Manejo ambulatorio de la neumonía comunitaria del adulto en las unidades de emergencia: Servicio de Salud Viña del Mar-Quillota de la V Región

There is limited information about the effectiveness of the treatment of community-acquired pneumonia (CAP) in Chilean emergency rooms. Aim: To assess the treatment of CAP in emergency rooms at the Viña del Mar Health Service in Chile. Material and methods: Prospective study of immunocompetent adult...

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Autores principales:	Pavié G,Juana, de la Prida C,Julio Manuel, Díaz F,Alejandro, Saldías P,Fernando
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2005
Materias:	Anti-bacterial agents Frail elderly Pneumonia
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005001100008
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spelling	oai:scielo:S0034-988720050011000082006-01-24Manejo ambulatorio de la neumonía comunitaria del adulto en las unidades de emergencia: Servicio de Salud Viña del Mar-Quillota de la V RegiónPavié G,Juanade la Prida C,Julio ManuelDíaz F,AlejandroSaldías P,Fernando Anti-bacterial agents Frail elderly Pneumonia There is limited information about the effectiveness of the treatment of community-acquired pneumonia (CAP) in Chilean emergency rooms. Aim: To assess the treatment of CAP in emergency rooms at the Viña del Mar Health Service in Chile. Material and methods: Prospective study of immunocompetent adult patients consulting for a CAP in emergency rooms. Those that required hospital admission were considered ineligible. The initial clinical and laboratory assessment, antimicrobial treatment and their condition after 30 days of follow up, were recorded. Results: Three hundred eleven adult patients aged 57±22 years (152 males), were evaluated. Patients with class I CAP (40% of cases) were treated with Clarithromycin (71.8%) or Amoxicillin (26.6%) for 10 days. Patients with class II CAP (60%) were treated with Amoxicillin-clavulanate (80.7%) or Levofloxacin (18.2%) for 10 days. Three hundred eight patients (99%) were cured without need of hospital admission; three patients (1%) were subsequently hospitalized because of clinical failure of ambulatory treatment. Overall, three patients (1%) died; all deaths occurred during or immediately after hospitalization and were related to the severity of lung infection but not to the choice of antibiotic treatment. Conclusions: The outpatient management of CAP by general practitioners working at emergency rooms was clinically effective with low rates of hospital admission and mortalityinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.133 n.11 20052005-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005001100008es10.4067/S0034-98872005001100008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Anti-bacterial agents Frail elderly Pneumonia
spellingShingle	Anti-bacterial agents Frail elderly Pneumonia Pavié G,Juana de la Prida C,Julio Manuel Díaz F,Alejandro Saldías P,Fernando Manejo ambulatorio de la neumonía comunitaria del adulto en las unidades de emergencia: Servicio de Salud Viña del Mar-Quillota de la V Región
description	There is limited information about the effectiveness of the treatment of community-acquired pneumonia (CAP) in Chilean emergency rooms. Aim: To assess the treatment of CAP in emergency rooms at the Viña del Mar Health Service in Chile. Material and methods: Prospective study of immunocompetent adult patients consulting for a CAP in emergency rooms. Those that required hospital admission were considered ineligible. The initial clinical and laboratory assessment, antimicrobial treatment and their condition after 30 days of follow up, were recorded. Results: Three hundred eleven adult patients aged 57±22 years (152 males), were evaluated. Patients with class I CAP (40% of cases) were treated with Clarithromycin (71.8%) or Amoxicillin (26.6%) for 10 days. Patients with class II CAP (60%) were treated with Amoxicillin-clavulanate (80.7%) or Levofloxacin (18.2%) for 10 days. Three hundred eight patients (99%) were cured without need of hospital admission; three patients (1%) were subsequently hospitalized because of clinical failure of ambulatory treatment. Overall, three patients (1%) died; all deaths occurred during or immediately after hospitalization and were related to the severity of lung infection but not to the choice of antibiotic treatment. Conclusions: The outpatient management of CAP by general practitioners working at emergency rooms was clinically effective with low rates of hospital admission and mortality
author	Pavié G,Juana de la Prida C,Julio Manuel Díaz F,Alejandro Saldías P,Fernando
author_facet	Pavié G,Juana de la Prida C,Julio Manuel Díaz F,Alejandro Saldías P,Fernando
author_sort	Pavié G,Juana
title	Manejo ambulatorio de la neumonía comunitaria del adulto en las unidades de emergencia: Servicio de Salud Viña del Mar-Quillota de la V Región
title_short	Manejo ambulatorio de la neumonía comunitaria del adulto en las unidades de emergencia: Servicio de Salud Viña del Mar-Quillota de la V Región
title_full	Manejo ambulatorio de la neumonía comunitaria del adulto en las unidades de emergencia: Servicio de Salud Viña del Mar-Quillota de la V Región
title_fullStr	Manejo ambulatorio de la neumonía comunitaria del adulto en las unidades de emergencia: Servicio de Salud Viña del Mar-Quillota de la V Región
title_full_unstemmed	Manejo ambulatorio de la neumonía comunitaria del adulto en las unidades de emergencia: Servicio de Salud Viña del Mar-Quillota de la V Región
title_sort	manejo ambulatorio de la neumonía comunitaria del adulto en las unidades de emergencia: servicio de salud viña del mar-quillota de la v región
publisher	Sociedad Médica de Santiago
publishDate	2005
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005001100008
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Manejo ambulatorio de la neumonía comunitaria del adulto en las unidades de emergencia: Servicio de Salud Viña del Mar-Quillota de la V Región

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