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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 |
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| Main Authors: | , , , , , , , |
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| cited_by | cdi_FETCH-LOGICAL-c5024-8dceaee59e7f51743615159ce26ee7d2091575ef51bbbf8759bc5ab496e87c343 |
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| cites | cdi_FETCH-LOGICAL-c5024-8dceaee59e7f51743615159ce26ee7d2091575ef51bbbf8759bc5ab496e87c343 |
| container_end_page | 214 |
| container_issue | 2 |
| container_start_page | 208 |
| container_title | Respirology (Carlton, Vic.) |
| container_volume | 10 |
| creator | MOTOMURA, Kazushi MASAKI, Hironori TERADA, Mayumi ONIZUKA, Tomoko FURUMOTO, Akitsugu ASOH, Norichika OISHI, Kazunori NAGATAKE, Tsuyoshi |
| description | 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 |
| doi_str_mv | 10.1111/j.1440-1843.2005.00664.x |
| format | article |
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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 < 0.001 for both). Seven patients died during the study, and the risk factors were old age, bedridden status with cerebral infarction, and microaspiration, which was associated with recurrent pneumonia within 17 days.
Conclusion: This study indicates that the JRS guidelines for CAP are useful for treating patients with CAP in Japan.</description><identifier>ISSN: 1323-7799</identifier><identifier>EISSN: 1440-1843</identifier><identifier>DOI: 10.1111/j.1440-1843.2005.00664.x</identifier><identifier>PMID: 15823187</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Science Pty</publisher><subject>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</subject><ispartof>Respirology (Carlton, Vic.), 2005-03, Vol.10 (2), p.208-214</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5024-8dceaee59e7f51743615159ce26ee7d2091575ef51bbbf8759bc5ab496e87c343</citedby><cites>FETCH-LOGICAL-c5024-8dceaee59e7f51743615159ce26ee7d2091575ef51bbbf8759bc5ab496e87c343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15823187$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MOTOMURA, Kazushi</creatorcontrib><creatorcontrib>MASAKI, Hironori</creatorcontrib><creatorcontrib>TERADA, Mayumi</creatorcontrib><creatorcontrib>ONIZUKA, Tomoko</creatorcontrib><creatorcontrib>FURUMOTO, Akitsugu</creatorcontrib><creatorcontrib>ASOH, Norichika</creatorcontrib><creatorcontrib>OISHI, Kazunori</creatorcontrib><creatorcontrib>NAGATAKE, Tsuyoshi</creatorcontrib><title>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</title><title>Respirology (Carlton, Vic.)</title><addtitle>Respirology</addtitle><description>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 < 0.001 for both). Seven patients died during the study, and the risk factors were old age, bedridden status with cerebral infarction, and microaspiration, which was associated with recurrent pneumonia within 17 days.
Conclusion: This study indicates that the JRS guidelines for CAP are useful for treating patients with CAP in Japan.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Community-Acquired Infections - diagnosis</subject><subject>Community-Acquired Infections - microbiology</subject><subject>Community-Acquired Infections - therapy</subject><subject>community-acquired pneumonia</subject><subject>Female</subject><subject>Haemophilus influenzae</subject><subject>Hospitals, General</subject><subject>Humans</subject><subject>Japan</subject><subject>Japanese Respiratory Society guidelines</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Moraxella catarrhalis</subject><subject>Pneumonia - diagnosis</subject><subject>Pneumonia - mortality</subject><subject>Pneumonia - therapy</subject><subject>Practice Guidelines as Topic - standards</subject><subject>prognosis factors</subject><subject>Retrospective Studies</subject><subject>Streptococcus pneumoniae</subject><subject>Streptococcus pneumoniae - isolation & purification</subject><subject>Survival Rate</subject><subject>Urban Population</subject><issn>1323-7799</issn><issn>1440-1843</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNqNkc1u1DAUhS0EoqXwCsgrdgl2HMcxEgtUlbZoBKhDYWk5zk3rwfmpndDJk_X1cDqj6RK88bXO_c6V70EIU5LSeN5vUprnJKFlztKMEJ4SUhR5un2Gjg_C81izjCVCSHmEXoWwIYQwTvhLdER5mTFaimP0cB2gmVwHIeC-weMt4C960PEN-ArCYL0eez_jdW8sjDO-mWwNzkYdN73Hpm_bqbNRGDqY2r6z-gPW2MPo-zCAGe0fwLrTbg72ccABSLS5m6yH-onEFYz3AB2OXyKRqpciw7aLjjfQgdcO30ZbO2r3Gr1otAvwZn-foOvPZz9OL5LVt_PL00-rxHCS5UlZG9AAXIJoOBU5KyinXBrICgBRZ0RSLjhEraqqphRcVobrKpcFlMKwnJ2gdzvfwfd3E4RRtTYYcC6uqJ-CKoRgceX8n41UlllO6OJY7hpNXFHw0KjB21b7WVGilnTVRi0hqiVEtaSrHtNV24i-3c-YqhbqJ3AfZ2z4uGu4tw7m_zZWV2fr77GKfLLjbRhhe-C1_x0_ygRXv76eK_YzW_G1XKkL9hfFX8Xr</recordid><startdate>200503</startdate><enddate>200503</enddate><creator>MOTOMURA, Kazushi</creator><creator>MASAKI, Hironori</creator><creator>TERADA, Mayumi</creator><creator>ONIZUKA, Tomoko</creator><creator>FURUMOTO, Akitsugu</creator><creator>ASOH, Norichika</creator><creator>OISHI, Kazunori</creator><creator>NAGATAKE, Tsuyoshi</creator><general>Blackwell Science Pty</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>200503</creationdate><title>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</title><author>MOTOMURA, Kazushi ; MASAKI, Hironori ; TERADA, Mayumi ; ONIZUKA, Tomoko ; FURUMOTO, Akitsugu ; ASOH, Norichika ; OISHI, Kazunori ; NAGATAKE, Tsuyoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5024-8dceaee59e7f51743615159ce26ee7d2091575ef51bbbf8759bc5ab496e87c343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Community-Acquired Infections - diagnosis</topic><topic>Community-Acquired Infections - microbiology</topic><topic>Community-Acquired Infections - therapy</topic><topic>community-acquired pneumonia</topic><topic>Female</topic><topic>Haemophilus influenzae</topic><topic>Hospitals, General</topic><topic>Humans</topic><topic>Japan</topic><topic>Japanese Respiratory Society guidelines</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Moraxella catarrhalis</topic><topic>Pneumonia - diagnosis</topic><topic>Pneumonia - mortality</topic><topic>Pneumonia - therapy</topic><topic>Practice Guidelines as Topic - standards</topic><topic>prognosis factors</topic><topic>Retrospective Studies</topic><topic>Streptococcus pneumoniae</topic><topic>Streptococcus pneumoniae - isolation & purification</topic><topic>Survival Rate</topic><topic>Urban Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MOTOMURA, Kazushi</creatorcontrib><creatorcontrib>MASAKI, Hironori</creatorcontrib><creatorcontrib>TERADA, Mayumi</creatorcontrib><creatorcontrib>ONIZUKA, Tomoko</creatorcontrib><creatorcontrib>FURUMOTO, Akitsugu</creatorcontrib><creatorcontrib>ASOH, Norichika</creatorcontrib><creatorcontrib>OISHI, Kazunori</creatorcontrib><creatorcontrib>NAGATAKE, Tsuyoshi</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Respirology (Carlton, Vic.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MOTOMURA, Kazushi</au><au>MASAKI, Hironori</au><au>TERADA, Mayumi</au><au>ONIZUKA, Tomoko</au><au>FURUMOTO, Akitsugu</au><au>ASOH, Norichika</au><au>OISHI, Kazunori</au><au>NAGATAKE, Tsuyoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Respirology (Carlton, Vic.)</jtitle><addtitle>Respirology</addtitle><date>2005-03</date><risdate>2005</risdate><volume>10</volume><issue>2</issue><spage>208</spage><epage>214</epage><pages>208-214</pages><issn>1323-7799</issn><eissn>1440-1843</eissn><abstract>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 < 0.001 for both). Seven patients died during the study, and the risk factors were old age, bedridden status with cerebral infarction, and microaspiration, which was associated with recurrent pneumonia within 17 days.
Conclusion: This study indicates that the JRS guidelines for CAP are useful for treating patients with CAP in Japan.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Science Pty</pub><pmid>15823187</pmid><doi>10.1111/j.1440-1843.2005.00664.x</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 1323-7799 |
| ispartof | Respirology (Carlton, Vic.), 2005-03, Vol.10 (2), p.208-214 |
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| language | eng |
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| source | Wiley |
| 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 |
| title | 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 |
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