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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Probably the most important decision in the management of Community-Acquired Pneumonia &#40;CAP&#41; is patient site of care&#46; 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&#46; Samples of blood&#44; sputum&#44; bronchial and bronchoalveolar lavage and urine were collected for microbiological testing using standard culture techniques and urine antigen detection&#46; Pneumonia Severity Index &#40;PSI&#41; and British Thoracic Society &#40;BTS&#41; CURB-65 scoring tools were evaluated&#46; The statistical treatment was performed using the SPSS 14&#46;0 program&#46; We included 104 patients&#44; 67&#46;3&#37; male&#44; median age 63 years old&#44; mortality 13&#46;4&#37;&#46; There was a significant association between the PSI and CURB-65 score and mortality&#46; Despite advances&#44; CAP is still an important health problem with a high atten - dant morbi-mortality&#46; This study confirms the value of PSI and CURB-65 in the prediction of severe pneumonia&#46;</p>"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A avalia&#231;&#227;o da gravidade perante qualquer caso de pneumonia adquirida na comunidade &#40;PAC&#41; &#233; de suma import&#226;ncia&#44; pois dela decorrem decis&#245;es como a necessidade de internamento e o tratamento emp&#237;rico inicial&#46; Os autores apresentam um estudo retrospectivo&#44; que incluiu doentes internados devido a pneumonia por <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> durante o ano de 2006&#44; no Hospital de S&#227;o Jo&#227;o&#46; A confirma&#231;&#227;o etiol&#243;gica de infec&#231;&#227;o foi feita por isolamentos no sangue&#44; l&#237;quido pleural&#44; secre&#231;&#245;es traqueobr&#244;nquicas&#44; lavado br&#244;nquico&#44; lavado broncoalveolar e pesquisa de antigen&#250;ria&#46; Foram analisados os factores de risco e avaliados&#44; com base nas normas PSI &#40;<span class="elsevierStyleItalic">Pneumonia Severity Index</span>&#41; e da <span class="elsevierStyleItalic">British Thoracic Society</span> &#40;BTS&#41; - CURB-65&#46; A an&#225;lise estat&#237;stica foi efectuada utilizando teste T para amostras independentes e ANOVA&#44; usando o programa de an&#225;lise estat&#237;stica SPSS 14&#46;0&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Foram inclu&#237;dos 104 doentes com idade mediana de 63 anos&#44; sendo 67&#44;3&#37; do sexo masculino&#46; O estudo revelou existir uma associa&#231;&#227;o com significado estat&#237;stico entre os resultados de PSI e CURB-65 e a evolu&#231;&#227;o para a mortalidade&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Apesar da melhoria dos meios diagn&#243;sticos e profil&#225;cticos&#44; e da terap&#234;utica antibi&#243;tica&#44; a pneumonia pneumoc&#243;cica permanece uma entidade de grande morbilidade e mortalidade&#46; O valor preditivo das normas PSI e CURB-65 foi confirmado nesta popula&#231;&#227;o de doentes&#44; documentando uma correla&#231;&#227;o entre o n&#250;mero de factores de risco e a evolu&#231;&#227;o da doen&#231;a&#46;</p>"
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Streptococcus pneumoniae – caused CAP in hospitalised patients: mortality predictors
Internamento devido a PAC por Streptococcus pneumoniae – Avaliação de factores de mortalidade
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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Pulmonology

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