Neumonía neumocócica bacteriémica en adultos en hospital regional de Chile

Translated title of the contribution: Bacteremic pneumococcal pneumonia in adults admitted to a general hospital. Experience in 60 cases

María Luisa Rioseco Z*, Raúl Riquelme O., Mauricio Riquelme O, Carlos Inzunza P, Javier Riquelme D, Andrea Sanhueza R

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Background: Bacteremic pneumococcal pneumonia (BPP) is a preventable disease with high morbimortality. Aim: To evaluate clinical aspects and mortality on BPP patients admitted to a Chilean regional hospital. Patients and Methods: We looked for adult patients with Streptococcus pneumoniae isolated from blood cultures between 2010 and 2014 years and reviewed clinical records of those who were admitted with pneumonia. Results: We identified 70 BPP patients: 58% were men, mean age was 56 years, 30% were > 65 years, 70% with basic public health insurance, 26% were alcoholics, 86% had comorbidities. Only two patients were vaccinated against S. pneumoniae. CURB-65 severity index for community acquired pneumonia was > 3 in 37% of patients. Twenty-four patients were admitted to ICU, twenty required mechanical ventilation and twenty-four died (34%). Mortality was associated with an age over 65 years, presence of comorbidities and complications of pneumonia. A total of 22 serotypes of S. pneumoniae were identified, five of them (1,3,7F,14 y 9V) were present in 57% of cases. Conclusions: Elevated mortality of our BNN patients was associated with comorbidities and possibly with socio economic factors, which conditioned a late access to medical care.

Translated title of the contributionBacteremic pneumococcal pneumonia in adults admitted to a general hospital. Experience in 60 cases
Original languageSpanish
Pages (from-to)839-845
Number of pages7
JournalRevista Medica de Chile
Volume146
Issue number7
DOIs
StatePublished - 2018

Bibliographical note

Publisher Copyright:
© 2018, Sociedad Medica de Santiago. All rights reserved.

ASJC Scopus subject areas

  • General Medicine

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