Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/70951
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dc.contributor.authorPolverino, Evaen_US
dc.contributor.authorTorres, Antonien_US
dc.contributor.authorMenendez, Rosarioen_US
dc.contributor.authorCillóniz, Catiaen_US
dc.contributor.authorValles, José Manuelen_US
dc.contributor.authorCapelastegui, Albertoen_US
dc.contributor.authorMarcos, M. Angelesen_US
dc.contributor.authorAlfageme, Inmaculadaen_US
dc.contributor.authorZalacain, Rafaelen_US
dc.contributor.authorAlmirall, Jordien_US
dc.contributor.authorMolinos, Luisen_US
dc.contributor.authorBello, Salvadoren_US
dc.contributor.authorRodríguez de Castro, Felipe Carlos B.en_US
dc.contributor.authorBlanquer, Josepen_US
dc.contributor.authorDorado, Antonioen_US
dc.contributor.authorLlevat, Noeliaen_US
dc.contributor.authorRello, Jordien_US
dc.date.accessioned2020-03-17T16:27:42Z-
dc.date.available2020-03-17T16:27:42Z-
dc.date.issued2015en_US
dc.identifier.issn0040-6376en_US
dc.identifier.urihttp://hdl.handle.net/10553/70951-
dc.description.abstractIntroduction Healthcare-associated pneumonia (HCAP) is actually considered a subgroup of hospital-acquired pneumonia due to the reported high risk of multidrug-resistant pathogens in the USA. Therefore, current American Thoracic Society/ Infectious Diseases Society of America guidelines suggest a nosocomial antibiotic treatment for HCAP. Unfortunately, the scientific evidence supporting this is contradictory. Methods We conducted a prospective multicentre case-control study in Spain, comparing clinical presentation, outcomes and microbial aetiology of HCAP and community-acquired pneumonia (CAP) patients matched by age (±10 years), gender and period of admission (±10 weeks). Results 476 patients (238 cases, 238 controls) were recruited for 2 years from June 2008. HCAP cases showed significantly more comorbidities (including dysphagia), higher frequency of previous antibiotic use in the preceding month, higher pneumonia severity score and worse clinical status (Charslon and Barthel scores). While microbial aetiology did not differ between the two groups (HCAP and CAP: Streptococcus pneumoniae: 51% vs 55%; viruses: 22% vs 12%; Legionella: 4% vs 9%; Gram-negative bacilli: 5% vs 4%; Pseudomonas aeruginosa: 4% vs 1%), HCAP patients showed worse mortality rates (1-month: HCAP, 12%; CAP 5%; 1-year: HCAP, 24%; CAP, 9%), length of hospital stay (9 vs 7 days), 1-month treatment failure (5.5% vs 1.5%) and readmission rate (18% vs 11%) (p<0.05, each). Conclusions Despite a similar clinical presentation, HCAP was more severe due to patients' conditions (comorbidities) and showed worse clinical outcomes. Microbial aetiology of HCAP did not differ from CAP indicating that it is not related to increased mortality and in Spain most HCAP patients do not need nosocomial antibiotic coverage.en_US
dc.languageengen_US
dc.relation.ispartofThoraxen_US
dc.sourceThorax [ISSN 0040-6376], v. 68 (11), p. 1007-1014, (2015)en_US
dc.subject320103 Microbiología clínicaen_US
dc.titleErratum: Microbial aetiology of healthcare associated pneumonia in Spain: A prospective, multicentre, case-control study (Thorax (2013) 68 (1007-1014))en_US
dc.typeCorrigendaen_US
dc.identifier.doi10.1136/thoraxjnl-2013-203828en_US
dc.identifier.pmid68-
dc.identifier.scopus2-s2.0-84939215389-
dc.contributor.orcid#NODATA#-
dc.contributor.orcid#NODATA#-
dc.contributor.orcid#NODATA#-
dc.description.lastpage1014en_US
dc.identifier.issue7-
dc.description.firstpage1007en_US
dc.relation.volume70en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Corrigendaen_US
dc.description.observacionesCorrección a: Thorax. 2013 Nov;68(11):1007-14. doi: 10.1136/thoraxjnl-2013-203828en_US
dc.utils.revisionen_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.sjr3,786
dc.description.jcr8,121
dc.description.sjrqQ1
dc.description.jcrqQ1
dc.description.scieSCIE
item.grantfulltextnone-
item.fulltextSin texto completo-
crisitem.author.deptGIR IUIBS: Patología médica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0002-6812-2739-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.fullNameRodríguez De Castro, Felipe Carlos B.-
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