| Autor: |
Sara-Jane Salstrom, Barbara A. Hackman, Barbara J. Marston, Margarette S. Kolczak, Harvey B. Lipman, Joseph F. Plouffe, Robert F. Breiman, Thomas M. File |
| Rok vydání: |
1997 |
| Předmět: |
|
| Zdroj: |
Archives of Internal Medicine. 157:1709 |
| ISSN: |
0003-9926 |
| DOI: |
10.1001/archinte.1997.00440360129015 |
| Popis: |
Background: Pneumonia is the leading cause of death due to infectious diseases in the United States; however, the incidence of most infections causing community-acquired pneumonia in adults is not well defined. Methods: We evaluated all adults, residing in 2 counties in Ohio, who were hospitalized in 1991 because of community-acquired pneumonia. Information about risk factors, symptoms, and outcome was collected through interview and medical chart review. Serum samples were collected from consenting individuals during the acute and convalescent phases, and specific etiologic diagnoses were assigned based on results of bacteriologic and immunologic tests. Results: The incidence of community-acquired pneumonia requiring hospitalization in the study counties in 1991 was 266.8 per 100 000 population; the overall case-fatality rate was 8.8%. Pneumonia incidence was higher among blacks than whites (337.7/100 000 vs 253.9/ 100 000;P Conclusions: These data provide information about the importance of community-acquired pneumonia and the relative and overall impact of specific causes of pneumonia. The study provides a basis for choosing optimal empiric pneumonia therapy, and allows interventions for prevention of pneumonia to be targeted at groups at greatest risk for serious illness and death. Arch Intern Med. 1997;157:1709-1718 |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
