PT -期刊文章盟Almirall J AU - Bolibar,我非盟——维达尔,J盟——Sauca G AU -科尔,P盟——Niklasson B非盟- Bartolome M盟——Balanzo X TI -成人社区获得性肺炎的流行病学:以人群为基础的研究DP - 2000年4月01 TA -欧洲呼吸杂志》第六PG - 757 - 763 - 15的IP - 4 4099 - //www.qdcxjkg.com/content/15/4/757.short 4100 - //www.qdcxjkg.com/content/15/4/757.full所以欧元和J2000 4月01;15 AB -在这个前瞻性研究,作者评估了发病率、病因学,结果在普通人群中社区获得性肺炎患者。从1993年12月到1995年11月,一项研究在混合residential-industrial执行“Maresme”地区的城市人口在巴塞罗那,西班牙。All subjects > or =14 yrs of age (annual average population size 74,368 inhabitants) with clinically suspected community-acquired pneumonia were registered. All cases were re-evaluated by chest radiographs on the 5th day of illness and at monthly intervals until complete recovery. Urine and blood samples were obtained for culture and antigen detection. When lower respiratory tract secretions were obtained, these were also cultured. There were 241 patients with community-acquired pneumonia, with an annual incidence rate of 1.62 cases (95% confidence interval, 1.42-1.82) per 1,000 inhabitants. Incidence rates increased by age groups and were higher in males than in females. Of 232 patients with aetiological data, 104 had an identifiable aetiology. A total of 114 pathogens were found (single pathogen 94, two pathogens 10). There were 81 episodes of bacterial infection and 33 of viral infection. The most common pathogens were Streptococcus pneumoniae, Chlamydia pneumoniae, and influenza A and B viruses. No case of Hantavirus infection was found. The rate of hospital admission was 61.4% with a mean+/-SD length of 11.7+/-10.1 days, a mean period of 23.0+/-14.3 days inactivity, and an overall mortality rate of 5%. The high rate of hospital admission, prolonged stay in hospital, and long period of inactivity all continue to constitute a social and health care burden of community-acquired pneumonia.