A prospective comparison of nursing home acquired pneumonia with community acquired pneumonia

A prospective comparison of nursing home acquired pneumonia with community acquired pneumonia
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DOI:
10.1183/09031936.01.00204401
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发表时间:
2001-08-01
影响因子:
24.3
通讯作者:
Macfarlane, JT
Macfarlane, JT
中科院分区:
医学1区
文献类型:
--
作者:
Lim, WS;Macfarlane, JT

文献摘要

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Nursing home acquired pneumonia (NHAP) is thought to be clinically distinct from community acquired pneumonia (CAP). This observation, based on studies conducted mainly in North America, may not be relevant in countries with a different healthcare system.The authors describe an 18-month prospective cohort study of 437 patients admitted to hospital with CAP, 40 (9%) of whom came from nursing homes. Detailed microbiological tests were performed in a subset of patients over 12 months.Patients with NHAP were less likely to have a productive cough (odds ratio (OR) 0.4, p=0.02) or pleuritic pain (OR 0.1, p=0.03), but they were more Iikely to be confused (OR 2.6, p