Clinical and epidemiological characterization of hospitalized patients with community-acquired pneumonia at the Hospital Escuela Eva Perón in the city of Granadero Baigorria, Argentina.Perón School Hospital of the city of Granadero Baigorria(Santa Fe, Argentina) years 2021-2023

Authors

  • Esteban Pablo Mathurin Universidad Abierta Interamericana, Sede Rosario – Santa Fe, Argentina. Author
  • Dr. Luis Ignacio Martínez Amezaga Universidad Abierta Interamericana, Sede Rosario – Santa Fe, Argentina. Author
  • María Alejandra Operto Universidad Abierta Interamericana, Sede Rosario – Santa Fe, Argentina. Author

DOI:

https://doi.org/10.56294/piii2023155

Keywords:

Community acquired pneumonia, Microorganisms, Blood cultures Microorganisms

Abstract

Introduction: Community-acquired pneumonia (CAP) is a pathology of extensive prevalence in the population under study, with high morbimortality and high cost for the health system. 
Objectives: To describe the clinical and epidemiological characteristics of patients hospitalized for CAP at the Hospital Escuela Eva Perón in the city of Granadero Baigorria (Santa Fe, Argentina) during the period June 2021 to June 2023. 
Materials and methods: A quantitative, observational, descriptive, cross-sectional, retrospective study was carried out. A population of 91 male and female patients over 18 years of age admitted with a diagnosis of CAP in the medical clinic area of the Hospital Escuela Eva Perón was studied. 
The epicrises of the patients included in the study were observed and data from the history, physical examination and complementary studies were collected, which led to the creation of a data table for subsequent statistical analysis. 
Results: During the period studied, 91 patients were admitted with CAP, which constituted 5% of all admissions. The mean age was (52.0 ±16.9) years with a male frequency of 62%. The majority risk group according to the CURB-65 scale was group 2. Arterial hypertension (AHT) was an associated comorbidity in 38.5% of patients and the average number of days of hospitalization was (7 ± 5) days. The positivity of microbiological blood culture results was 18% at the expense of Streptococcus pneumoniae. Pleural effusion was present in 28% of patients. 
Conclusions: The frequency of admissions for CAP in the present study is considerable in relation to total admissions. More than one third of the patients admitted were hypertensive. Most cultures were negative and among the positive cultures the most frequent microorganism was Streptococcus pneumoniae

References

Alonso, R., Santillán, M., Rodríguez, C., Mainero, F., Oliva, V., Vénica, D., Caeiro, J., Rittaco, T. & Saad, E. (2021) Neumonía adquirida en la comunidad en pacientes que requirieron hospitalización. Medicina (Buenos Aires) 81. 37-46.

Aujesky, D., & Fine, M. J. (2008). The pneumonia severity index: a decade after the initial derivation and validation. Clinical Infectious Diseases: an official publication of the Infectious Diseases Society of America: 47(3). https://doi.org/10.1086/591394

Ceccato, A., González, A., Heres, M., Peluffo, G. & Monteverde, A. (2014). Neumonía asociada al cuidado de la salud. Medicina (Buenos Aires), 74(1), 19-23. http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025-&lng=es&tlng=es.

Corzo-Delgado, J. E. & Gómez-Mateos, J. M. (2006). Stenotrophomonas maltophilia, un patógeno nosocomial de importancia creciente. Enfermedades Infecciosas y Microbiología Clínica, 24(1) 1-3. DOI: 10.1157/13083366

Daly, J S.; Ellison III, R T.; (2020) Neumonía Aguda. Bennett, O. E., Dolin, R., & Blaser, M. J. (9na Edición) Mandell, Douglas y Bennett. Enfermedades infecciosas.Principios y práctica. Elsevier Limited (UK).

Díaz Parodi, G I. & Musacchio, H M. (2011). Evaluación de predictores clínicos de bacteriemia en adultos hospitalizados por neumonía adquirida en la comunidad. Revista Panamericana de Salud Pública. 29(6) 393-398.

Husain, A N.; Pulmón. (2015) Kumar, V., Abbas, A. K., & Aster, J. C. (9na Edición). Robbins y Cotran. Patología humana (669-726) Elsevier Limite (UK).

Julián-Jiménez, A., Adán Valero, I., Beteta López, A., Cano Martín, L M., Fernández Rodríguez, O., Rubio Díaz, R., Sepúlveda Berrocal, M A., González Del Castillo, J., Candel González, F J., & CAP group (community-acquired pneumonia) from the Infections in Emergencies - Sepsis Code working group (2018).

Recomendaciones para la atención del paciente con neumonía adquirida en la comunidad en los Servicios de Urgencias. Revista española de quimioterapia: publicación oficial de la Sociedad Española de Quimioterapia, 31(2), 186–202

Lim, W. S., van der Eerden, M. M., Laing, R., Boersma, W. G., Karalus, N., Town, G. I. & Lewis, S. A. (2003). Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study. InThorax 377–382. www.thoraxjnl.com

Lopardo, G., Basombrío, A., Clara, L., Desse, J. & de Vedia, L. (2015). Neumonía adquirida de la comunidad en adultos. Recomendaciones sobre su atención. Medicina (Buenos Aires); 75 245-257.

Lopardo, G., Fridman D., Raimondo E., et al. (2018). Incidence rate of community acquired pneumonia in adults: a population-based prospective active surveillance study in three cities in South America. BMJ Open. doi:10.1136/bmjopen-2017-

Mandell, L. (2015) Community-acquired pneumonia: An overview. Postgrad Med. (6) 607-15. doi: 10.1080/00325481.2015.1074030.

Mathurin, S., Agüero, A., Jaimet, C., Schälibaum, E., Demergasso, M., Acuña, V. (2009). Utilidad de los hemocultivos en el tratamiento antimicrobiano de la neumonía neumocóccica bacteriémica en el adulto. Revista Chilena de Infectología 26(1) 9- http://dx.doi.org/10.4067/S0716-10182009000100001

Ministerio de Salud Argentina ( 2022) Boletín Epidemiológico Nacional, Semana Epidemiológica 31. https://bancos.salud.gob.ar/sites/default/files/2022-08/BEN-

-SE-31.pdf

Myint, P. K., Kamath, A. V., Vowler, S. L., Maisey, D. N., & Harrison, B. D. W. (2006). Severity assessment criteria recommended by the British Thoracic Society (BTS) for community-acquired pneumonia (CAP) and older patients. Should SOAR (systolic blood pressure, oxygenation, age and respiratory rate) criteria be used in older people? A compilation study of two prospective cohorts. Age and Ageing, 35(3) 286–291. https://doi.org/10.1093/ageing/afj081

Núñez Fernández MJ, Ojea de Castro R, Lueiro Lores F, Pulian Morais MV, Hernández Blanco M, Núñez Fernández M, De Lis Muñoz JM. (2002). Neumonía

neumocócica con bacteriemia en adultos: estudio descriptivo en el noroeste de España. An Med Interna (Madrid). 19(12) 612-620. ISSN 0212-7199.

Rossit, M; Kilstein, J. G., & Ghelfi, A. M (2017). Hemocultivos en la Neumonía adquirida en la comunidad: ¿Son siempre necesarios? Carrera de Posgrado de Especialización en Clínica Médica Universidad Nacional de Rosario. http://clinica-unr.com.ar/Posgrado/trabajos-graduados/Melina-Rossit.pdf

Van der Poll, T; Wiersinga, W J; (2020) Sepsis y Shock séptico. Bennett, O. E., Dolin, R., & Blaser, M. J. (9na Edición) Mandell, Douglas y Bennett. Enfermedades infecciosas. Principios y práctica. Elsevier Limited (UK).

Yan, Y., Tomooka, K., Naito, T., & Tanigawa, T. (2022). Decreased number of inpatients with community-acquired pneumonia during the COVID-19 pandemic: A large multicenter study in Japan. Journal of Infection and Chemotherapy, 28 709–713. https://doi.org/10.1016/j.jiac.2022.01.013

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Published

2023-12-05

How to Cite

1.
Mathurin EP, Martínez Amezaga DLI, Operto MA. Clinical and epidemiological characterization of hospitalized patients with community-acquired pneumonia at the Hospital Escuela Eva Perón in the city of Granadero Baigorria, Argentina.Perón School Hospital of the city of Granadero Baigorria(Santa Fe, Argentina) years 2021-2023. SCT Proceedings in Interdisciplinary Insights and Innovations [Internet]. 2023 Dec. 5 [cited 2024 Dec. 3];1:155. Available from: https://proceedings.ageditor.ar/index.php/piii/article/view/79