[Community-acquired pneumonia].
In a prospective study 212 patients were analysed who, between 1. 10. 1982-31.12. 1983 and 1. 10. 1985-31. 12. 1986, had been admitted to hospital because of pneumonia. The causative organism was identified in 127 of the 212 patients (60%). Pneumococcus was the most common organism (n = 64), as demonstrated by culture and immunological techniques of determining antigen or antibody. Next most common was Legionella (n = 15) of various species. Mixed infections were found in 11 patients, in all instances associated with pneumococci. There were 24 deaths (11.3%). It is concluded from these results that (1) determination of pneumococcal antigen in sputum, but not in urine or serum, can improve the identification of the causative organism; (2) Legionella is one of the most common causes of pneumonia acquired outside of hospital; and (3) adequate serological diagnosis of Legionnaire's disease is possible only if a large number of different species are tested for.
Kemmerich
B
B
Abteilung für Kardiologie und Pneumologie, Freien Universität, Berlin.
Rahlwes
M
M
Vogel-Hartmann
H
H
Bartmann
K
K
Höffken
G
G
Berntsson
E
E
Ruckdeschel
G
G
Wagner
J
J
Lode
H
H
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001419:Bacteria / Q000302:isolation & purification; D006193:Haemophilus influenzae / Q000302:isolation & purification; D006801:Humans; D007875:Legionella / Q000302:isolation & purification; D007876:Legionellosis / Q000209:etiology* / Q000382:microbiology; D007877:Legionnaires' Disease / Q000382:microbiology; D008875:Middle Aged; D011014:Pneumonia / Q000209:etiology* / Q000382:microbiology; D011018:Pneumonia, Pneumococcal / Q000382:microbiology; D011020:Pneumonia, Pneumocystis / Q000382:microbiology; D011024:Pneumonia, Viral / Q000382:microbiology; D011446:Prospective Studies; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013296:Streptococcus pneumoniae / Q000302:isolation & purification; D014780:Viruses / Q000302:isolation & purification
Ambulant erworbene Pneumonien.