Incidence of community-acquired pneumonia requiring hospitalization - Results of a population-based active surveillance study in Ohio
Incidence of community-acquired pneumonia requiring hospitalization - Results of a population-based active surveillance study in Ohio
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DOI：
10.1001/archinte.157.15.1709
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发表时间：
1997-08-11
影响因子：
--
通讯作者：
Breiman, RF
中科院分区：
文献类型：
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作者：
Marston, BJ;Plouffe, JF;Breiman, RF
背景：肺炎是美国主要的传染病死亡原因；然而，大多数感染导致成人社区获得性肺炎的发病率还没有很好的定义。方法：我们评估了1991年因社区获得性肺炎住院的所有成年人，他们居住在俄亥俄州的2个县。通过访谈和病历回顾收集有关危险因素、症状和结果的信息。采集急性期和恢复期患者血清标本，根据细菌学和免疫学检测结果进行病原学诊断。结果：1991年社区获得性肺炎住院发病率为266.8/10万，总病死率为8.8%。黑人肺炎发病率高于白人(337.7/10万比253.9/10万；P
Background: Pneumonia is the leading cause of death due to infectious diseases in the United States; however, the incidence of most infections causing community-acquired pneumonia in adults is not well defined.Methods: We evaluated all adults, residing in 2 counties in Ohio, who were hospitalized in 1991 because of community-acquired pneumonia. Information about risk factors, symptoms, and outcome was collected through interview and medical chart review. Serum samples were collected from consenting individuals during the acute and convalescent phases, and specific etiologic diagnoses were assigned based on results of bacteriologic and immunologic tests.Results: The incidence of community-acquired pneumonia requiring hospitalization in the study counties in 1991 was 266.8 per 100 000 population; the overall case-fatality rate was 8.8%. Pneumonia incidence was higher among blacks than whites (337.7/100 000 vs 253.9/100 000; P