title: [First epidemiologic data on pneumonia in Cambodia].
abstract: About 15% of deaths in adults are related to lung infections in Cambodia. Some knowledge on microbial epidemiology is crucial for deciding first-line antibiotic treatment. However, to date, these data are not available in Cambodia. Consequently, antibiotic prescription relies on French or neighborhood's countries guidelines, which are possibly not suitable. This cases-series aimed to provide data on microbial ecology in pneumonia. Medical charts of patients newly admitted for lung infection in the pulmonology unit of Preah Kossamak Hospital were retrospectively reviewed. Ninety-four patients were included and 29% had a complete microbiological diagnosis. Main germs isolated were: Gram-negative bacilli (n=20; 70.4%) and M. tuberculosis infections (n=7; 25.9%). There was one case of myeloïdosis. No S. pneumonia was isolated, possibly due to sample shipping tropical conditions. Antibiograms showed high resistance profiles. Although this study bring new data in the field, it also showed that European guidelines for antibiotic are not relevant in such countries and stress the need for further dedicated and prospective studies.
authors.affiliation: Centre hospitalier Lyon Sud, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France; UER Lyon Est, université Lyon 1, avenue Rockfeller, 69373 Lyon cedex 08, France; Organisation Non Gouvernementale Prupet, BP 609, 03006 Moullins cedex, France. Electronic address: virginie.avrillon@lyon.unicancer.fr.
authors.forename: V
authors.initials: V
authors.lastname: Avrillon
authors.affiliation: Centre hospitalier Preah Kossamak, Phnom Penh, Cambodge.
authors.forename: C
authors.initials: C
authors.lastname: Ny
authors.affiliation: Centre hospitalier Preah Kossamak, Phnom Penh, Cambodge; Organisation Non Gouvernementale Prupet, BP 609, 03006 Moullins cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Chan
authors.affiliation: Centre hospitalier Lyon Sud, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France; UER Lyon Sud, université Lyon 1, chemin du Petit-Revoyet, BP 12, 69921 Oullins cedex, France.
authors.forename: P-J
authors.initials: PJ
authors.lastname: Souquet
authors.affiliation: Centre hospitalier Lyon Sud, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France; UER Lyon Sud, université Lyon 1, chemin du Petit-Revoyet, BP 12, 69921 Oullins cedex, France; Organisation Non Gouvernementale Prupet, BP 609, 03006 Moullins cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Couraud
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002160:Cambodia / Q000453:epidemiology; D003371:Cough / Q000209:etiology; D024901:Drug Resistance, Multiple, Bacterial; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antibiorésistance; Antimicrobialresistance; Cambodge; Cambodia; Epidemiology; Pneumonia; Pneumonie; Tuberculose; Tuberculosis; Épidémiologie