TY - JOUR T1 -成人社区获得性肺炎流行病学:以人群为基础的研究摩根富林明-欧洲呼吸杂志》乔和J SP - 757 LP - 763欧元六世- 15 - 4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 X₁- 2000/04/01 UR - //www.qdcxjkg.com/content/15/4/757.abstract N2 -在这个前瞻性研究,作者评估了普通人群中社区获得性肺炎患者的发病率、病因学和预后。从1993年12月至1995年11月，对西班牙巴塞罗那“Maresme”地区的居住-工业城市混合人口进行了一项研究。所有受试者在或=14岁(年平均人口规模74368名居民)临床疑似社区获得性肺炎的登记。所有病例在发病第5天复查胸片，每隔一个月复查一次，直至完全康复。尿液和血液样本用于培养和抗原检测。当获得下呼吸道分泌物时，也进行培养。241例社区获得性肺炎患者，年发病率为1.62例(95%可信区间为1.42-1.82)/ 1000居民。 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. ER -