THE ETIOLOGY OF COMMUNITY-ACQUIRED PNEUMONIA AMONG HOSPITALIZED-PATIENTS DURING A CHLAMYDIA-PNEUMONIAE EPIDEMIC IN FINLAND
THE ETIOLOGY OF COMMUNITY-ACQUIRED PNEUMONIA AMONG HOSPITALIZED-PATIENTS DURING A CHLAMYDIA-PNEUMONIAE EPIDEMIC IN FINLAND
复制标题
DOI：
10.1093/infdis/172.5.1330
复制
发表时间：
1995-11-01
影响因子：
6.4
通讯作者：
SYRJALA, H
中科院分区：
文献类型：
--
作者：
KAUPPINEN, MT;HERVA, E;SYRJALA, H
对125例住院患者肺炎衣原体流行期间社区获得性肺炎的病因进行了研究。病因学检查包括血液和痰培养、肺炎球菌抗原检测、常见呼吸道病毒、肺炎链球菌、流感嗜血杆菌、卡他莫拉菌、肺炎支原体和衣原体的血清学检查。在110例（88%）患者中鉴定出特异性微生物制剂。混合感染占48%，以肺炎链球菌感染最多（55%），其次为肺炎链球菌感染（43%）。肺炎衣原体既可作为单一病原，也可作为混合感染，最常与肺炎链球菌一起感染。总之，肺炎链球菌是社区获得性肺炎的最常见原因，即使在肺炎C菌流行期间也是如此。该菌单独或与其他病原体（特别是肺炎链球菌）一起可引起需要住院治疗的社区获得性肺炎。
The etiology of community-acquired pneumonia during a Chlamydia pneumoniae epidemic was studied among 125 hospitalized patients. Etiologic investigations included blood and sputum cultures, pneumococcal antigen detection, and serologic investigations for common respiratory viruses and for Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Mycoplasma pneumoniae, and Chlamydia species. A specific microbial agent was identified in 110 patients (88%). Some 48% of the patients had mixed infections, S. pneumoniae was the most common pathogen (55%), followed by C. pneumoniae (43%). C. pneumoniae was found both as a single etiologic agent and as a mixed infection, most often with S. pneumoniae. In conclusion, S. pneumoniae is the most common cause of community-acquired pneumonia, even during a C pneumoniae epidemic. The organism, alone or with other pathogens (especially S. pneumoniae), may cause community-acquired pneumonia that requires hospital treatment.