BACTEREMIC PNEUMOCOCCAL PNEUMONIA IN ADULTS ADMITTED TO A GENERAL HOSPITAL. EXPERIENCE IN 60 CASES
Neumonía neumocócica bacteriémica en adultos en hospital regional de Chile
dc.contributor | en-US | |
dc.contributor | es-ES | |
dc.creator | Rioseco Z, María Luisa; Hospital Puerto Montt | |
dc.creator | Riquelme O, Raúl; Universidad San Sebastián | |
dc.creator | Riquelme O, Mauricio; Universidad San Sebastián | |
dc.creator | Insunza P, Carlos; Hospital Puerto Montt | |
dc.creator | Riquelme D, Javier; Universidad San Sebastián | |
dc.creator | Sanhueza R, Andrea; Universidad San Sebastián | |
dc.date | 2018-07-11 | |
dc.date.accessioned | 2019-11-11T18:27:43Z | |
dc.date.available | 2019-11-11T18:27:43Z | |
dc.identifier | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/6282 | |
dc.identifier.uri | https://revistaschilenas.uchile.cl/handle/2250/111277 | |
dc.description | 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 and methods: 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. | en-US |
dc.description | 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 and methods: 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. | es-ES |
dc.format | application/pdf | |
dc.language | spa | |
dc.publisher | Revista Médica de Chile | es-ES |
dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/6282/4162 | |
dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6282/31518 | |
dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6282/31519 | |
dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6282/31520 | |
dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6282/31522 | |
dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6282/31524 | |
dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6282/31525 | |
dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6282/31526 | |
dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6282/31634 | |
dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6282/33460 | |
dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6282/35011 | |
dc.source | Revista Médica de Chile; Vol. 146, núm. 7 (2018): JULIO 2018 | es-ES |
dc.source | 0034-9887 | |
dc.subject | Pneumococcal Infections; Pneumonia, Pneumococcal; Serogroup; Streptococcus pneumoniae | en-US |
dc.subject | Pneumococcal Infections; Pneumonia, Pneumococcal; Serogroup; Streptococcus pneumoniae | es-ES |
dc.title | BACTEREMIC PNEUMOCOCCAL PNEUMONIA IN ADULTS ADMITTED TO A GENERAL HOSPITAL. EXPERIENCE IN 60 CASES | en-US |
dc.title | Neumonía neumocócica bacteriémica en adultos en hospital regional de Chile | es-ES |
dc.type | info:eu-repo/semantics/article | |
dc.type | info:eu-repo/semantics/publishedVersion | |
dc.type | es-ES |