Community-acquired pneumonia - A prospective outpatient study
Community-acquired pneumonia - A prospective outpatient study
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DOI：
10.1097/00005792-200103000-00001
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发表时间：
2001-03-01
期刊：
影响因子：
1.6
通讯作者：
Francioli, P
中科院分区：
文献类型：
--
作者：
Bochud, PY;Moser, F;Francioli, P
肺炎是美国第六大死因和第一大感染性死亡原因(5)。社区研究中肺炎的发病率从每年每千名成年人2.6至16.8人不等(1、7、24、30、55)。大多数临床实践信息和建议是基于对住院患者的研究，他们只占肺炎病例的5%-16%(24，39例)。仅有11项社区肺炎临床研究在门诊进行(1、9、10、16、17、23、36、38、42、51、55)。这些研究大多集中在病因上，很少提供有关临床结果的信息(9、16、42、51)。此外，由于患者数量较少(9、16、51)，微生物记录不完整(17、23、38、42)，尤其是缺乏明确的放射学标准(16、36、42、51、55)，对结果的解释受到阻碍。了解社区肺炎的结果很重要，因为它使医生能够评估潜在并发症的风险和症状缓解的自然历史。很少有报告评估社区获得性肺炎的预后，特别是在门诊环境下(13、22、23)。这项前瞻性研究的目的是确定社区肺炎的病因、临床和放射学特征以及在门诊寻求从业者治疗的患者群体中的预后。
Pneumonia constitutes the sixth cause of death and the first cause of infectious deaths in the United States (5). The incidence of pneumonia in community studies ranges from 2.6 to 16.8 per 1,000 adults per year (1, 7, 24, 30, 55). Most information and recommendations for clinical practice are based on studies of hospitalized patients, who represent only 5%-16% of pneumonia cases (24, 39). Only 11 clinical studies of community pneumonia have been performed in ambulatory practice (1, 9, 10, 16, 17, 23, 36, 38, 42, 51, 55). Most of these studies have focused on etiology and provide little information about clinical outcome (9, 16, 42, 51). In addition, interpretation of the results is hampered by the small number of patients (9, 16, 51), by incomplete microbiologic documentation (17, 23, 38, 42), and especially by the absence of clear radiographic criteria (16, 36, 42, 51, 55). Understanding the outcome of community pneumonia is important because it allows physicians to evaluate the risk for potential complications and the natural history of symptom resolution. Few reports have assessed the prognosis of community-acquired pneumonia, especially in the ambulatory setting (13, 22, 23). The purpose of this prospective study is to establish the etiology, clinical and radiographic characteristics, and prognosis of community pneumonia in a population of patients seeking care from practitioners on an ambulatory basis.