文摘

背景:本研究的目的是评估的原因在成人社区获得性肺炎患者入院。方法:前瞻性研究了连续346年成人患者(54%的男性)的平均(SD) 49.3(19.5)岁(范围17 - 94)承认大学附属在以色列南部地区医院与社区获得性肺炎的一年。恢复期的血清样本来自308名患者(89%)。社区获得性肺炎的病原学的诊断是基于阳性血培养和/或重大变化在肺炎链球菌抗体滴定度,流感嗜血杆菌,莫拉克斯氏菌属复活,呼吸道病毒,伯纳特氏立克次氏体、肺炎支原体、肺炎衣原体、军团菌和sp。结果:于279年确定社区获得性肺炎患者的病因学(80.6%)。因果代理的分布如下:肺炎,148名患者(42.8%);肺炎支原体,101 (29.2%);62 C肺炎(17.9%);军团菌sp, 56例(16.2%);呼吸道病毒,35 (10.1%);贝纳特氏立克次C, 20 (5.8%); H influenzae 19 (5.5%); and other causes, 21 patients (6.0%). In patients above the age of 55 years C pneumoniae was the second most frequent aetiological agent (25.5%). In 133 patients (38.4%) more than one causal agent was found. CONCLUSIONS: The causal agents for community-acquired pneumonia in Israel are different from those described in other parts of the world. In many of the patients more than one causal agent was found. In all these patients treatment should include a macrolide antibiotic, at least in the first stage of their illness.