Usefulness of the Japanese Respiratory Society guidelines for community pneumonia: A retrospective analysis of community-acquired pneumonia between 2000 and 2002 in a general hospital

Department of Internal Medicine, Tagami Hospital, Tagami, Nagasaki, Japan.
Respirology (Impact Factor: 3.35). 03/2005; 10(2):208-14. DOI: 10.1111/j.1440-1843.2005.00664.x
Source: PubMed


The aim of this study was to investigate the causative organisms of community-acquired pneumonia (CAP) diagnosed between 2000 and 2002 and to evaluate the Japanese Respiratory Society (JRS) guidelines.
A total of 124 cases of CAP diagnosed during the study period were analyzed, and the results were compared with those of a previous study by the authors' research group. Determination of the causative organisms of CAP was based on Gram stain, morphology of colonies, quantitative culture of sputum, identification of bacterial isolates, and serological tests.
During the study period, the causative organisms were identified in 42 cases (33.8%). Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis were the major causative organisms. Patients were classified into three groups based on the severity of CAP according to the JRS guidelines. The survival rates of patients with moderate and severe CAP were significantly lower than those of the mild group as evaluated by the Kaplan-Meier method (moderate vs mild, 70% vs 100%; severe vs mild, 40% vs 100%; P < 0.001 for both). Seven patients died during the study, and the risk factors were old age, bedridden status with cerebral infarction, and microaspiration, which was associated with recurrent pneumonia within 17 days.
This study indicates that the JRS guidelines for CAP are useful for treating patients with CAP in Japan.

1 Read
  • [Show abstract] [Hide abstract]
    ABSTRACT: Presently all lead-acid batteries, nickel-cadmium batteries, mercury and silver cells can be recycled. The main substances used in batteries, recycling or disposal of used batteries, and general measures to solve the environmental problems are considered. No recycling exists for zinc-carbon and alkaline cells, but pilot plants are under construction. In March 1991, the European Community adopted a directive on batteries and accumulators containing certain dangerous substances. The directive is described
    Telecommunications Energy Conference, 1991. INTELEC '91., 13th International; 12/1991
  • [Show abstract] [Hide abstract]
    ABSTRACT: Community-acquired pneumonia (CAP) continues to be a major medical problem. Since CAP is a potentially fatal disease, early appropriate antibiotic treatment is vital. Epidemiologic studies have shown that in the combined cause-of-death category, pneumonia ranks fourth as the leading cause of death in Japan. Therefore, the Japanese Respiratory Society (JRS) provided guidelines for the management of CAP in adults in 2000. Because of evolving resistance to antimicrobials and advances in diagnosis, treatment and prevention of CAP, it is felt that an update should be provided every three years so that important developments can be highlighted and pressing questions can be answered. Thus, the guidelines committee updated its guidelines in 2005. The basic policy and main purposes of the JRS guidelines include; 1) prevention of bacterial resistance and 2) effective and long-term use of medical resources. The JRS guidelines have recommended the exclusion of potential and broad spectrum antibiotics, fluoroquinolones and carbapenems, from the list of first-choice drugs for empirical treatment. In addition, the JRS guidelines have recommended short-term usage of antibiotics of an appropriate dose and pathogen-specific treatment using rapid diagnostic methods if possible.
    Internal Medicine 02/2006; 45(7):419-28. DOI:10.2169/internalmedicine.45.1691 · 0.90 Impact Factor
  • Source

    Respirology 02/2006; 11(1):124-30. DOI:10.1111/j.1440-1843.2006.00830.x · 3.35 Impact Factor
Show more