Aetiology and outcome of severe community-acquired pneumonia.

Department of Thoracic Medicine, City Hospital, Nottingham, UK; Department of Microbiology and Public Health Laboratory Service Laboratory, Queen's Medical Centre, Nottingham, UK
Journal of Infection (Impact Factor: 4.07). 06/1985; 10(3):204-10. DOI:10.1016/S0163-4453(85)92463-6
Source: PubMed

ABSTRACT Between January 1972 and December 1981, 50 patients with severe community-acquired pneumonia were admitted to the intensive care unit of a district general hospital. A causal pathogen was identified in 41 cases (82%). Streptococcus pneumoniae (16 cases), Legionella pneumophila (15 cases) and Staphylococcus aureus (5 cases) were the commonest. Assisted ventilation was required in 44 patients, of whom 25 died (57%). All 5 patients with staphylococcal pneumonia and 12(75%) with pneumococcal pneumonia died. Only 5 (33%) with Legionnaires' disease died. Mortality was significantly associated with age. Recommendations for the management of severe pneumonia are made.

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M A Woodhead