Artigo Original/Original Article
Internamento devido a PAC por Streptococcus pneumoniae – Avaliação de factores de mortalidade
Streptococcus pneumoniae – caused CAP in hospitalised patients: mortality predictors
Sandra Figueiredo1, Ana Paula Vaz1, João Bento1, Maria Dolores Pinheiro3, Adelina Amorim2, Carla Damas2
1 Internato Médico. Serviço de Pneumologia do Hospital de São João (EPE), Porto / Resident, Pulmonology Unit, Hospital de São João (EPE)
2 Assistente Hospitalar. Serviço de Pneumologia do Hospital de São João (EPE), Porto / Consultant, Pulmonology Unit, Hospital de São João (EPE)
3 Assistente Hospitalar Graduada do Laboratório de Microbiologia. Serviço de Patologia Clínica do Hospital de São João (EPE), Porto / Consultant, Microbiology Laboratory specialist, Clinical Pathology Unit, Hospital de São João (EPE)
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Serviço de Pneumologia do Hospital de São João (EPE), Porto / Resident, Pulmonology Unit, Hospital de São João (EPE)" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente Hospitalar. Serviço de Pneumologia do Hospital de São João (EPE), Porto / Consultant, Pulmonology Unit, Hospital de São João (EPE)" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Assistente Hospitalar Graduada do Laboratório de Microbiologia. Serviço de Patologia Clínica do Hospital de São João (EPE), Porto / Consultant, Microbiology Laboratory specialist, Clinical Pathology Unit, Hospital de São João (EPE)" "etiqueta" => "3" "identificador" => "af0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Streptococcus pneumoniae – caused CAP in hospitalised patients: mortality predictors" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-04-09" "fechaAceptado" => "2008-05-12" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570111" "palabras" => array:2 [ 0 => "Pneumonia adquirida na comunidade" 1 => "Streptococcus pneumoniae" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570110" "palabras" => array:2 [ 0 => "Community-acquired pneumonia" 1 => "Streptococcus pneumoniae" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">A avaliação da gravidade perante qualquer caso de pneumonia adquirida na comunidade (PAC) é de suma importância, pois dela decorrem decisões como a necessidade de internamento e o tratamento empírico inicial. Os autores apresentam um estudo retrospectivo, que incluiu doentes internados devido a pneumonia por <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> durante o ano de 2006, no Hospital de São João. A confirmação etiológica de infecção foi feita por isolamentos no sangue, líquido pleural, secreções traqueobrônquicas, lavado brônquico, lavado broncoalveolar e pesquisa de antigenúria. Foram analisados os factores de risco e avaliados, com base nas normas PSI (<span class="elsevierStyleItalic">Pneumonia Severity Index</span>) e da <span class="elsevierStyleItalic">British Thoracic Society</span> (BTS) -CURB-65. A análise estatística foi efectuada utilizando teste T para amostras independentes e ANOVA, usando o programa de análise estatística SPSS 14.0.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Foram incluídos 104 doentes com idade mediana de 63 anos, sendo 67,3% do sexo masculino. O estudo revelou existir uma associação com significado estatístico entre os resultados de PSI e CURB-65 e a evolução para a mortalidade.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Apesar da melhoria dos meios diagnósticos e profilácticos, e da terapêutica antibiótica, a pneumonia pneumocócica permanece uma entidade de grande morbilidade e mortalidade. O valor preditivo das normas PSI e CURB-65 foi confirmado nesta população de doentes, documentando uma correlação entre o número de factores de risco e a evolução da doença.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (5): 601-615</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">Probably the most important decision in the management of Community-Acquired Pneumonia (CAP) is patient site of care. Patients with <span class="elsevierStyleItalic">Streptococcus pneumoniae</span>-caused CAP admitted to our hospital between 1<span class="elsevierStyleSup">st</span> January and 31<span class="elsevierStyleSup">st</span> December 2006 were retrospectively analysed. Samples of blood, sputum, bronchial and bronchoalveolar lavage and urine were collected for microbiological testing using standard culture techniques and urine antigen detection. Pneumonia Severity Index (PSI) and British Thoracic Society (BTS) CURB-65 scoring tools were evaluated. The statistical treatment was performed using the SPSS 14.0 program. We included 104 patients, 67.3% male, median age 63 years old, mortality 13.4%. There was a significant association between the PSI and CURB-65 score and mortality. Despite advances, CAP is still an important health problem with a high attendant morbi-mortality. This study confirms the value of PSI and CURB-65 in the prediction of severe pneumonia.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (5): 601-615</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:14 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Teles de Araújo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:2 [ "titulo" => "Relatório do Observatório Nacional de Doenças Respiratórias de" "fecha" => "2006" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bb0010" "etiqueta" => "2." 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ISSN: 08732159Original language: Portuguese
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| 2020 December | 18 | 17 | 35 |
| 2020 November | 51 | 20 | 71 |
| 2020 October | 22 | 16 | 38 |
| 2020 September | 56 | 31 | 87 |
| 2020 August | 56 | 22 | 78 |
| 2020 July | 55 | 21 | 76 |
| 2020 June | 47 | 22 | 69 |
| 2020 May | 53 | 20 | 73 |
| 2020 April | 55 | 18 | 73 |
| 2020 March | 48 | 16 | 64 |
| 2020 February | 34 | 18 | 52 |
| 2020 January | 40 | 17 | 57 |
| 2019 December | 46 | 15 | 61 |
| 2019 November | 50 | 9 | 59 |
| 2019 October | 49 | 22 | 71 |
| 2019 September | 45 | 15 | 60 |
| 2019 August | 51 | 20 | 71 |
| 2019 July | 36 | 14 | 50 |
| 2019 June | 51 | 15 | 66 |
| 2019 May | 39 | 37 | 76 |
| 2019 April | 71 | 28 | 99 |
| 2019 March | 46 | 16 | 62 |
| 2019 February | 47 | 14 | 61 |
| 2019 January | 47 | 17 | 64 |
| 2018 December | 30 | 15 | 45 |
| 2018 November | 4 | 7 | 11 |
| 2018 October | 15 | 1 | 16 |
| 2018 September | 13 | 4 | 17 |
| 2018 August | 46 | 26 | 72 |
| 2018 July | 30 | 23 | 53 |
| 2018 June | 43 | 22 | 65 |
| 2018 May | 54 | 21 | 75 |
| 2018 April | 49 | 26 | 75 |
| 2018 March | 43 | 31 | 74 |
| 2018 February | 26 | 7 | 33 |
| 2018 January | 48 | 16 | 64 |
| 2017 December | 35 | 12 | 47 |
| 2017 November | 37 | 11 | 48 |
| 2017 October | 17 | 15 | 32 |
| 2017 September | 26 | 8 | 34 |
| 2017 August | 31 | 9 | 40 |
| 2017 July | 17 | 13 | 30 |
| 2017 June | 25 | 21 | 46 |
| 2017 May | 43 | 19 | 62 |
| 2017 April | 12 | 4 | 16 |
| 2017 March | 21 | 3 | 24 |
| 2017 February | 16 | 5 | 21 |
| 2017 January | 10 | 5 | 15 |
| 2016 December | 14 | 2 | 16 |
| 2016 November | 11 | 4 | 15 |
| 2016 October | 13 | 10 | 23 |
| 2016 September | 2 | 6 | 8 |
| 2016 August | 5 | 3 | 8 |
| 2016 July | 5 | 1 | 6 |
| 2016 May | 1 | 2 | 3 |
| 2016 April | 1 | 11 | 12 |
| 2016 March | 1 | 5 | 6 |
| 2016 February | 5 | 6 | 11 |
| 2016 January | 4 | 6 | 10 |
| 2015 December | 7 | 2 | 9 |
| 2015 November | 1 | 2 | 3 |
| 2015 October | 3 | 2 | 5 |
Show all
