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Healthcare-associated pneumonia: a prospective study in Spain

Abstract: Objective: The aim of the study was to describe the epidemiological characteristics and factors related to outcome in Streptococcus pneumoniae and methicillin-resistant Staphylococcus aureus (MRSA) healthcare-associated pneumonia (HCAP). Methods: A 3-year prospective observational epidemiological case study of HCAP was conducted in seven Spanish hospitals. Microbiological and patient characteristics and outcomes were collected and classified by causative pathogen into 4 categories: "S. pneumoniae", "MRSA", "Others" and "Unknown". Patients were followed up 30 days after discharge. Results: A total of 258 (84.6%) patients were enrolled (170 were men [65.9%]). Mean age was 72.4 years ± 15 years (95% CI [70.54-74.25]). The etiology of pneumonia was identified in 73 cases (28.3%): S. pneumoniae in 35 patients (13.6%), MRSA in 8 (3.1%), and other microorganisms in 30 patients (11.6%). Significant differences in rates of chronic obstructive pulmonary disease (p < 0.05), previous antibiotic treatment (p<0.05), other chronic respiratory diseases, inhaled corticosteroids (p <0.01), and lymphoma (p < 0.05) were observed among the four groups. Patients with MRSA pneumonia had received more previous antibiotic treatment (87.5%). Thirty-three (12.8%) patients died during hospitalisation; death in 27 (81.2%) was related to pneumonia. Conclusions: The etiology of HCAP was identified in only one quarter of patients, with S. pneumoniae being the most prevalent microorganism. Patients with chronic respiratory diseases more frequently presented HCAP due to MRSA than to S. pneumoniae. Death at hospital discharge was related in most cases to pneumonia.

 Fuente: Rev Esp Quimioter . 2020 Oct;33(5):358-368

Editorial: Sociedad española de quimioterapia

 Año de publicación: 2020

Nº de páginas: 11

Tipo de publicación: Artículo de Revista

 DOI: 10.37201/req/067.2020

ISSN: 0214-3429,1988-9518

Url de la publicación: https://doi.org/10.37201/req/067.2020

Autores/as

FRANCISCO ARNAIZ DE LAS REVILLAS ALMAJANO

SOUSA, DOLORES

ARDANUY, CARMEN

GARCÍA VIDAL, CAROLINA

MONTEJO, MIGUEL

RODRÍGUEZ ÁLVAREZ, REGINO

PASQUAU, JUAN

BOUZA, EMILIO

OTEO. JOSÉ A.

BALSEIRO, CÉSAR

MÉNDEZ, CRISTINA

LWOFF, NADIA