Artigo Original/Original Article
Pneumonia adquirida na comunidade numa unidade de cuidados intensivos
Community-acquired pneumonia in an intensive care unit
1 Interna do internato Complementar de Medicina Interna/Resident, Internal Medicine
2 Assistente de Medicina Interna, Intensivista/Consultant, Internal Medicine, Intensive Care
3 Assistente Hospitalar Graduada de Gastrenterologia, Intensivista/Consultant, Gastroenterology Specialist, Intensive Care
4 Assistente Hospitalar Graduado de Medicina Interna, Intensivista e Director da Unidade de Cuidados Intensivos Médico-Cirúrgicos/Consultant, Internal Medicine Specialist, Intensive Care, Medical-Surgical Intensive Care Unit
Read
5632
Timeswas read the article
2296
Total PDF
3336
Total HTML
Share statistics
array:24 [ "pii" => "S0873215915300234" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30023-4" "estado" => "S350" "fechaPublicacion" => "2010-03-01" "aid" => "3" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "copyrightAnyo" => "2010" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2010;16:223-35" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2621 "formatos" => array:3 [ "EPUB" => 230 "HTML" => 1699 "PDF" => 692 ] ] "itemSiguiente" => array:19 [ "pii" => "S0873215915300246" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30024-6" "estado" => "S350" "fechaPublicacion" => "2010-03-01" "aid" => "4" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2010;16:237-52" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2157 "formatos" => array:3 [ "EPUB" => 240 "HTML" => 1266 "PDF" => 651 ] ] "pt" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original/Original Article</span>" "titulo" => "Caracterização de uma população com risco acrescido de DPOC" "tienePdf" => "pt" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "pt" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "237" "paginaFinal" => "252" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Characterisation of a population at increased risk of COPD" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sandra Soares, Isabel Costa, Ana Luísa Neves, Luciana Couto" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Sandra" "apellidos" => "Soares" ] 1 => array:2 [ "nombre" => "Isabel" "apellidos" => "Costa" ] 2 => array:2 [ "nombre" => "Ana Luísa" "apellidos" => "Neves" ] 3 => array:2 [ "nombre" => "Luciana" "apellidos" => "Couto" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300246?idApp=UINPBA00004E" "url" => "/08732159/0000001600000002/v1_201509151443/S0873215915300246/v1_201509151443/pt/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0873215915300222" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30022-2" "estado" => "S350" "fechaPublicacion" => "2010-03-01" "aid" => "2" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2010;16:211-21" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2325 "formatos" => array:3 [ "EPUB" => 226 "HTML" => 1396 "PDF" => 703 ] ] "pt" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original/Original Article</span>" "titulo" => "Comparação do teste de libertação do interferão-γ e da prova de tuberculina no rastreio de profissionais de saúde" "tienePdf" => "pt" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "pt" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "211" "paginaFinal" => "221" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Comparison of interferon-γ release assay and tuberculin test for screening in healthcare workers" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Torres Costa, Rui Silva, Raul Sá, Maria João Cardoso, Carla Ribeiro, Albert Nienhaus" "autores" => array:6 [ 0 => array:2 [ "nombre" => "José Torres" "apellidos" => "Costa" ] 1 => array:2 [ "nombre" => "Rui" "apellidos" => "Silva" ] 2 => array:2 [ "nombre" => "Raul" "apellidos" => "Sá" ] 3 => array:2 [ "nombre" => "Maria João" "apellidos" => "Cardoso" ] 4 => array:2 [ "nombre" => "Carla" "apellidos" => "Ribeiro" ] 5 => array:2 [ "nombre" => "Albert" "apellidos" => "Nienhaus" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300222?idApp=UINPBA00004E" "url" => "/08732159/0000001600000002/v1_201509151443/S0873215915300222/v1_201509151443/pt/main.assets" ] "pt" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original/Original Article</span>" "titulo" => "Pneumonia adquirida na comunidade numa unidade de cuidados intensivos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "223" "paginaFinal" => "235" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M. Raquel Marques, António Nunes, Cristina Sousa, Fausto Moura, João Gouveia, Armindo Ramos" "autores" => array:6 [ 0 => array:4 [ "nombre" => "M. Raquel" "apellidos" => "Marques" "email" => array:1 [ 0 => "mraquelmarques@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 1 => array:3 [ "nombre" => "António" "apellidos" => "Nunes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 2 => array:3 [ "nombre" => "Cristina" "apellidos" => "Sousa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 3 => array:3 [ "nombre" => "Fausto" "apellidos" => "Moura" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 4 => array:3 [ "nombre" => "João" "apellidos" => "Gouveia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 5 => array:3 [ "nombre" => "Armindo" "apellidos" => "Ramos" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "af0020" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cr0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Interna do internato Complementar de Medicina Interna/Resident, Internal Medicine" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente de Medicina Interna, Intensivista/Consultant, Internal Medicine, Intensive Care" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Assistente Hospitalar Graduada de Gastrenterologia, Intensivista/Consultant, Gastroenterology Specialist, Intensive Care" "etiqueta" => "3" "identificador" => "af0015" ] 3 => array:3 [ "entidad" => "Assistente Hospitalar Graduado de Medicina Interna, Intensivista e Director da Unidade de Cuidados Intensivos Médico-Cirúrgicos/Consultant, Internal Medicine Specialist, Intensive Care, Medical-Surgical Intensive Care Unit" "etiqueta" => "4" "identificador" => "af0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "Unidade de Cuidados Intensivos Médico-Cirúrgicos, Hospital Pulido Valente, Director: Dr Armindo Ramos, Alameda das Linhas de Torres,117, 1769-001 Lisboa" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Community-acquired pneumonia in an intensive care unit" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-06-22" "fechaAceptado" => "2009-07-24" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570117" "palabras" => array:3 [ 0 => "Infecções adquiridas na comunidade" 1 => "pneumonia" 2 => "cuidados intensivos" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570116" "palabras" => array:3 [ 0 => "Community-acquired infections" 1 => "pneumonia" 2 => "critical care" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">A pneumonia adquirida na comunidade (PAC) é a principal causa de sépsis em cuidados intensivos de adultos. Com o objectivo de caracterizar o quadro clínico de PAC em cuidados intensivos, tratamento e avaliação de factores prognósticos, com especial relevância para a antibioterapia, realizou-se um estudo retrospectivo dos doentes admitidos numa UCI polivalente com PAC, de 1 de Junho de 2004 a 31 de Dezembro de 2006. Analisaram-se 76 doentes com uma idade média de 62,88 (18,75) anos. O APACHE II médio de 24,88 (9,75) e o SAPS 2 médio era de 51,18 (18,05), com mortalidade prevista de 47,27%. O microrganismo responsável foi identificado em 42,1% dos casos. O agente etiológico mais comum foi o <span class="elsevierStyleItalic">Streptococcus pneumoniae</span>, mas o grupo de agentes etiológicos mais frequentemente identificados foi o dos bacilos entéricos gramnegativos.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">A antibioterapia prévia mais usada foi a levofloxacina. O esquema de antibioterapia mais usado na admissão foi a associação ceftriaxone com azitromicina. Em 32 doentes em que foi possível avaliar a adequação terapêutica, 27 estavam sob esquemas de antibioterapia adequados. Foram submetidos a ventilação mecânica 66 doentes (86,8%), com uma duração mediana de 4 dias. A demora mediana foi de 5,3 dias. A mortalidade na unidade foi de 36,8% e a hospitalar de 55,26%.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall">O índice SAPS 2, o valor de PCR, o potássio sérico e a antibioterapia inicial não adequada relacionaram-se com maior mortalidade. Após análise multivariada, apenas o índice SAPS II manteve significado estatístico.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall">O uso da antibioterapia deve ser criterioso, tendo em conta os principais agentes e a sua susceptibilidade.</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (2): 223-235</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall">Community-acquired pneumonia (CAP) is the leading cause of sepsis in adult critical care.</p><p id="sp0065" class="elsevierStyleSimplePara elsevierViewall">We present a retrospective study of patients admitted to a polyvalent intensive care unit with CAP from 1<span class="elsevierStyleSup">st</span> June 2004 – 31<span class="elsevierStyleSup">st</span> December 2006.</p><p id="sp0070" class="elsevierStyleSimplePara elsevierViewall">We analysed 76 patients with a mean age of 62.88 (18.75) years. Mean APACHE II score was 24.88 (9.75). Mean SAPS II was 51.18 (18.05), with a predicted mortality of 47.27%. Aetiology was identified in 42.1% of the patients. <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> was the most frequent aetiological agent, but the group of aetiological agents more frequently identified was Gram-negative enteric bacilli.</p><p id="sp0075" class="elsevierStyleSimplePara elsevierViewall">Levofloxacine was the most frequently previously used antibiotic. The most frequently used antibiotherapy scheme was the association ceftriaxone – azithromicine. It was possible to evaluate suitability of treatment in 32 patients; 27 were on suitable antibiotherapy regimes. 66 patients (86.8%) were on respirators, with a median length of 4 days. The median length of stay was 5.3<span class="elsevierStyleHsp" style=""></span>days. ICU mortality was 36.8% and hospital mortality 55.26%.</p><p id="sp0080" class="elsevierStyleSimplePara elsevierViewall">SAPS II, CRP (C-reactive protein), potassium and initial unsuitable antibiotherapy were related to mortality. After multivariate analysis, only SAPS II maintained statistical significance.</p><p id="sp0085" class="elsevierStyleSimplePara elsevierViewall">Use of antibiotics should be judicious, taking the most frequent agents and their susceptibility into consideration.</p><p id="sp0090" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (2): 223-235</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "for the PROWESS Clinical Evaluation Committee. Severe community-acquired pneumonia as a cause of severe sepsis: Data from the PROWESS study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "P.F. Laterre" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Crit Care Med" "fecha" => "2005" "volumen" => "33" "numero" => "5" "paginaInicial" => "952" "paginaFinal" => "961" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15891319" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bb0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sepsis mortality prediction based on predisposition, infection and response" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R.P. Moreno" 1 => "B. Metnitz" 2 => "L. Adler" 3 => "A. Hoechtl" 4 => "P. Bauer" 5 => "P.G. Metnitz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00134-007-0943-1" "Revista" => array:7 [ "tituloSerie" => "Intensive Care Med" "fecha" => "2008" "volumen" => "34" "numero" => "3" "paginaInicial" => "496" "paginaFinal" => "504" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18060541" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bb0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "Recomendações de abordagem diagnóstica e terapêutica da pneumonia da comunidade em adultos imunocompetentes" ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Port Pneumol" "fecha" => "2003" "volumen" => "IX" "numero" => "5" "paginaInicial" => "435" "paginaFinal" => "461" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bb0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "BTS Guidelines of the management of community acquired pneumonia in adults" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:12 [ 0 => "J.T. Macfarlane" 1 => "T. Boswell" 2 => "G. Douglas" 3 => "R. Finch" 4 => "W. Holmes" 5 => "D. Honeybourne" 6 => "W.S. Lim" 7 => "R. Marriott" 8 => "D. Nathwani" 9 => "P. Saul" 10 => "M. Woodhead" 11 => "J. Wyatt" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Thorax" "fecha" => "2001" "volumen" => "56" "numero" => "suppl 4" "paginaInicial" => "1" "paginaFinal" => "64" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11120894" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bb0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Guidelines for the management of adults with hospital-acquired, ventilator-associated and health care-associated pnemonia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "American Thoracic Society Documents" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2005" "volumen" => "171" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bb0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Community-acquired pneumonia treated on the ICU" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "E. Apostolidou" 1 => "S. Laparidou" 2 => "G. Damianidis" 3 => "C. Goudis" 4 => "A. Konstantinidou" 5 => "M. Saratseno" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Critical Care" "fecha" => "2006" "volumen" => "10" "numero" => "S1" "paginaInicial" => "P72" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bb0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Community-acquired pneumonia on the intensive care unit: secondary analysis of 17,869 cases in the ICNARC Case Mix Programme Database" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Woodhead" 1 => "C.A. Welch" 2 => "D.A. Harrison" 3 => "G. Bellingan" 4 => "J.G. Ayres" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/cc4828" "Revista" => array:6 [ "tituloSerie" => "Critical Care" "fecha" => "2006" "volumen" => "10" "numero" => "Suppl 2" "paginaInicial" => "S1" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17164013" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bb0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pneumonia grave adquirida na comunidade em cuidados intensivos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Carneiro" 1 => "J.A. Paiva" 2 => "A. Sarmento" 3 => "P. Amaro" 4 => "E. Silva" 5 => "H. Estrada" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2001" "editorial" => "Apresentação nas Jornadas de Medicina Intensiva da Primavera" "editorialLocalizacion" => "Porto" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bb0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Defining community acquired pneumonia severity on presentation to hospital: an interna tional derivation and validation study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "W.S. Lim" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Thorax" "fecha" => "2003" "volumen" => "58" "numero" => "5" "paginaInicial" => "377" "paginaFinal" => "382" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12728155" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bb0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Propensity score adjustment for pretreatment differences between hospitalized and ambulatory patients with community-acquired pneumonia. Pneumonia patient outcomes research team (PORT) investigators" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R.A. Stone" 1 => "D.S. Obrosky" 2 => "D.E. Singer" 3 => "W.N. Kapoor" 4 => "M.J. Fine" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Med Care" "fecha" => "1995" "volumen" => "33" "numero" => "4 Suppl" "paginaInicial" => "AS56" "paginaFinal" => "66" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7723462" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bb0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Etiology of community-acquired pneumonia: impact of age, comorbidity, and severity" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "M. Ruiz" 1 => "S. Ewig" 2 => "M.A. Marcos" 3 => "J.A. Martinez" 4 => "F. Arancibia" 5 => "J. Mensa" 6 => "A. Torres" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.160.2.9808045" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "1999" "volumen" => "160" "paginaInicial" => "397" "paginaFinal" => "405" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10430704" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bb0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Community-acquired pneumonia in Europe: causative pathogens and resistance patterns" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M. Woodhead" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Eur Respir J" "fecha" => "2002" "volumen" => "20" "numero" => "Suppl. 36" "paginaInicial" => "20" "paginaFinal" => "27" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12166571" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bb0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Re-evaluation of pneumonia requiring admission to an intensive care unit: a prospective study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "N.S. Dahmash" 1 => "M.N.H. Chowdhury" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1994" "volumen" => "49" "paginaInicial" => "71" "paginaFinal" => "76" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8153944" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bb0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The aetiology of severe community-acquired pneumonia and its impact on initial, empiric, antimicrobial chemotherapy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C. Feldman" 1 => "S. Ross" 2 => "A.G. Mahomed" 3 => "J. Omar" 4 => "C. Smith" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Respir Med" "fecha" => "1995" "volumen" => "89" "paginaInicial" => "187" "paginaFinal" => "192" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7746911" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bb0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Severe community-acquired pneumonia: assessment of microbial aetiology as mortality factor" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "F. Paganin" 1 => "F. Lilienthal" 2 => "A. Bourdin" 3 => "N. Lugagne" 4 => "F. Tixier" 5 => "R. Genin" 6 => "J.-L. Yvin" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1183/09031936.04.00119503" "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2004" "volumen" => "24" "paginaInicial" => "779" "paginaFinal" => "785" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15516672" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bb0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Is C-reactive protein a good prognostic marker in septic patients?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:8 [ 0 => "J. Silvestre" 1 => "P. Póvoa" 2 => "L. Coelho" 3 => "E. Almeida" 4 => "P. Moreira" 5 => "A. Fernandes" 6 => "R. Mealha" 7 => "H. Sabino" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00134-009-1402-y" "Revista" => array:7 [ "tituloSerie" => "Intensive Care Med" "fecha" => "2009" "volumen" => "35" "numero" => "5" "paginaInicial" => "909" "paginaFinal" => "913" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19169668" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001600000002/v1_201509151443/S0873215915300234/v1_201509151443/pt/main.assets" "Apartado" => array:4 [ "identificador" => "9575" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Artigos originais" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001600000002/v1_201509151443/S0873215915300234/v1_201509151443/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300234?idApp=UINPBA00004E" ]
Article information
ISSN: 08732159Original language: Portuguese
The statistics are updated each day
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 1 | 3 |
| 2024 October | 45 | 35 | 80 |
| 2024 September | 41 | 33 | 74 |
| 2024 August | 38 | 36 | 74 |
| 2024 July | 37 | 34 | 71 |
| 2024 June | 25 | 21 | 46 |
| 2024 May | 28 | 31 | 59 |
| 2024 April | 36 | 34 | 70 |
| 2024 March | 29 | 37 | 66 |
| 2024 February | 16 | 21 | 37 |
| 2024 January | 28 | 30 | 58 |
| 2023 December | 23 | 24 | 47 |
| 2023 November | 22 | 19 | 41 |
| 2023 October | 13 | 48 | 61 |
| 2023 September | 22 | 28 | 50 |
| 2023 August | 25 | 26 | 51 |
| 2023 July | 27 | 31 | 58 |
| 2023 June | 19 | 22 | 41 |
| 2023 May | 25 | 28 | 53 |
| 2023 April | 15 | 25 | 40 |
| 2023 March | 24 | 24 | 48 |
| 2023 February | 21 | 34 | 55 |
| 2023 January | 21 | 29 | 50 |
| 2022 December | 28 | 28 | 56 |
| 2022 November | 24 | 44 | 68 |
| 2022 October | 28 | 33 | 61 |
| 2022 September | 19 | 35 | 54 |
| 2022 August | 36 | 38 | 74 |
| 2022 July | 25 | 39 | 64 |
| 2022 June | 15 | 29 | 44 |
| 2022 May | 24 | 36 | 60 |
| 2022 April | 33 | 31 | 64 |
| 2022 March | 14 | 39 | 53 |
| 2022 February | 24 | 36 | 60 |
| 2022 January | 29 | 39 | 68 |
| 2021 December | 20 | 35 | 55 |
| 2021 November | 27 | 36 | 63 |
| 2021 October | 31 | 31 | 62 |
| 2021 September | 20 | 34 | 54 |
| 2021 August | 29 | 21 | 50 |
| 2021 July | 18 | 19 | 37 |
| 2021 June | 19 | 28 | 47 |
| 2021 May | 32 | 29 | 61 |
| 2021 April | 33 | 59 | 92 |
| 2021 March | 41 | 14 | 55 |
| 2021 February | 32 | 18 | 50 |
| 2021 January | 33 | 21 | 54 |
| 2020 December | 35 | 19 | 54 |
| 2020 November | 44 | 12 | 56 |
| 2020 October | 30 | 20 | 50 |
| 2020 September | 41 | 14 | 55 |
| 2020 August | 31 | 29 | 60 |
| 2020 July | 60 | 21 | 81 |
| 2020 June | 39 | 16 | 55 |
| 2020 May | 46 | 22 | 68 |
| 2020 April | 38 | 13 | 51 |
| 2020 March | 36 | 8 | 44 |
| 2020 February | 47 | 26 | 73 |
| 2020 January | 41 | 16 | 57 |
| 2019 December | 26 | 23 | 49 |
| 2019 November | 40 | 20 | 60 |
| 2019 October | 24 | 17 | 41 |
| 2019 September | 23 | 21 | 44 |
| 2019 August | 58 | 26 | 84 |
| 2019 July | 58 | 22 | 80 |
| 2019 June | 49 | 15 | 64 |
| 2019 May | 58 | 20 | 78 |
| 2019 April | 53 | 31 | 84 |
| 2019 March | 116 | 10 | 126 |
| 2019 February | 95 | 11 | 106 |
| 2019 January | 81 | 19 | 100 |
| 2018 December | 54 | 9 | 63 |
| 2018 November | 17 | 0 | 17 |
| 2018 October | 15 | 6 | 21 |
| 2018 September | 24 | 6 | 30 |
| 2018 August | 46 | 23 | 69 |
| 2018 July | 40 | 29 | 69 |
| 2018 June | 63 | 24 | 87 |
| 2018 May | 82 | 30 | 112 |
| 2018 April | 54 | 41 | 95 |
| 2018 March | 80 | 34 | 114 |
| 2018 February | 43 | 9 | 52 |
| 2018 January | 68 | 13 | 81 |
| 2017 December | 72 | 14 | 86 |
| 2017 November | 54 | 21 | 75 |
| 2017 October | 21 | 17 | 38 |
| 2017 September | 25 | 14 | 39 |
| 2017 August | 14 | 12 | 26 |
| 2017 July | 11 | 6 | 17 |
| 2017 June | 23 | 17 | 40 |
| 2017 May | 30 | 8 | 38 |
| 2017 April | 6 | 2 | 8 |
| 2017 March | 12 | 2 | 14 |
| 2017 February | 7 | 3 | 10 |
| 2017 January | 12 | 3 | 15 |
| 2016 December | 10 | 4 | 14 |
| 2016 November | 8 | 6 | 14 |
| 2016 October | 9 | 9 | 18 |
| 2016 September | 5 | 6 | 11 |
| 2016 August | 5 | 2 | 7 |
| 2016 July | 3 | 1 | 4 |
| 2016 May | 0 | 5 | 5 |
| 2016 April | 2 | 5 | 7 |
| 2016 March | 5 | 17 | 22 |
| 2016 February | 9 | 9 | 18 |
| 2016 January | 7 | 6 | 13 |
| 2015 December | 10 | 3 | 13 |
| 2015 November | 3 | 3 | 6 |
| 2015 October | 2 | 3 | 5 |
Show all
