Usefulness of the Japanese Respiratory Society guidelines for community pneumonia: a retrospective analysis of community-acquired pneumonia between 2000 and 2002 in a general hospital

Objective:  The aim of this study was to investigate the causative organisms of community‐acquired pneumonia (CAP) diagnosed between 2000 and 2002 and to evaluate the Japanese Respiratory Society (JRS) guidelines. Methodology:  A total of 124 cases of CAP diagnosed during the study period were analy...

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Published in:Respirology (Carlton, Vic.) Vic.), 2005-03, Vol.10 (2), p.208-214
Main Authors: MOTOMURA, Kazushi, MASAKI, Hironori, TERADA, Mayumi, ONIZUKA, Tomoko, FURUMOTO, Akitsugu, ASOH, Norichika, OISHI, Kazunori, NAGATAKE, Tsuyoshi
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Aged
Aged, 80 and over
Community-Acquired Infections - diagnosis
Community-Acquired Infections - microbiology
Community-Acquired Infections - therapy
community-acquired pneumonia
Female
Haemophilus influenzae
Hospitals, General
Humans
Japan
Japanese Respiratory Society guidelines
Male
Middle Aged
Moraxella catarrhalis
Pneumonia - diagnosis
Pneumonia - mortality
Pneumonia - therapy
Practice Guidelines as Topic - standards
prognosis factors
Retrospective Studies
Streptococcus pneumoniae
Streptococcus pneumoniae - isolation & purification
Survival Rate
Urban Population
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Summary:Objective:  The aim of this study was to investigate the causative organisms of community‐acquired pneumonia (CAP) diagnosed between 2000 and 2002 and to evaluate the Japanese Respiratory Society (JRS) guidelines. Methodology:  A total of 124 cases of CAP diagnosed during the study period were analyzed, and the results were compared with those of a previous study by the authors’ research group. Determination of the causative organisms of CAP was based on Gram stain, morphology of colonies, quantitative culture of sputum, identification of bacterial isolates, and serological tests. Results:  During the study period, the causative organisms were identified in 42 cases (33.8%). Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis were the major causative organisms. Patients were classified into three groups based on the severity of CAP according to the JRS guidelines. The survival rates of patients with moderate and severe CAP were significantly lower than those of the mild group as evaluated by the Kaplan–Meier method (moderate vs mild, 70% vs 100%; severe vs mild, 40% vs 100%; P 
ISSN:1323-7799
1440-1843
DOI:10.1111/j.1440-1843.2005.00664.x