Manejo ambulatorio de la neumonía comunitaria del adulto en las unidades de emergencia: Servicio de Salud Viña del Mar-Quillota de la V Región
2005; Q16635223; Volume: 133; Issue: 11 Linguagem: Inglês
10.4067/s0034-98872005001100008
ISSN0717-6163
AutoresJuana Pavié G, Julio Manuel de la Prida C, Alejandro Díaz F, Fernando Saldías P,
Tópico(s)Nosocomial Infections in ICU
ResumoAssessment of the management of community-acquired pneumonia in adults outpatientsBackground: There is limited information about the effectiveness of the treatment of community-acquired pneumonia (CAP) in Chilean emergency rooms.Aim: To assess the treatment of CAP in emergency rooms at the Viña del Mar Health Service in Chile.Material and methods: Prospective study of immunocompetent adult patients consulting for a CAP in emergency rooms.Those that required hospital admission were considered ineligible.The initial clinical and laboratory assessment, antimicrobial treatment and their condition after 30 days of follow up, were recorded.Results: Three hundred eleven adult patients aged 57±22 years (152 males), were evaluated.Patients with class I CAP (40% of cases) were treated with Clarithromycin (71.8%) or Amoxicillin (26.6%) for 10 days.Patients with class II CAP (60%) were treated with Amoxicillin-clavulanate (80.7%) or Levofloxacin (18.2%) for 10 days.Three hundred eight patients (99%) were cured without need of hospital admission; three patients (1%) were subsequently hospitalized because of clinical failure of ambulatory treatment.Overall, three patients (1%) died; all deaths occurred during or immediately after hospitalization and were related to the severity of lung infection but not to the choice of antibiotic treatment.Conclusions: The outpatient management of CAP by general practitioners working at emergency rooms was clinically effective with low rates of hospital admission and mortality (Rev Méd Chile 2005; 133: 1322-30).
Referência(s)