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Management of patie...
Management of patients with community-acquired pneumonia treated in hospital in Sweden
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Hedlund, J. (author)
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Ortqvist, A. (author)
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Ahlqvist, T. (author)
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show more...
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Augustinsson, A. (author)
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Beckman, H. (author)
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Blanck, C. (author)
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Burman, L. A. (author)
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Claesson, B. (author)
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- Qvarfordt, Ingemar, 1954 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för invärtesmedicin,Institute of Internal Medicine
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Elbel, E. (author)
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Erntell, M. (author)
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Follin, P. (author)
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Goscinski, G. (author)
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Holmberg, H. (author)
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Hofer, M. (author)
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Jorup, C. (author)
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Lidman, C. (author)
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Lindhusen, E. (author)
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Rensfeldt, G. (author)
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Rosenkvist, E. (author)
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Stenlund, G. (author)
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Stalberg, A. (author)
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Verngren, K. (author)
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Vig, I. (author)
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Wendahl, S. (author)
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(creator_code:org_t)
- 2002
- 2002
- English.
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In: Scandinavian Journal of Infectious Diseases. - 0036-5548. ; 34:12, s. 887-92
- Related links:
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https://gup.ub.gu.se...
Abstract
Subject headings
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- To investigate the management of patients with community-acquired pneumonia (CAP) treated in hospital in Sweden, a multicentre retrospective cohort study was performed with medical record review of 982 patients (mean age 63 y) at 17 departments of infectious diseases at hospitals in Sweden. Information on antimicrobial therapy, demographic characteristics, comorbid conditions, physical examination findings, and laboratory and microbiological test results were recorded. Outcome measures were in-hospital mortality and length of hospital stay (LOS). Cultures were obtained from blood in 80% and from sputum in 22% of the patients. A microbiological aetiology was determined for 23% of the patients, with Streptococcus pneumoniae as the dominating agent (9%). The initial antibiotic treatment was mostly given intravenously (78%). Penicillin (50%) or a cephalosporin (30%) was the most common choice. Both of these drugs were usually given as a single agent. The overall mortality was 3.5% and the mean LOS was 6.4 d. Thus, the outcome was favourable despite the empirical antibiotic treatment having a narrow spectrum compared with the broader approach recommended in most recent guidelines on the management of CAP. These findings suggest that a majority of patients who are hospitalized with moderately severe pneumonia can be treated initially with penicillin alone.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Mikrobiologi inom det medicinska området (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Microbiology in the medical area (hsv//eng)
Keyword
- Adolescent
- Aged
- Cephalosporins/therapeutic use
- Cohort Studies
- Community-Acquired Infections/ drug therapy/epidemiology
- Female
- Haemophilus influenzae/isolation & purification
- Hospitalization
- Humans
- Male
- Mycoplasma pneumoniae/isolation & purification
- Penicillins/therapeutic use
- Pneumonia/ drug therapy/epidemiology
- Streptococcus pneumoniae/isolation & purification
- Sweden
- Treatment Outcome
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Hedlund, J.
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Ortqvist, A.
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Ahlqvist, T.
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Augustinsson, A.
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Beckman, H.
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Blanck, C.
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show more...
-
Burman, L. A.
-
Claesson, B.
-
Qvarfordt, Ingem ...
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Elbel, E.
-
Erntell, M.
-
Follin, P.
-
Goscinski, G.
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Holmberg, H.
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Hofer, M.
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Jorup, C.
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Lidman, C.
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Lindhusen, E.
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Rensfeldt, G.
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Rosenkvist, E.
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Stenlund, G.
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Stalberg, A.
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Verngren, K.
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Vig, I.
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Wendahl, S.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Basic Medicine
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and Microbiology in ...
- Articles in the publication
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Scandinavian Jou ...
- By the university
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University of Gothenburg