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Prognostic and risk factors in patients hospitalized with bacterial pneumonia

机译：用细菌肺炎住院患者的预后和危险因素

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摘要

We studied 316 adults with community-and hospital-acquired bacterial pneumonia admitted from January 1998 to July 2003. Of these, 66 (20.9%) died. Classified by age, none under 70 died, but mortality increased to 22.6% in the 70-79 age group, 31.6% in the 80-89 age group and 24.2% in the group over 90. Mortality was 3.4% (6/177) for mild pneumonia, 32.0% (24/75) for moderate pneumonia, and 56.3% (36/64) for severe pneumonia. Mortality in hospital-acquired pneumonia (69.1%) was significantly higher than that in community-acquired pneumonia (10.7%). This may result from the higher percentage of moderate by and severe by ill patients who contracted hospital-acquired pneumonia, since 80% of those with hospital-acquired pneumonia were in the moderate and severe group compared to 36.4% of those with community-acquired pneumonia. For antibiotic regimens, mortality was 18.2% to 36.4% for patients who underwent Penicillins-Cephems therapy compared with 51.6% to 66.7% for Carbapenems-Quinolones therapy. The reasons for these differences remain unclear. Our study indicates that severity of illness, age, and antibiotic therapy were factors correlated with death from pneumonia. Underlying diseases such as respiratory failure, chronic heart failure, cerebrovascular disease, renal failure, malignancy, and senile dementia may also be associated with mortality. Infectious Diseases
机译：我们研究了316名成人，1998年1月至2003年7月入院的社区和医院获得的细菌肺炎。其中66名（20.9％）死亡。按年龄分类，未满70岁，但70-79岁年龄组的死亡率增加到22.6％，在80-89岁年龄组中，31.6％，该组的24.2％以上。死亡率为3.4％（6/177）对于温和的肺炎，32.0％（24/75）适中，适度的肺炎和严重肺炎的56.3％（36/64）。医院收购肺炎（69.1％）的死亡率明显高于社区获得的肺炎（10.7％）。这可能是由于患医院获得的肺炎的病患者的患者较高百分比的中度和严重百分比，因为80％的肺炎患者在中度和严重的群体中，而患有社区肺炎的36.4％ 。对于抗生素治疗的患者，死亡率为18.2％至36.4％，而Carbapems-quinolones治疗的51.6％至66.7％。这些差异的原因仍然不清楚。我们的研究表明，疾病，年龄和抗生素治疗的严重程度是与肺炎死亡相关的因素。呼吸衰竭，慢性心力衰竭，脑血管疾病，肾衰竭，恶性肿瘤和老年痴呆也可能与死亡率等疾病等疾病。传染性疾病

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  • 来源
    《感染症学雑誌》 |2007年第3期|共8页
  • 作者

    Kondo A; Morinaga Y; Sasaki E; Hisamatsu T; Izumikawa K; Hara K; Izumikawa K; Kohno S;

  • 作者单位

    Department of Surgery The University of Texas Medical Branch 301 University Boulevard Galveston Texas 77555;

    Department of Surgery The University of Texas Medical Branch 301 University Boulevard Galveston Texas 77555;

    Department of Surgery The University of Texas Medical Branch 301 University Boulevard Galveston Texas 77555;

    Department of Surgery The University of Texas Medical Branch 301 University Boulevard Galveston Texas 77555;

    Department of Surgery The University of Texas Medical Branch 301 University Boulevard Galveston Texas 77555;

    Department of Surgery The University of Texas Medical Branch 301 University Boulevard Galveston Texas 77555;

    Department of Surgery The University of Texas Medical Branch 301 University Boulevard Galveston Texas 77555;

    Department of Surgery The University of Texas Medical Branch 301 University Boulevard Galveston Texas 77555;

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  • 原文格式 PDF
  • 正文语种 jpn
  • 中图分类 内科学;
  • 关键词

    Pneumonia; Bacterial; 肺炎; 细菌性;

    机译：Pneumonia;Bacterial;肺炎;细菌性;

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