The role of streptococcus pneumoniae in etiology of community-acquired pneumonia among adults
Închide
Articolul precedent
Articolul urmator
101 0
SM ISO690:2012
DUMITRAS, Ana-Maria. The role of streptococcus pneumoniae in etiology of community-acquired pneumonia among adults. In: MedEsperaInternational Medical Congress for Students and Young Doctors. 7, 3-5 mai 2018, Chişinău. Chisinau, Republic of Moldova: 2018, pp. 82-83.
EXPORT metadate:
Google Scholar
Crossref
CERIF

DataCite
Dublin Core
MedEspera
7, 2018
Congresul "International Medical Congress for Students and Young Doctors"
7th edition, Chişinău, Moldova, 3-5 mai 2018

The role of streptococcus pneumoniae in etiology of community-acquired pneumonia among adults


Pag. 82-83

Dumitras Ana-Maria
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
Disponibil în IBN: 3 noiembrie 2020


Rezumat

Introduction. Streptococcus pneumonia (pneumococcus) remains the most common bacterial cause of community acquired pneumonia (CAP), however significant challenges regarding the diagnosis, treatment, and prevention of this infection persist. Although pneumococcus is considered a common CAP etiological agent in childr en and in adults, the burden of this disease is considerably underestimated since the incidence data are derived largely from bacterial infections, though the most of pneumococcal infections are non invasive. Aim of the study. To evaluate the incidence of Streptococcus pneumoniae in etiology of CAP in adults in routine clinical practice. Materials and methods. We have retrospectively evaluate all CAP patients admitted to a pneumology department in the Institute of Phtisiopneumology Chiril Draganiuc , during a one year period. The study cohort included 287 patients: 153 males and 134 females, with an average age of 60 (45 70) years. In order to determine the etiology of CAP microbiological analysis of sputum has been performed: sputum Gram stain and sputum cul tures in 238/287 patients with productive cough. Haemocultures and urinary pneumococcal antigen determination were performed in 49 patients with severe CAP (admitted in intensive care unit). Histological examination of the lungs was considered in 24 patien ts (fatal cases). Results. The etiology of CAP was confirmed in 29% (83/287) patients. Streptococcus pneumonia was identified in 25% of cases (21/83 patients): by sputum culture in 6 patients, by urinary antigen determination in 5 patients. Evidence of typical morphological stages of pneumococcal pneumonia was found in 10 patients. Conclusion. Etiological diagnosis of CAP in routine clinical practice is often difficult, with evidence of an etiological agent in about 1/3 cases. Streptococcus pneumoniae is a common pathogen in CAP eti ology, but its identification is often difficult.

Cuvinte-cheie
etiology, CAP, Streptococcus, Diagnosis