged 16 to 101 years (54% male) hospitalized for CAP was studied. The clinical and laboratory variables measured at admission were associated with the risk of bacteremia by univariate and multivariate analysis using logistic regression models. Results: Seventy seven percent of patients had comorbidities, median hospital stay was 9 days, 7.6% died in hospital and 10.7% at 30 days. The yield of the blood cultures was 12.6% (S. pneumoniae in 69 patients, H. influenza in 3, Gram negative bacteria in three and S. aureus in one). These results modified the initial antimicrobial treatment in one case (0.2%). In a multivariate analysis, clinical and laboratory variables associated with increased risk of bacteremia were low diastolic blood pressure (Odds ratio (OR): 1.85, 95% confidence intervals (CI) 1.02 to 3.36, pen-US
dc.descriptionBackground: The clinical usefulness of blood cultures in the management of patients hospitalized with community-acquired pneumonia (CAP) is controversial. Aim: To determine clinical predictors of bacteremia in a cohort of adult patients hospitalized for community-acquired pneumonia. Material and methods: A prospective cohort of 605 immunocompetent adult patients aged 16 to 101 years (54% male) hospitalized for CAP was studied. The clinical and laboratory variables measured at admission were associated with the risk of bacteremia by univariate and multivariate analysis using logistic regression models. Results: Seventy seven percent of patients had comorbidities, median hospital stay was 9 days, 7.6% died in hospital and 10.7% at 30 days. The yield of the blood cultures was 12.6% (S. pneumoniae in 69 patients, H. influenza in 3, Gram negative bacteria in three and S. aureus in one). These results modified the initial antimicrobial treatment in one case (0.2%). In a multivariate analysis, clinical and laboratory variables associated with increased risk of bacteremia were low diastolic blood pressure (Odds ratio (OR): 1.85, 95% confidence intervals (CI) 1.02 to 3.36, pes-ES
dc.formatapplication/pdf
dc.languagespa
dc.publisherRevista Médica de Chilees-ES
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/3767/1119
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dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/3767/17031
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dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/3767/18082
dc.sourceRevista Médica de Chile; Vol. 143, núm. 5 (2015): MAYO 2015es-ES
dc.source0034-9887
dc.subjectBacteremia; Community-acquired infections; Microbiology; Pneumoniaen-US
dc.subjectBacteremia; Community-acquired infections; Microbiology; Pneumoniaes-ES
dc.titleCLINICAL PREDICTORS OF BACTEREMIA IN IMMUNOCOMPETENT ADULT PATIENTS HOSPITALIZED FOR COMMUNITY-ACQUIRED PNEUMONIA.en-US
dc.titlePredictores clínicos de bacteriemia en adultos inmunocompetentes hospitalizados por neumonia adquirida en la comunidades-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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