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[Thousand faces of Streptococcus pneumonia (pneumococcus) infections].
- Source :
-
Orvosi hetilap [Orv Hetil] 2015 Nov 01; Vol. 156 (44), pp. 1769-77. - Publication Year :
- 2015
-
Abstract
- Incidence and mortality rates of infections caused by Streptococcus pneumoniae (pneumococcus) are high worldwide and in Hungary among paediatric as well as adult populations. Pneumococci account for 35-40% of community acquired adult pneumonias requiring hospitalization, while 25-30% of Streptococcus pneumoniae pneumonias are accompanied by bacteraemia. 5-7% of all infections are fatal but this rate is exponentially higher in high risk patients and elderly people. Mortality could reach 20% among patients with severe invasive pneumococcal infections. Complications may develop despite administration of adequate antibiotics. The authors summarize the epidemiology of pneumococcal infections, pathogenesis of non-invasive and invasive disease and present basic clinical aspects through demonstration of four cases. Early risk stratification, sampling of hemocultures, administration of antibiotics and wider application of active immunization could reduce the mortality of invasive disease. Anti-pneumococcal vaccination is advisable for adults of ≥50 years and high risk patients of ≥18 years who are susceptible to pneumococcal disease.
- Subjects :
- Adult
Age Factors
Aged
Bacteremia epidemiology
Bacteremia prevention & control
Community-Acquired Infections epidemiology
Community-Acquired Infections microbiology
Community-Acquired Infections prevention & control
Female
Heart Diseases microbiology
Humans
Hungary epidemiology
Incidence
Male
Middle Aged
Pneumococcal Infections
Respiratory Insufficiency microbiology
Risk Factors
Anti-Bacterial Agents therapeutic use
Bacteremia microbiology
Pneumococcal Vaccines administration & dosage
Pneumonia, Pneumococcal complications
Pneumonia, Pneumococcal diagnosis
Pneumonia, Pneumococcal drug therapy
Pneumonia, Pneumococcal epidemiology
Pneumonia, Pneumococcal mortality
Pneumonia, Pneumococcal prevention & control
Streptococcus pneumoniae isolation & purification
Subjects
Details
- Language :
- Hungarian
- ISSN :
- 0030-6002
- Volume :
- 156
- Issue :
- 44
- Database :
- MEDLINE
- Journal :
- Orvosi hetilap
- Publication Type :
- Academic Journal
- Accession number :
- 26498896
- Full Text :
- https://doi.org/10.1556/650.2015.30293