PNEUMONIA IN A NURSING-HOME

被引：26

作者：

DRINKA, PJ

GAUERKE, C

VOEKS, S

MILLER, J

SCHULTZ, S

KRAUSE, P

GOLUBJATNIKOV, R

机构：

[1] Wisconsin Veterans Home, King, 54946-0620, WI

[2] Veterans Administration Medical Center-Madison, the University of Wisconsin-Madison, Madison, Wisconsin

[3] the State Laboratory of Hygiene, Madison, Wisconsin

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1994年 / 9卷 / 11期

关键词：

PNEUMONIA; NURSING HOME; BACTERIA;

D O I：

10.1007/BF02600312

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The authors studied nursing home residents serologically to determine whether atypical organisms were causes of radiologic pneumonia. The study was conducted at the Wisconsin Veterans Home, a facility with on-site microbiology and x-ray. Over one year, serologic examinations for Legionella, Mycoplasma, and Chlamydia were conducted for the residents who had pneumonia. Cultures and mortality were reviewed. Fifty-six episodes were studied (mean resident age 78 years). There was no fourfold titer change. Seventeen quality sputum specimens revealed Streptococcus pneumoniae (5), normal flora (4), Hemophilus influenzae (4), Moraxella catarrhalis (3), Staphylococcus aureus (1), and beta-hemolytic Streptococcus, not group A (1). The two-month mortality was 21%. This study did not result in serologic confirmation of atypical organisms' causing pneumonia. Antibiotic choice should be based on coverage of prevalent organisms, including Hemophilus influenzae, Moraxella, and Staphylococcus, as well as clinical features.

引用

页码：650 / 652

页数：3

共 19 条

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