Neumonía neumocócica bacteriémica en adultos en hospital regional de Chile

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...

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Autores principales:	Rioseco Z.,María Luisa, Riquelme O.,Raúl, Riquelme O.,Mauricio, Inzunza P.,Carlos, Riquelme D.,Javier, Sanhueza R.,Andrea
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Pneumococcal Infections Pneumonia Pneumococcal Serogroup Streptococcus pneumoniae
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000700839
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spelling	oai:scielo:S0034-988720180007008392018-09-26Neumonía neumocócica bacteriémica en adultos en hospital regional de ChileRioseco Z.,María LuisaRiquelme O.,RaúlRiquelme O.,MauricioInzunza P.,CarlosRiquelme D.,JavierSanhueza R.,Andrea Pneumococcal Infections Pneumonia Pneumococcal Serogroup Streptococcus pneumoniae 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.7 20182018-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000700839es10.4067/s0034-98872018000700839
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Pneumococcal Infections Pneumonia Pneumococcal Serogroup Streptococcus pneumoniae
spellingShingle	Pneumococcal Infections Pneumonia Pneumococcal Serogroup Streptococcus pneumoniae Rioseco Z.,María Luisa Riquelme O.,Raúl Riquelme O.,Mauricio Inzunza P.,Carlos Riquelme D.,Javier Sanhueza R.,Andrea Neumonía neumocócica bacteriémica en adultos en hospital regional de Chile
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.
author	Rioseco Z.,María Luisa Riquelme O.,Raúl Riquelme O.,Mauricio Inzunza P.,Carlos Riquelme D.,Javier Sanhueza R.,Andrea
author_facet	Rioseco Z.,María Luisa Riquelme O.,Raúl Riquelme O.,Mauricio Inzunza P.,Carlos Riquelme D.,Javier Sanhueza R.,Andrea
author_sort	Rioseco Z.,María Luisa
title	Neumonía neumocócica bacteriémica en adultos en hospital regional de Chile
title_short	Neumonía neumocócica bacteriémica en adultos en hospital regional de Chile
title_full	Neumonía neumocócica bacteriémica en adultos en hospital regional de Chile
title_fullStr	Neumonía neumocócica bacteriémica en adultos en hospital regional de Chile
title_full_unstemmed	Neumonía neumocócica bacteriémica en adultos en hospital regional de Chile
title_sort	neumonía neumocócica bacteriémica en adultos en hospital regional de chile
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000700839
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Neumonía neumocócica bacteriémica en adultos en hospital regional de Chile

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