Clinical Analysis of Community-Acquired Pneumonia Requiring Hospitalization in a Cummunity Hospital

DOI Web Site PubMed 2 Citations 14 References
  • KOBASHI Yoshihiro
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
  • FUJITA Kazue
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
  • KARINO Takayuki
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
  • YANO Tatsutoshi
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
  • NAKAMURA Junichi
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
  • OKIMOTO Niro
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
  • MATSUSHIMA Toshiharu
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
  • SOEJIMA Rinzo
    Kawasaki Medical Welfare University

Bibliographic Information

Other Title
  • 市中総合病院に入院を要した市中肺炎の現状
  • 市中総合病院〔川崎医科大学附属川崎病院呼吸器内科〕に入院を要した市中肺炎の現状
  • シ チュウ ソウゴウ ビョウイン カワサキイカ ダイガク フゾク カワサキ ビョウイン コキュウキ ナイカ ニ ニュウイン オ ヨウシタ シ チュウ ハイエン ノ ゲンジョウ
  • Comparison of Elderly and Non-elderly Patients

Search this article

Abstract

A comparative study of 890 patients with community-acquired pneumonia requiring hospitalization in a community hospital was performed. The patients were divided into an elderly patient group and a non-elderly patient group. The elderly patients with community-acquired pneumonia exhibited frequent atypical symptoms such as dyspnea, consciousness disturbance and complication of shock, and also were frequently in a poor nutritional condition.<BR>The causative microorganism was isolated in 40.8% of the elderly patients and in 44.0% of the non-elderly patients. Polymicrobial agents were detected frequently in the elderly patients. Streptococcus pneumoniae (19.4%), MSSA (16.8%), Klebsiella pneumoniae (15.1%) and Haemophilus influenzae (15.0%) were frequently isolated from the sputum of the elderly patients, while Mycoplasma pneumoniae (25.2%), H. influenzae (15.0%), S. pneumoniae (12.2%) and MSSA (10.2%) were frequently isolated from that of the non-elderly patients. Regarding treatment with antibiotics, therapy with a single antibiotic therapy, such as cephem or carbapenem was carried out for the elderly patients, while new quinolone or tetracycline was administered to the non-elderly patients. Although the treatment with antibiotics was adequate according to the guidelines of the American Thoracic Society, the prognosis was poor; i. e. in the elderly patients an efficacy rate of 74.3% and a mortality rate of 9.5%. In the non-elderly patients, the prognosis was good; i. e. an efficacy rate of 88.0% and a mortality rate of 1.7%.<BR>These results suggest that the most important factors affecting the prognosis were the general condition of elderly patients and delay in an adequate diagnosis and treatment because of atypical clinical findings.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 74 (1), 43-50, 2000

    The Japanese Association for Infectious Diseases

Citations (2)*help

See more

References(14)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top