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Titolo:
The etiology of community-acquired pneumonia at an urban public hospital: Influence of human immunodeficiency virus infection and initial severity ofillness
Autore:
Park, DR; Sherbin, VL; Goodman, MS; Pacifico, AD; Rubenfeld, GD; Polissar, NL; Root, RK;
Indirizzi:
Univ Washington, Harborview Med Ctr, Dept Med, Div Pulm & Crit Care Med, Seattle, WA 98104 USA Univ Washington Seattle WA USA 98104 Crit Care Med, Seattle, WA 98104 USA Univ Washington, Harborview Med Ctr, Dept Med, Div Infect Dis, Seattle, WA98104 USA Univ Washington Seattle WA USA 98104 Div Infect Dis, Seattle, WA98104 USA Univ Washington, Sch Med, Dept Biostat, Seattle, WA USA Univ Washington Seattle WA USA n, Sch Med, Dept Biostat, Seattle, WA USA
Titolo Testata:
JOURNAL OF INFECTIOUS DISEASES
fascicolo: 3, volume: 184, anno: 2001,
pagine: 268 - 277
SICI:
0022-1899(20010801)184:3<268:TEOCPA>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
BACTERIAL PNEUMONIA; REQUIRING HOSPITALIZATION; HIV-INFECTION; PULMONARY COMPLICATIONS; ANTIMICROBIAL THERAPY; PROGNOSTIC FACTORS; ADULT PATIENTS; RISK-FACTORS; IMPACT; EPIDEMIOLOGY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
60
Recensione:
Indirizzi per estratti:
Indirizzo: Park, DR Univ Washington, Harborview Med Ctr, Dept Med, Div Pulm & Crit Care Med, 325 9Th Ave,Box 359762, Seattle, WA 98104 USA Univ Washington 325 9Th Ave,Box 359762 Seattle WA USA 98104 4 USA
Citazione:
D.R. Park et al., "The etiology of community-acquired pneumonia at an urban public hospital: Influence of human immunodeficiency virus infection and initial severity ofillness", J INFEC DIS, 184(3), 2001, pp. 268-277

Abstract

In a prospective study, the etiology of community-acquired pneumonia (CAP)was investigated among consecutive patients admitted to an academic, urbanpublic hospital in Seattle. The study population was uniquely young, was predominantly male, and had high rates of homelessness, cigarette smoking, alcoholism, injection drug use, and human immunodeficiency virus (HIV) infection. Leading causes of CAP among HIV-negative patients were aspiration, followed by Streptococcus pneumoniae, Legionella species, and Mycoplasma pneumoniae. Among HIV-positive patients, Pneumocystis carinii, Mycobacterium tuberculosis, S. pneumoniae, and M. pneumoniae were the most common etiologicagents. Severe CAP was associated with typical bacterial infections and aspiration pneumonia but not Legionella infection among HIV-negative patientsand with Pseudomonas aeruginosa infections among HIV-positive patients. These findings emphasize the need to tailor empirical antibiotic therapy according to local patient populations and individual risk factors and highlight the importance of recognizing underlying HIV infection in patients who are hospitalized with CAP.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 00:57:29