Epidemiological characterization and the impact of healthcare-associated pneumonia in patients admitted in a northern Portuguese hospital

Detalhes bibliográficos
Autor(a) principal: Méndez, Lucía
Data de Publicação: 2021
Outros Autores: Castro, Pedro, Ferreira, Jorge, Caneiras, Catia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/50412
Resumo: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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spelling Epidemiological characterization and the impact of healthcare-associated pneumonia in patients admitted in a northern Portuguese hospitalKlebsiella pneumoniaePortugalEpidemiologyGram-negativeHealthcare-associated pneumoniaHospitalizationPneumonia© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).Pneumonia is one of the main causes of hospitalization and mortality. It's the fourth leading cause of death worldwide. Healthcare-associated infections are the most frequent complication of healthcare and affect hundreds of millions of patients around the world, although the actual number of patients affected is unknown due to the difficulty of reliable data. The main goal of this manuscript is to describe the epidemiological characteristics of patients admitted with pneumonia and the impact of healthcare-associated pneumonia (HCAP) in those patients. It is a quantitative descriptive study with retrospective analysis of the clinical processes of 2436 individuals for 1 year (2018) with the diagnosis of pneumonia. The individuals with ≤5 years old represented 10.4% (n = 253) and ≥65 were 72.6% (n = 1769). 369 cases resulted in death, which gives a sample lethality rate of 15.2%. The severity and mortality index were not sensitive to the death event. We found 30.2% (n = 735) individuals with HCAP and 0.41% (n = 59) with ventilator-associated pneumonia (VAP). In only 59 individuals (2.4%) the agent causing pneumonia was isolated. The high fatality rate obtained shows that pneumonia is a major cause of death in vulnerable populations. Moreover, HCAP is one of the main causes of hospital admissions from pneumonia and death and the most pneumonias are treated empirically. Knowledge of the epidemiology characterization of pneumonia, especially associated with healthcare, is essential to increase the skills of health professionals for the prevention and efficient treatment of pneumonia.MDPIRepositório da Universidade de LisboaMéndez, LucíaCastro, PedroFerreira, JorgeCaneiras, Catia2021-12-14T15:26:36Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/50412engJ Clin Med. 2021 Nov 28;10(23):559310.3390/jcm102355932077-0383info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:54:34Zoai:repositorio.ul.pt:10451/50412Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:01:52.618203Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Epidemiological characterization and the impact of healthcare-associated pneumonia in patients admitted in a northern Portuguese hospital
title Epidemiological characterization and the impact of healthcare-associated pneumonia in patients admitted in a northern Portuguese hospital
spellingShingle Epidemiological characterization and the impact of healthcare-associated pneumonia in patients admitted in a northern Portuguese hospital
Méndez, Lucía
Klebsiella pneumoniae
Portugal
Epidemiology
Gram-negative
Healthcare-associated pneumonia
Hospitalization
Pneumonia
title_short Epidemiological characterization and the impact of healthcare-associated pneumonia in patients admitted in a northern Portuguese hospital
title_full Epidemiological characterization and the impact of healthcare-associated pneumonia in patients admitted in a northern Portuguese hospital
title_fullStr Epidemiological characterization and the impact of healthcare-associated pneumonia in patients admitted in a northern Portuguese hospital
title_full_unstemmed Epidemiological characterization and the impact of healthcare-associated pneumonia in patients admitted in a northern Portuguese hospital
title_sort Epidemiological characterization and the impact of healthcare-associated pneumonia in patients admitted in a northern Portuguese hospital
author Méndez, Lucía
author_facet Méndez, Lucía
Castro, Pedro
Ferreira, Jorge
Caneiras, Catia
author_role author
author2 Castro, Pedro
Ferreira, Jorge
Caneiras, Catia
author2_role author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Méndez, Lucía
Castro, Pedro
Ferreira, Jorge
Caneiras, Catia
dc.subject.por.fl_str_mv Klebsiella pneumoniae
Portugal
Epidemiology
Gram-negative
Healthcare-associated pneumonia
Hospitalization
Pneumonia
topic Klebsiella pneumoniae
Portugal
Epidemiology
Gram-negative
Healthcare-associated pneumonia
Hospitalization
Pneumonia
description © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
publishDate 2021
dc.date.none.fl_str_mv 2021-12-14T15:26:36Z
2021
2021-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/50412
url http://hdl.handle.net/10451/50412
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv J Clin Med. 2021 Nov 28;10(23):5593
10.3390/jcm10235593
2077-0383
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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