caa a22 4500 477070108 CHVBK 20180405111422.0 cr unu---uuuuu 170330e19960701xx s 000 0 eng 10.1007/BF01709363 doi (NATIONALLICENCE)springer-10.1007/BF01709363 Prospective study of epidemiology and prognostic factors in community-acquired pneumonia [Elektronische Daten] [J. Gómez, V. Baños, J. Gómez, M. Soto, L. Muñoz, M. Nuñez, M. Canteras, M. Valdés] Of 342 patients with community-acquired pneumonia, 100 were diagnosed etiologically. In these patients, disease epidemiology, prognostic factors, and influence of antibiotic treatment were analyzed prospectively. Fifty-two patients were treated with a broad-spectrum antibiotic (ceftriaxone), and 48 received a medium-spectrum antibiotic (cefuroxime); some patients in each group also received erythromycin.Streptococcus pneumoniae was the most frequently isolated microorganism (43%), followed byChlamydia pneumoniae (21%),Haemophilus influenzae (19%), andMycoplasma pneumoniae (11%). Factors significantly associated with increased mortality were initially critical or poor clinical condition, involvement of two or more lobules, and complications. Prior administration of antibiotics was predictive of penicillin and erythromycin resistance inStreptococcus pneumoniae, but had no effect on the course of the disease. Eight patients died, 89 were cured, and three had recurrences; there was no significant difference in outcome between treatment groups, regardless of whether patients also received erythromycin. Increased knowledge of epidemiological, predictive, and prognostic factors can significantly improve early diagnosis of community-acquired pneumonia and facilitate the choice of appropriate antibiotic treatment, thereby helping to reduce morbidity and mortality. MMV Medizin Verlag GmbH, 1996 Gómez J. Servicio de Medicina Interna, Unidad de Enfermedades Infecciosas, USA aut Baños V. Servicio de Medicina Interna, Unidad de Enfermedades Infecciosas, USA aut Gómez J. Sección de Microbiología, Neumología y Urgencias, Hospital Universitario Virgen de Arrixaca, USA aut Soto M. Sección de Microbiología, Neumología y Urgencias, Hospital Universitario Virgen de Arrixaca, USA aut Muñoz L. Sección de Microbiología, Neumología y Urgencias, Hospital Universitario Virgen de Arrixaca, USA aut Nuñez M. Sección de Microbiología, Neumología y Urgencias, Hospital Universitario Virgen de Arrixaca, USA aut Canteras M. Departamento de Bioestadística, Factultad de Medicina, Universidad de Murcia, Murcia aut Valdés M. Departamento de Patología y Clínicas Médicas, Universidad de Murcia, Murcia aut European Journal of Clinical Microbiology and Infectious Diseases Springer-Verlag 15/7(1996-07-01), 556-560 0934-9723 15:7<556 1996 15 10096 https://doi.org/10.1007/BF01709363 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01709363 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gómez J. Servicio de Medicina Interna, Unidad de Enfermedades Infecciosas, USA aut NATIONALLICENCE 700 1- Baños V. Servicio de Medicina Interna, Unidad de Enfermedades Infecciosas, USA aut NATIONALLICENCE 700 1- Gómez J. Sección de Microbiología, Neumología y Urgencias, Hospital Universitario Virgen de Arrixaca, USA aut NATIONALLICENCE 700 1- Soto M. Sección de Microbiología, Neumología y Urgencias, Hospital Universitario Virgen de Arrixaca, USA aut NATIONALLICENCE 700 1- Muñoz L. Sección de Microbiología, Neumología y Urgencias, Hospital Universitario Virgen de Arrixaca, USA aut NATIONALLICENCE 700 1- Nuñez M. Sección de Microbiología, Neumología y Urgencias, Hospital Universitario Virgen de Arrixaca, USA aut NATIONALLICENCE 700 1- Canteras M. Departamento de Bioestadística, Factultad de Medicina, Universidad de Murcia, Murcia aut NATIONALLICENCE 700 1- Valdés M. Departamento de Patología y Clínicas Médicas, Universidad de Murcia, Murcia aut NATIONALLICENCE 773 0- European Journal of Clinical Microbiology and Infectious Diseases Springer-Verlag 15/7(1996-07-01), 556-560 0934-9723 15:7<556 1996 15 10096 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer