![]() Although low in the out-patient setting, mortality is reported to be 25% in those requiring hospitalization. ![]() It is the fifth leading cause of death in those over 65 years of age ( 3). However, statistical figures from the United States suggest that over 3.3 million cases of community acquired ( ca) pneumonia occur annually ( 2). Morbidity and mortality in patients with pneumonia in the recent era remain high despite the development of effective antimicrobial agents and increasingly better understanding of the pathogenesis and etiology of pneumonia.Īccurate assessment of the overall burden of pneumonia on health care remains inaccurate since pneumonia is not a reportable illness and the majority of patients are managed in the ambulatory setting. Hirsch’s report appears to differ little from subsequent surveys of pneumonia. This report had followed the first successful culture of a bacterial organism from a patient with pneumonia by Louis Pasteur, who aptly named the organism Streptococcus pneumoniae. T he first report of a population survey of pneumonia was by August Hirsch in 1881 ( 1), in which he described pneumonia to occur in epidemics and to be more prevalent in the elderly, the sick and those of low socioeconomic status. Au moment du congé, 1 261 patients (78 %) étaient guéris ou leur état s’était amélioré et 361 patients (22 %) sont décédés durant leur hospitalisation. La durée moyenne de l’hospitalisation pour le groupe atteint de pneumonie acquise dans la communauté et dans les établissement de santé a été de 17 jours et dans le groupe atteint de pneumonie acquise à l’hôpital, de 43 jours. Quinze pour cent ont nécessité un séjour aux soins intensifs. Cent quatre patients ont présenté des complications. #Proteus 8.5 language pack plusaureus les organismes pathogènes gram-négatifs étaient les plus courants dans le groupe souffrant de pneumonie acquise à l’hôpital et les organismes gram-négatifs, chez les patients des établissement de soins prolongés. pneumoniae ont été les plus fréquemment incriminés dans la pneumonie acquise dans la communauté, alors que S. Les organismes pathogènes isolés dans l’ensemble ont été Haemophilus influenzae (204 patients), Staphylococcus aureus (152 patients), Streptococcus pneumoniae (143 patients), Escherichia coli (113 patients) et Pseudomonas aeruginosa (111 patients). Les radiographies pulmonaires étaient anormales chez 98 %. En tout, 1 542 patients (95 %) souffraient d’au moins un autre problème de santé. Chez soixante-trois pour cent, la pneumonie avait été acquise dans la communauté, chez 28,5 %, dans un établissement de soins prolongés et chez 8,5 %, dans un hôpital. ![]() La moyenne d’âge était de 64,4 ans 59,4 % étaient des hommes et 40,6 % des femmes. ![]() Les dossiers de 1 622 cas sur ces 1 782 ont été passés en revue. At time of discharge 1261 patients (78%) were cured or improved, and 361 patients (22%) died during the admission. ![]() The average length of hospitalization in the ca and na groups was 17 days and in the ha group, 43 days. Fifteen per cent required intensive care unit admission. One hundred and four patients developed complications. H influenzae and S pneumoniae were most common in ca pneumonia, whereas S aureus and Gram-negative organisms were more common in the ha group and Gram-negative agents in the na group. Common organisms isolated overall were Haemophilus influenzae (from 204 patients), Staphylococcus aureas (from 152 patients), Streptococcus pneumoniae (from 143 patients ), Escherichia coli (from 113 patients) and Pseudomonas aeruginosa (from 111 patients). A total of 1542 patients (95%) had at least one concomitant medical condition. Sixty-three per cent were ca, 28.5% were ha and 8.5% were na. Mean age was 64.4 years with 59.4% men and 40.6% women. Charts of 1622 of the total 1782 cases were reviewed. ![]()
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