1. Community-acquired pneumonia in hospitalised patients: changes in aetiology, clinical presentation, and severity outcomes in a 10-year period
- Author
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Júlia Sellarès-Nadal, Joaquín Burgos, María Teresa Martín-Gómez, Andrés Antón, Roger Sordé, Daniel Romero-Herrero, Pau Bosch-Nicolau, Anna Falcó-Roget, Cristina Kirkegaard, Dolors Rodríguez-Pardo, Oscar Len, Vicenç Falcó, Institut Català de la Salut, [Sellarès-Nadal J, Burgos J, Falcó V] Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain. Servei de Malalties Infeccioses, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. [Martín-Gómez MT, Antón A, Romero-Herrero D] Servei de Microbiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Sordé R] Internal Medicine Department, Hospital de Trauma Manuel Giagni, Ministerio de Salud Publica y Bienestar Social, Asunción, Paraguay. [Bosch-Nicolau P] Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain. Servei de Malalties Infeccioses, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Falcó-Roget A, Kirkegaard C, Rodríguez-Pardo D, Len O] Servei de Malalties Infeccioses, Vall d’Hebron Hospital Universitari, Barcelona, Spain, and Vall d'Hebron Barcelona Hospital Campus
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Staphylococcus aureus ,enfermedades respiratorias::enfermedades pulmonares::neumonía [ENFERMEDADES] ,infecciones bacterianas y micosis::infección::infecciones adquiridas en la comunidad [ENFERMEDADES] ,Bacteremia ,MRSA ,Pneumonia ,General Medicine ,Shock, Septic ,Pneumònia adquirida a la comunitat ,Respiratory Tract Diseases::Lung Diseases::Pneumonia [DISEASES] ,Other subheadings::/etiology [Other subheadings] ,Community-Acquired Infections ,Pleural Effusion ,Pneumònia - Etiologia ,Otros calificadores::/etiología [Otros calificadores] ,Virology ,Humans ,Mortality ,Bacterial Infections and Mycoses::Infection::Community-Acquired Infections [DISEASES] - Abstract
Staphylococcus aureus; Mortality; Virology Staphylococcus aureus; Mortalidad; Virología Staphylococcus aureus; Mortalitat; Virologia Background and objective Community-acquired pneumonia (CAP) is a frequent cause of hospitalisation. Several factors, such as pandemics, vaccines and globalisation may lead to changes in epidemiology, clinical presentation, and outcomes of CAP, which oblige to a constant actualisation. We performed this study to analyse how these factors have evolved over a 10-year period. Materials and methods Patients diagnosed with CAP for two 1-year periods that were 10 years apart (2007–2008 and 2017–2018) were included. We compared microbiological information, clinical data and evolutive outcomes in the two periods. A mortality analysis was performed. Results 1043 patients were included: 452 during the first period (2007- 2008), and 591 during the second period (2017–2018). Bacterial aetiology did not change during the 10-year period, besides a slight increase in Staphylococcus aureus (0.9% vs 2.9%, p = 0.026). There was a decline in the proportion of bacteraemia in the second period (14.8% vs 9.6%, p = 0.012). The incidence of complicated pleural effusion and septic shock declined too (6.4% vs 3.6%, p = 0.04 and 15.5% vs 6.3%, p
- Published
- 2022