title: Measuring the incidence of adult community-acquired pneumonia in a Native American community.
abstract: Few population-based studies have investigated the epidemiology of adult community-acquired pneumonia (CAP). We aimed to determine the incidence of CAP in a population at high-risk for pneumococcal disease and to evaluate a standardized method for interpreting chest radiographs adapted from the World Health Organization paediatric chest radiograph interpretation guidelines. We reviewed radiology records at the two healthcare facilities serving the White Mountain Apache tribe to identify possible pneumonia cases > or =40 years of age. We categorized patients with clinical criteria and a physician diagnosis of pneumonia as clinical CAP and those with clinical criteria and an acute infiltrate as radiographic CAP. We identified 100 (27/1000 person-years) and 60 (16/1000 person-years) episodes of clinical and radiographic CAP, respectively. The incidence of CAP increased with age. Both radiographic and clinical CAP were serious illnesses with more than half of patients hospitalized. Our case definitions and methods may be useful for comparing data across studies and conducting vaccine trials.
authors.affiliation: Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, 621 N. Wolfe Street, Baltimore, MD 21205, USA. jwatt@jhsph.edu
authors.forename: J P
authors.initials: JP
authors.lastname: Watt
authors.forename: J C
authors.initials: JC
authors.lastname: Moïsi
authors.forename: R L A
authors.initials: RL
authors.lastname: Donaldson
authors.forename: R
authors.initials: R
authors.lastname: Reid
authors.forename: S
authors.initials: S
authors.lastname: Ferro
authors.forename: C G
authors.initials: CG
authors.lastname: Whitney
authors.forename: M
authors.initials: M
authors.lastname: Santosham
authors.forename: K L
authors.initials: KL
authors.lastname: O'Brien
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D015994:Incidence; D007198:Indians, North American / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000175:diagnosis / Q000453:epidemiology