title: Clinical and economic burden of community-acquired pneumonia amongst adults in the Asia-Pacific region.
abstract: Community-acquired pneumonia (CAP) is an important cause of mortality and morbidity amongst adults in the Asia-Pacific region. Literature published between 1990 and May 2010 on the clinical and economic burden of CAP amongst adults in this region was reviewed. CAP is a significant health burden with significant economic impact in this region. Chronic obstructive pulmonary disease, cardiovascular disease, diabetes mellitus and advanced age were risk factors for CAP. Aetiological agents included Streptococcus pneumoniae, Klebsiella pneumoniae, Gram-negative bacteria, Mycobacterium tuberculosis, Burkholderia pseudomallei, Staphylococcus aureus and atypical pathogens (Mycoplasma pneumoniae, Chlamydophila pneumoniae and Legionella spp.), with important differences in the prevalence of these pathogens within the region. Antibiotic resistance was significant but was not linked to excess mortality. Aetiological pathogens remained susceptible to newer antimicrobial agents. Rational antibiotic use is essential for preventing resistance, and increased surveillance is required to identify future trends in incidence and aetiology and to drive treatment and prevention strategies.
authors.affiliation: Division of Infectious Diseases, Samsung Medical Center, Sungkyunkwan University, Asia Pacific Foundation for Infectious Diseases, 50 IL-won dong Gangnam-gu, Seoul 135-710, South Korea. songjh@skku.edu
authors.forename: Jae-Hoon
authors.initials: JH
authors.lastname: Song
authors.forename: Visanu
authors.initials: V
authors.lastname: Thamlikitkul
authors.forename: Po-Ren
authors.initials: PR
authors.lastname: Hsueh
mesh_terms: D001208:Asia / Q000453:epidemiology; D001419:Bacteria / Q000145:classification* / Q000302:isolation & purification*; D017714:Community-Acquired Infections / Q000191:economics* / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D010139:Pacific Islands / Q000453:epidemiology; D018410:Pneumonia, Bacterial / Q000191:economics* / Q000453:epidemiology*