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Bacterial Etiology of Chronic Bronchitis Exacerbations Treated by Primary Care Physicians
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"apellidos" => "Ferreiro" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906605533?idApp=UINPBA00003Z" "url" => "/15792129/0000004200000008/v1_201305150251/S1579212906605533/v1_201305150251/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S157921290660551X" "issn" => "15792129" "doi" => "10.1016/S1579-2129(06)60551-X" "estado" => "S300" "fechaPublicacion" => "2006-08-01" "aid" => "60551" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2006;42:384-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 7408 "formatos" => array:3 [ "EPUB" => 106 "HTML" => 5918 "PDF" => 1384 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Effect of Intravenous Magnesium Sulfate on Chronic Obstructive Pulmonary Disease Exacerbations Requiring Hospitalization: a Randomized Placebo-Controlled Trial" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "384" "paginaFinal" => "387" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Abreu González, Concepción Hernández García, Pedro Abreu González, Candelaria Martín García, Alejandro Jiménez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Juan Abreu" "apellidos" => "González" ] 1 => array:2 [ "nombre" => "Concepción Hernández" "apellidos" => "García" ] 2 => array:2 [ "nombre" => "Pedro Abreu" "apellidos" => "González" ] 3 => array:2 [ "nombre" => "Candelaria Martín" "apellidos" => "García" ] 4 => array:2 [ "nombre" => "Alejandro" "apellidos" => "Jiménez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921290660551X?idApp=UINPBA00003Z" "url" => "/15792129/0000004200000008/v1_201305150251/S157921290660551X/v1_201305150251/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Bacterial Etiology of Chronic Bronchitis Exacerbations Treated by Primary Care Physicians" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "388" "paginaFinal" => "393" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Carles Llor, Josep Maria Cots, Amadeo Herreras" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Carles" "apellidos" => "Llor" "email" => array:1 [ 0 => "cllor.larte.ics@gencat.net" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Josep Maria" "apellidos" => "Cots" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "Amadeo" "apellidos" => "Herreras" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Centro de Salud Jaume I, Tarragona, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Centro de Salud Marina, Barcelona, Spain. Coordinador del Grupo de Trabajo de Enfermedades Infecciosas de la Sociedad Española de Medicina de Familia" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Médico, Sanofi-Aventis, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. C. Llor. Foixarda. 95. 43008 Tarragona. Espana" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-06-22" "fechaAceptado" => "2005-12-13" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154479" "palabras" => array:4 [ 0 => "Bronchitis" 1 => "chronic" 2 => "Acute exacerbation" 3 => "Etiology" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154478" "palabras" => array:3 [ 0 => "Bronquitis crónica" 1 => "Agudización" 2 => "Etiología" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Few studies have been carried out to determine the prevalence of microorganisms causing exacerbations of chronic bronchitis in the community setting. The aim of the present study was to determine the bacterial etiology of chronic bronchitis exacerbations in patients not requiring hospitalization.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">This observational, cross-sectional, multicenter study was carried out at the primary care level during 2 weeks (in November 2001 and January 2002). All laboratory work was carried out at a single center. We studied 1947 patients with mild-moderate exacerbations treated by 650 primary care physicians. All the sputum samples received for centralized processing were subject to Gram staining, microscopic examination, and bacterial culture.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Out of 1537 cultures of sputum samples collected, 498 had good cell quality for microscopic examination (32.4%). Of the 498 good quality samples analyzed, 246 (49.4%) were positive and 468 isolates were obtained. The most commonly isolated germ was <span class="elsevierStyleItalic">Streptococcus pneumonias</span> (163 cases, 34.8%), followed by <span class="elsevierStyleItalic">Moraxella catarrhalis</span> (112, 23.9%), and <span class="elsevierStyleItalic">Haemophilus influenzae</span> (59, 12.6%). In 1.2% of the <span class="elsevierStyleItalic">S pneumoniae</span> isolates resistance was found to amoxicillin; resistance to macrolides was found in 34.3%. The antibiotics most commonly prescribed, however, were macrolides (38.3% of the prescriptions).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">S pneumoniae</span> was the microorganism most frequently isolated in cases of chronic bronchitis exacerbation treatable in this outpatient setting.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Pocos estudios se han efectnado en el ámbito comunitario para conocer la prevalencia de microorganismos causantes de agudizaciones de la bronquitis crónica. El objetivo del presente estudio ha sido conocer la etiología bacteriana de la agudización de la bronquitis crónica en pacientes que no han requerido hospitalización.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se trata de un estudio observational, transversal y multicéntrico, efectuado en atención primaria de salud durante 2 semanas (noviembre de 2001 y enero de 2002) con un laboratorio central. Participaron 1.947 pacientes afectados de agudización leve-moderada incluidos por un total de 650 médicos de atención primaria. Todas las muestras recibidas se procesaron en un laboratorio central con tinción de Gram, examen microscópico de las muestras y cultivo bacteriano.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Entre los 1.537 cultivos de esputo recogidos, 498 presentaron buena calidad celular microscópica (32,4%). De las 498 muestras de esputo de calidad öptima analizadas, fueron positivas 246 (49,4%) y se obtuvieron 468 aislamientos. El germen más comúnmente aislado fue <span class="elsevierStyleItalic">Streptococcus pneumoniae</span>, con 163 casos (34,8%), seguido de <span class="elsevierStyleItalic">Moraxella catarrhalis</span>, con 112 (23,9%), y <span class="elsevierStyleItalic">Haemophilus influenzae</span>, con 59 (12,6%). El 1,2% de los neumococos fueron resistentes a amoxicilina y un 34,3% a los macrólidos. Los antibióticos mayormente prescritos fueron, sin embargo, los macrólidos, en el 38,3% de las ocasiones.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">S. pneumoniae</span> constituye el microorganismo bacteriano que con más frecuencia se aísla de los pacientes que sufren agudizaciones de la bronquitis crönica que pueden ser tratados ambulatoriamente.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">This study received funding from Sanofi-Aventis.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:37 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "CJ Murray" 1 => "AD López" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(96)07492-2" "Revista" => array:6 [ "tituloSerie" => "Lancet" "fecha" => "1997" "volumen" => "349" "paginaInicial" => "1498" "paginaFinal" => "1504" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9167458" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "COPD. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 2 | 7 |
| 2024 October | 35 | 15 | 50 |
| 2024 September | 28 | 14 | 42 |
| 2024 August | 45 | 33 | 78 |
| 2024 July | 30 | 27 | 57 |
| 2024 June | 34 | 29 | 63 |
| 2024 May | 45 | 39 | 84 |
| 2024 April | 21 | 25 | 46 |
| 2024 March | 21 | 13 | 34 |
| 2024 February | 20 | 19 | 39 |
| 2023 March | 2 | 2 | 4 |
| 2023 February | 27 | 17 | 44 |
| 2023 January | 23 | 22 | 45 |
| 2022 December | 23 | 19 | 42 |
| 2022 November | 32 | 26 | 58 |
| 2022 October | 24 | 29 | 53 |
| 2022 September | 20 | 19 | 39 |
| 2022 August | 19 | 32 | 51 |
| 2022 July | 18 | 33 | 51 |
| 2022 June | 20 | 37 | 57 |
| 2022 May | 17 | 38 | 55 |
| 2022 April | 28 | 25 | 53 |
| 2022 March | 24 | 39 | 63 |
| 2022 February | 35 | 29 | 64 |
| 2022 January | 22 | 26 | 48 |
| 2021 December | 20 | 41 | 61 |
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| 2021 March | 26 | 20 | 46 |
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| 2021 January | 16 | 9 | 25 |
| 2020 December | 15 | 14 | 29 |
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| 2020 October | 22 | 19 | 41 |
| 2020 September | 4 | 5 | 9 |
| 2020 August | 12 | 12 | 24 |
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| 2020 June | 7 | 4 | 11 |
| 2020 May | 21 | 9 | 30 |
| 2020 April | 13 | 25 | 38 |
| 2020 March | 13 | 17 | 30 |
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| 2020 January | 12 | 11 | 23 |
| 2019 December | 11 | 16 | 27 |
| 2019 November | 12 | 13 | 25 |
| 2019 October | 8 | 11 | 19 |
| 2019 September | 3 | 12 | 15 |
| 2019 August | 14 | 9 | 23 |
| 2019 July | 4 | 20 | 24 |
| 2019 June | 12 | 11 | 23 |
| 2019 May | 21 | 10 | 31 |
| 2019 April | 27 | 12 | 39 |
| 2019 March | 25 | 12 | 37 |
| 2019 February | 17 | 15 | 32 |
| 2019 January | 16 | 6 | 22 |
| 2018 December | 16 | 16 | 32 |
| 2018 November | 23 | 9 | 32 |
| 2018 October | 19 | 15 | 34 |
| 2018 September | 5 | 6 | 11 |
| 2018 May | 5 | 0 | 5 |
| 2018 April | 14 | 7 | 21 |
| 2018 March | 5 | 4 | 9 |
| 2018 February | 6 | 7 | 13 |
| 2018 January | 6 | 7 | 13 |
| 2017 December | 1 | 7 | 8 |
| 2017 November | 4 | 11 | 15 |
| 2017 October | 4 | 6 | 10 |
| 2017 September | 4 | 7 | 11 |
| 2017 August | 8 | 10 | 18 |
| 2017 July | 5 | 7 | 12 |
| 2017 June | 6 | 17 | 23 |
| 2017 May | 5 | 7 | 12 |
| 2017 April | 1 | 4 | 5 |
| 2017 March | 1 | 6 | 7 |
| 2017 February | 1 | 4 | 5 |
| 2017 January | 4 | 1 | 5 |
| 2016 December | 10 | 4 | 14 |
| 2016 November | 16 | 10 | 26 |
| 2016 October | 32 | 10 | 42 |
| 2016 September | 15 | 8 | 23 |
| 2016 August | 6 | 3 | 9 |
| 2016 July | 10 | 2 | 12 |
| 2016 March | 3 | 0 | 3 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 86 | 11 | 97 |
| 2015 September | 53 | 11 | 64 |
| 2015 August | 70 | 6 | 76 |
| 2015 July | 140 | 6 | 146 |
| 2015 June | 73 | 7 | 80 |
| 2015 May | 70 | 7 | 77 |
| 2015 April | 68 | 6 | 74 |
| 2015 March | 136 | 8 | 144 |
| 2015 February | 115 | 2 | 117 |
| 2015 January | 62 | 7 | 69 |
| 2014 December | 72 | 3 | 75 |
| 2014 November | 67 | 3 | 70 |
| 2014 October | 81 | 12 | 93 |
| 2014 September | 61 | 6 | 67 |
| 2014 August | 72 | 10 | 82 |
| 2014 July | 52 | 7 | 59 |
| 2014 June | 67 | 6 | 73 |
| 2014 May | 62 | 7 | 69 |
| 2014 April | 75 | 4 | 79 |
| 2014 March | 71 | 9 | 80 |
| 2014 February | 69 | 8 | 77 |
| 2014 January | 59 | 5 | 64 |
| 2013 December | 56 | 6 | 62 |
| 2013 November | 53 | 4 | 57 |
| 2013 October | 49 | 12 | 61 |
| 2013 September | 48 | 7 | 55 |
| 2013 August | 57 | 10 | 67 |
| 2013 July | 54 | 10 | 64 |
| 2013 June | 37 | 5 | 42 |
| 2013 May | 38 | 1 | 39 |
| 2013 April | 22 | 4 | 26 |
| 2013 March | 11 | 1 | 12 |
Show all
