Originales
Neumonía adquirida en la comunidad por gérmenes atípicos: tratamiento y evolución
Treatment and Course of Community-Acquired Pneumonia Caused by Atypical Pathogens
Ramón Fernández Álvarez
, Isabel Suárez Toste, Gemma Rubinos Cuadrado, Agustín Medina Gonzálvez, José Antonio Gullón Blanco, Isidro González Martín
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enelllano@terra.es
Correspondencia: Dr. R. Fernández Álvarez. San Juan Bautista, 19, A. 38002 Santa Cruz de Tenerife. España.
Correspondencia: Dr. R. Fernández Álvarez. San Juan Bautista, 19, A. 38002 Santa Cruz de Tenerife. España.
Servicio de Neumología. Hospital Universitario de Canarias. La Laguna. Santa Cruz de Tenerife. España
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González Mangado" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Ángel" "apellidos" => "Ortega González" ] 1 => array:2 [ "nombre" => "Germán" "apellidos" => "Peces-Barba Romero" ] 2 => array:2 [ "nombre" => "Itziar" "apellidos" => "Fernández Ormaechea" ] 3 => array:2 [ "nombre" => "René" "apellidos" => "Chumbi Flores" ] 4 => array:2 [ "nombre" => "Noelia" "apellidos" => "Cubero de Frutos" ] 5 => array:2 [ "nombre" => "Nicolás" "apellidos" => "González Mangado" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289606706834?idApp=UINPBA00003Z" "url" => "/03002896/0000004200000009/v1_201305141822/S0300289606706834/v1_201305141822/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Neumonía adquirida en la comunidad por gérmenes atípicos: tratamiento y evolución" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "430" "paginaFinal" => "433" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ramón Fernández Álvarez, Isabel Suárez Toste, Gemma Rubinos Cuadrado, Agustín Medina Gonzálvez, José Antonio Gullón Blanco, Isidro González Martín" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Ramón" "apellidos" => "Fernández Álvarez" "email" => array:1 [ 0 => "enelllano@terra.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "Isabel" "apellidos" => "Suárez Toste" ] 2 => array:2 [ "nombre" => "Gemma" "apellidos" => "Rubinos Cuadrado" ] 3 => array:2 [ "nombre" => "Agustín" "apellidos" => "Medina Gonzálvez" ] 4 => array:2 [ "nombre" => "José Antonio" "apellidos" => "Gullón Blanco" ] 5 => array:2 [ "nombre" => "Isidro" "apellidos" => "González Martín" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neumología. Hospital Universitario de Canarias. La Laguna. Santa Cruz de Tenerife. España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Dr. R. Fernández Álvarez. San Juan Bautista, 19, A. 38002 Santa Cruz de Tenerife. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Treatment and Course of Community-Acquired Pneumonia Caused by Atypical Pathogens" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-08-08" "fechaAceptado" => "2006-01-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153147" "palabras" => array:3 [ 0 => "Tratamiento antibiótico de la neumonía" 1 => "Neumonía adquirida en la comunidad" 2 => "Neumonía atípica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec153146" "palabras" => array:3 [ 0 => "Antibiotic treatment for pneumonia" 1 => "Community-acquired pneumonia" 2 => "Atypical pneumonia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Estudiar la evolución de un grupo de neumonías extrahospitalarias causadas por gérmenes atípicos (<span class="elsevierStyleItalic">Mycoplasma pneumoniae, Legionella spp., Coxiella burnetii y Chlamydophila pneumoniae</span>) en función del tratamiento empírico recibido.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Entre enero de 1996 y febrero de 2001 ingresaron en nuestra unidad 390 casos de neumonía, de los que 89 estaban causados por gérmenes atípicos. Los pacientes se dividieron retrospectivamente en 2 grupos según el tratamiento empírico pautado: grupo A, al que se había proporcionado cobertura frente a gérmenes atípicos (quinolonas o macrólidos), y grupo B, al que no se había proporcionado dicha cobertura. Se estudió la evolución según las diferencias entre ambos grupos en la estancia hospitalaria, la resolución radiológica, el reingreso en el primer mes tras el alta y la mortalidad.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El grupo de estudio lo constituyeron 89 pacientes con neumonía causada por gérmenes atípicos (39 en el grupo A y 50 en el B). Las variables estudiadas no mostraron diferencias significativas entre ambos grupos.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">En nuestra serie de neumonías extrahospitalarias la cobertura antibiótica frente a gérmenes atípicos no mejoró la evolución clínica y radiológica de los pacientes.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To study the course of disease and outcomes in a group of patients with community-acquired pneumonia caused by atypical pathogens (<span class="elsevierStyleItalic">Mycoplasma pneumoniae, Legionella species, Coxiella burnetii, and Chlamydophila pneumoniae</span>) according to the empiric treatment received.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Of a total of 390 patients admitted to our hospital with pneumonia between January 1996 and February 2001, the causative microorganism was an atypical pathogen in 89 cases. Patients were divided retrospectively into 2 groups according to the empiric treatment they received: group A, who had received an antibiotic regime (quinolones or macrolides) that provided coverage for atypical pathogens; and group B, who had received treatment that did not provide such coverage. Clinical course was assessed in terms of the differences between the 2 groups in length of hospital stay, radiographic resolution, readmission at 30 days after discharge, and mortality.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 89 patients with pneumonia caused by atypical pathogens (39 in group A and 50 in group B) were studied. No significant between-group differences in the variables were found.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">In this group of patients hospitalized for community-acquired pneumonia, antibiotic regimens providing coverage for atypical pathogens did not improve either clinical or radiographic evolution.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Article information
ISSN: 03002896Original language: Spanish
DOI:10.1157/13092412
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| 2017 January | 14 | 9 | 23 |
| 2016 December | 28 | 10 | 38 |
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| 2016 January | 32 | 18 | 50 |
| 2015 December | 36 | 18 | 54 |
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| 2015 April | 745 | 0 | 745 |
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| 2015 January | 621 | 0 | 621 |
| 2014 December | 564 | 0 | 564 |
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| 2014 October | 697 | 0 | 697 |
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| 2014 July | 761 | 0 | 761 |
| 2014 June | 825 | 0 | 825 |
| 2014 May | 968 | 0 | 968 |
| 2014 April | 815 | 0 | 815 |
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| 2014 February | 637 | 0 | 637 |
| 2014 January | 749 | 0 | 749 |
| 2013 December | 360 | 0 | 360 |
| 2013 November | 297 | 0 | 297 |
| 2013 October | 279 | 0 | 279 |
| 2013 September | 221 | 0 | 221 |
| 2013 August | 209 | 0 | 209 |
| 2013 July | 190 | 0 | 190 |
| 2013 June | 101 | 0 | 101 |
| 2013 May | 101 | 0 | 101 |
| 2013 April | 65 | 0 | 65 |
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