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 contribution | Bacteremic pneumococcal pneumonia in adults admitted to a general hospital. Experience in 60 cases |
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Original language | Spanish |
Pages (from-to) | 839-845 |
Number of pages | 7 |
Journal | Revista Medica de Chile |
Volume | 146 |
Issue number | 7 |
DOIs | |
State | Published - 2018 |
Bibliographical note
Publisher Copyright:© 2018, Sociedad Medica de Santiago. All rights reserved.
ASJC Scopus subject areas
- General Medicine