Adult community acquired pneumonia in Assiut University Hospital
العناوين الأخرى
الالتهاب الرئوي المكتسب من البيئة : أنماطه و أسبابه في مستشفى أسيوط الجامعي
المؤلفون المشاركون
Rashid, Hibah Allah Jamal al-Din
Hammad, Hammad al-Shahhat
al-Shanawy, Ulfat Mustafa
Shaban, Lamya Hasan
المصدر
العدد
المجلد 30، العدد 1 (31 يناير/كانون الثاني 2006)، ص ص. 243-256، 14ص.
الناشر
تاريخ النشر
2006-01-31
دولة النشر
مصر
عدد الصفحات
14
التخصصات الرئيسية
الموضوعات
الملخص EN
Community-acquired pneumonia (CAP) is a common infectious disease that is "\ associated with significant morbidity and mortality in both developing and developed - countries.
Due to the delayed results of many diagnostic tests, the antibiotic treatment ;* for CAP empirically relies on epidemiologic data regarding the causative pathogens in t a particular geographic area.
Most studies showed that Streptococcus pneumoniae 1 remains the primary cause of CAP.
The incidence of other microbial pathogens varies ' both seasonally and geographically.
The present study was designed to evaluate the bacteriological profile of CAP in Assiut, Egypt.
Patients and Methods: One hundred and one adult patients; with community acquired pneumonia were admitted to Assiut University Hospital from March 2002 to October 2003 were enrolled in this study.
In all the patients sputum culture, Bronchoalveolar Lavage (BAL) and Protective Specimen Brush (PSB) cultures as well as serological studies for the detection of specific IgM antibodies for Legionella, Mycoplasma pneumoniae, Chlamydia pneumoniae, coxiella, influenza A virus, influenza B virus, Para influenza virus and Respiratory syncytial virus by indirect immunofluorescence technique were done.
Results: Causative organisms were identified in 95 patients (94%), in 6 patients we could not detect organisms by different techniques.
The most frequent identified organisms in Sputum were S.
pneumoniae (45%), Coagulase Negative Staphylococcus (CoN staph) (30.9%) and Staph, aureus ( 16.9%).
In BAL S.
pneumoniae (23.7%), Staph, aureus (18.6%) and CoN staph (16.9%) and in PSB S.
pneumoniae (36.8%), Staph aureus (14.4%)and Klebsiella pneumoniae (9.2%).
For atypical microrganism and viral infection the most commen pathogen were Legionella Spp.
(35.1%), Mycoplasma pneumoniae (21.4%), Chlamydia Pneumoniae in (14.2 %) and Influenza A (14.3%).
Conclusion: PSB and BAL cultures are more specific and useful for detection of the underlying pathogen than sputum examination.
Strept.
pneumonia is the most common implicated pathogen in CAP, followed by atypical pathogens.
Serological examination must be done for detection of atypical pathogens as they represent about 25% of CAP cases.
There is significant impact of age, smoking and comorbidity on the severity of CAP.
Malnutrition is considered an important risk factor for the development of CAP
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Rashid, Hibah Allah Jamal al-Din& Hammad, Hammad al-Shahhat& al-Shanawy, Ulfat Mustafa& Shaban, Lamya Hasan. 2006. Adult community acquired pneumonia in Assiut University Hospital. Assiut Medical Journal،Vol. 30, no. 1, pp.243-256.
https://search.emarefa.net/detail/BIM-50242
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Rashid, Hibah Allah Jamal al-Din…[et al.]. Adult community acquired pneumonia in Assiut University Hospital. Assiut Medical Journal Vol. 30, no. 1(January 2006), pp.243-256.
https://search.emarefa.net/detail/BIM-50242
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Rashid, Hibah Allah Jamal al-Din& Hammad, Hammad al-Shahhat& al-Shanawy, Ulfat Mustafa& Shaban, Lamya Hasan. Adult community acquired pneumonia in Assiut University Hospital. Assiut Medical Journal. 2006. Vol. 30, no. 1, pp.243-256.
https://search.emarefa.net/detail/BIM-50242
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 253-255
رقم السجل
BIM-50242
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر