Community-acquired pneumonia by Legionella pneumophila serogroups 1–6 in Brazil

A prospective cohort study of adult patients hospitalized due to community-acquired pneumonia was carried out for 1 year in a Brazilian university general hospital to detect the incidence of community-acquired pneumonia by Legionella pneumophila serogroups 1–6. During a whole year, a total of 645 co...

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Veröffentlicht in:Respiratory medicine 2005-08, Vol.99 (8), p.966-975
Hauptverfasser: Chedid, Maria Bernadete F., Ilha, Darcy de O., Chedid, Marcio F., Dalcin, Paulo R., Buzzetti, Mary, Jaconi Saraiva, Paulo, Griza, Daniela, Menna Barreto, Sergio S.
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container_end_page 975
container_issue 8
container_start_page 966
container_title Respiratory medicine
container_volume 99
creator Chedid, Maria Bernadete F.
Ilha, Darcy de O.
Chedid, Marcio F.
Dalcin, Paulo R.
Buzzetti, Mary
Jaconi Saraiva, Paulo
Griza, Daniela
Menna Barreto, Sergio S.
description A prospective cohort study of adult patients hospitalized due to community-acquired pneumonia was carried out for 1 year in a Brazilian university general hospital to detect the incidence of community-acquired pneumonia by Legionella pneumophila serogroups 1–6. During a whole year, a total of 645 consecutive patients who were hospitalized due to a initial presumptive diagnosis of respiratory disease by ICD-10 (J00–J99), excluding upper respiratory diseases, were screened to detect the patients with community-acquired pneumonia. Fifty-nine consecutive patients hospitalized due to community-acquired pneumonia between July 19, 2000 and July 18, 2001, were included in the study. They had determinations of serum antibodies to L. pneumophila serogroups 1–6 by indirect immunofluorescence antibody test at the Infectious Diseases Laboratory of University of Louisville (KY, USA) and urinary antigen tests for L. pneumophila serogroup 1. Three patients had community-acquired pneumonia by L. pneumophila serogroups 1–6, two patients being diagnosed by seroconversion and positive urinary antigen tests; the other had negative serologies but strongly positive urinary antigen test. The incidence of community-acquired pneumonia by L. pneumophila serogroups 1–6 in our hospital was 5.1%.
doi_str_mv 10.1016/j.rmed.2005.02.008
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subjects Adolescent
Adult
Aged
Antibiotics
Antibodies, Bacterial - blood
Antigens, Bacterial - urine
Bacterial diseases
Bacterial diseases of the respiratory system
Biological and medical sciences
Brazil
Brazil - epidemiology
Community-Acquired Infections - epidemiology
Community-Acquired Infections - microbiology
Community-acquired pneumonia
Fluorescent Antibody Technique, Indirect
Hospitalization
Human bacterial diseases
Humans
Incidence
Infectious diseases
Legionella pneumophila - classification
Legionella pneumophila - immunology
Legionella pneumophila - isolation & purification
Legionella urinary antigen
Legionnaires disease
Legionnaires' Disease - diagnostic imaging
Legionnaires' Disease - epidemiology
Legionnaires' Disease - microbiology
Medical sciences
Middle Aged
Patient Selection
Pneumology
Pneumonia
Prospective Studies
Respiratory diseases
Tomography, X-Ray Computed
title Community-acquired pneumonia by Legionella pneumophila serogroups 1–6 in Brazil
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