HOSPITAL STUDY OF ADULT COMMUNITY-ACQUIRED PNEUMONIA
HOSPITAL STUDY OF ADULT COMMUNITY-ACQUIRED PNEUMONIA
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成人社区获得性肺炎的医院研究
DOI：
10.1016/s0140-6736(82)90334-8
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发表时间：
1982
期刊：
影响因子：
--
通讯作者：
A. Macrae
中科院分区：
文献类型：
--
作者：
J. Macfarlane;M. J. Ward;R. Finch;A. Macrae
原发性肺炎的原因在127个连续的成人患者入院与社区获得性疾病的124诊断。96名（76%）患者发现肺炎球菌感染，退伍军人病是第二常见的感染（15%）。其他细菌感染并不常见。非典型肺炎11例，其中鹦鹉热7例。有几种混合感染，11例病毒感染的患者中大多数也有细菌性肺炎。19例患者死亡（15%），死亡率与年龄增加、共存疾病的存在和肺炎的原因有关。认识到严重肺炎的最可能原因，可以为住院的此类患者提供合理的初始抗生素治疗。
The cause of primary pneumonia was diagnosed in 124 of 127 consecutive adult patients admitted to hospital with community-acquired illness. Pneumococcal infection was found in 96 (76%) patients and legionnaires' disease was the second commonest infection identified (15%). Other bacterial infections were uncommon. 11 patients had atypical pneumonia, including 7 with psittacosis. There were several mixed infections and most of the 11 patients with viral infections also had bacterial pneumonia. 19 patients died (15%) and mortality was associated with increasing age, the presence of coexisting disease, and the cause of the pneumonia. Recognition of the most likely causes of severe pneumonia allows logical initial antibiotic treatment for such patients admitted to hospital.