2 research outputs found
Community-acquired pneumonia in patients from two different hospitals.
No full textFil: Caberlotto, Oscar J. Hospital del T贸rax Dr. A. Cetr谩ngolo; Argentina.Fil: Cadario, Mar铆a Estela. ANLIS Dr.C.G.Malbr谩n. Instituto Nacional de Enfermedades Infecciosas; Argentina.Fil: Garay, Jose E. Hospital del T贸rax Dr. A. Cetr谩ngolo; Argentina.Fil: Copacastro, Carlos A. Hospital General de Agudos Manuel Belgrano; Argentina.Fil: Cabot, Asunci贸n. Hospital General de Agudos Manuel Belgrano; Argentina.Fil: Savy, Vilma L. ANLIS Dr.C.G.Malbr谩n. Instituto Nacional de Enfermedades Infecciosas; Argentina.Se estudiaron en forma prospectiva pacientes con diagn贸stico de neumon铆a adquirida en la comunidad que acudieron a la consulta en un hospital general y en un centro especializado en medicina respiratoria ubicados en la provincia de Buenos Aires, y que requirieron internaci贸n. Se evaluaron la distribuci贸n por sexo y edad, las comorbilidades asociadas, los agentes etiol贸gicos, su incidencia y la mortalidad. Se incluyeron 52 pacientes (marzo 1998-febrero 1999) del Hospital General de Agudos Manuel Belgrano (HMB) y 23 pacientes (junio 2000- mayo 2001) del Hospital del T贸rax Dr. Antonio A. Cetr谩ngolo (HCET). Se excluyeron pacientes con tuberculosis o micosis pulmonar, neoplasia de pulm贸n y diagn贸stico serol贸gico para HIV. Se complet贸 una historia cl铆nica y se realizaron estudios microbiol贸gicos para g茅rmenes comunes, virus respiratorios y micobacterias. Para el estudio de los agentes productores de neumon铆as at铆picas ( Chlamydia spp, Coxiella burnetii, Mycoplasma pneumoniae y Legionella spp.) y como complemento del estudio virol贸gico, se utilizaron pruebas serol贸gicas. No se observaron diferencias por sexo y edad en los dos grupos. En el HMB las comorbilidades m谩s frecuentes fueron EPOC, diabetes e insuficiencia card铆aca, en tanto que en el HCET fueron EPOC, asma y fibrosis pulmonar. Se obtuvo un diagn贸stico microbiol贸gico en el 48% y 65.2% de los pacientes para ambos grupos. Los agentes hallados m谩s frecuentemente fueron Mycoplasma pneumoniae, Streptococcus pneumoniae, influenza A y Legionella spp, este 煤ltimo germen con una incidencia del 12% en pacientes que evolucionaron favorablemente y que en su mayor铆a pertenec铆an al HMB. La mortalidad fue similar para ambos grupos (13.3%). En el HMB estuvo relacionada con la existencia de comorbilidades en 7 de 8 casos y en el HCET con el agravamiento de la insuficiencia respiratoria cr贸nica.
(EN) Patients hospitalized with community acquired pneumonia were studied prospectively in two hospitals located in the surroundings of Buenos Aires city. Fifty two patients from General Hospital Manuel Belgrano (HMB) were included from March 1998 to February 1999 and 23 patients from Hospital Dr A. Cetrangolo (HCET) for respiratory disease, were included from June 2000 to May 2001. Patients with lung tuberculosis, lung neoplasia and HIV infection were excluded. Clinical background, signs and symptoms were recorded. Microbiological examinations performed included bacteria, respiratory viruses and mycobacteria. Studies for "atypical" bacteria ( Chlamydia spp., Coxiella burnetii, Mycoplasma pneumoniae and Legionella spp.) were carried out by serological methods. No differences in age and gender were observed between both groups. Most frequently observed comorbidities in the HMB group included COPD, diabetes and cardiac failure while in the HCET group these were COPD, asthma and lung fibrosis. Etiology was established in 48% and 65.2% of the patients in the first and second group, respectively. Most frequent agents were Mycoplasma pneumoniae, Streptococcus pneumoniae, influenza A and Legionella spp.; the last one was detected in 12% of the patients. Most of these patients were from HMB and presented a good outcome. Mortality was similar in both groups (13.3%). In the HMB group it was related to the presence of comorbidities in 7 out of 8 cases, and in the HCET group it was a consequence of the worsening of their chronic respiratory failure
Community-acquired pneumonia in patients from two different hospitals.
No full textFil: Caberlotto, Oscar J. Hospital del T贸rax Dr. A. Cetr谩ngolo; Argentina.Fil: Cadario, Mar铆a Estela. ANLIS Dr.C.G.Malbr谩n. Instituto Nacional de Enfermedades Infecciosas; Argentina.Fil: Garay, Jose E. Hospital del T贸rax Dr. A. Cetr谩ngolo; Argentina.Fil: Copacastro, Carlos A. Hospital General de Agudos Manuel Belgrano; Argentina.Fil: Cabot, Asunci贸n. Hospital General de Agudos Manuel Belgrano; Argentina.Fil: Savy, Vilma L. ANLIS Dr.C.G.Malbr谩n. Instituto Nacional de Enfermedades Infecciosas; Argentina.Se estudiaron en forma prospectiva pacientes con diagn贸stico de neumon铆a adquirida en la comunidad que acudieron a la consulta en un hospital general y en un centro especializado en medicina respiratoria ubicados en la provincia de Buenos Aires, y que requirieron internaci贸n. Se evaluaron la distribuci贸n por sexo y edad, las comorbilidades asociadas, los agentes etiol贸gicos, su incidencia y la mortalidad. Se incluyeron 52 pacientes (marzo 1998-febrero 1999) del Hospital General de Agudos Manuel Belgrano (HMB) y 23 pacientes (junio 2000- mayo 2001) del Hospital del T贸rax Dr. Antonio A. Cetr谩ngolo (HCET). Se excluyeron pacientes con tuberculosis o micosis pulmonar, neoplasia de pulm贸n y diagn贸stico serol贸gico para HIV. Se complet贸 una historia cl铆nica y se realizaron estudios microbiol贸gicos para g茅rmenes comunes, virus respiratorios y micobacterias. Para el estudio de los agentes productores de neumon铆as at铆picas ( Chlamydia spp, Coxiella burnetii, Mycoplasma pneumoniae y Legionella spp.) y como complemento del estudio virol贸gico, se utilizaron pruebas serol贸gicas. No se observaron diferencias por sexo y edad en los dos grupos. En el HMB las comorbilidades m谩s frecuentes fueron EPOC, diabetes e insuficiencia card铆aca, en tanto que en el HCET fueron EPOC, asma y fibrosis pulmonar. Se obtuvo un diagn贸stico microbiol贸gico en el 48% y 65.2% de los pacientes para ambos grupos. Los agentes hallados m谩s frecuentemente fueron Mycoplasma pneumoniae, Streptococcus pneumoniae, influenza A y Legionella spp, este 煤ltimo germen con una incidencia del 12% en pacientes que evolucionaron favorablemente y que en su mayor铆a pertenec铆an al HMB. La mortalidad fue similar para ambos grupos (13.3%). En el HMB estuvo relacionada con la existencia de comorbilidades en 7 de 8 casos y en el HCET con el agravamiento de la insuficiencia respiratoria cr贸nica.
(EN) Patients hospitalized with community acquired pneumonia were studied prospectively in two hospitals located in the surroundings of Buenos Aires city. Fifty two patients from General Hospital Manuel Belgrano (HMB) were included from March 1998 to February 1999 and 23 patients from Hospital Dr A. Cetrangolo (HCET) for respiratory disease, were included from June 2000 to May 2001. Patients with lung tuberculosis, lung neoplasia and HIV infection were excluded. Clinical background, signs and symptoms were recorded. Microbiological examinations performed included bacteria, respiratory viruses and mycobacteria. Studies for "atypical" bacteria ( Chlamydia spp., Coxiella burnetii, Mycoplasma pneumoniae and Legionella spp.) were carried out by serological methods. No differences in age and gender were observed between both groups. Most frequently observed comorbidities in the HMB group included COPD, diabetes and cardiac failure while in the HCET group these were COPD, asthma and lung fibrosis. Etiology was established in 48% and 65.2% of the patients in the first and second group, respectively. Most frequent agents were Mycoplasma pneumoniae, Streptococcus pneumoniae, influenza A and Legionella spp.; the last one was detected in 12% of the patients. Most of these patients were from HMB and presented a good outcome. Mortality was similar in both groups (13.3%). In the HMB group it was related to the presence of comorbidities in 7 out of 8 cases, and in the HCET group it was a consequence of the worsening of their chronic respiratory failure
