[Clinicoepidemiological characteristics of community-acquired pneumonia in children aged less than 6 years old].
Identifieur interne : 000561 ( Main/Exploration ); précédent : 000560; suivant : 000562[Clinicoepidemiological characteristics of community-acquired pneumonia in children aged less than 6 years old].
Auteurs : F. Giménez Sánchez [Espagne] ; A. Sánchez Marenco ; J M Battles Garrido ; J A L Pez Soler ; M. Sánchez-Solís QuerolSource :
- Anales de pediatria (Barcelona, Spain : 2003) [ 1695-4033 ] ; 2007.
Descripteurs français
- KwdFr :
- Enfant d'âge préscolaire (MeSH), Espagne (MeSH), Hospitalisation (MeSH), Humains (MeSH), Incidence (MeSH), Infections communautaires (MeSH), Nourrisson (MeSH), Pneumopathie infectieuse (diagnostic), Pneumopathie infectieuse (thérapie), Pneumopathie infectieuse (épidémiologie), Soins de santé primaires (MeSH), Études prospectives (MeSH).
- MESH :
- diagnostic : Pneumopathie infectieuse.
- thérapie : Pneumopathie infectieuse.
- épidémiologie : Pneumopathie infectieuse.
- Enfant d'âge préscolaire, Espagne, Hospitalisation, Humains, Incidence, Infections communautaires, Nourrisson, Soins de santé primaires, Études prospectives.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- MESH :
- geographic : Spain.
- diagnosis : Pneumonia.
- epidemiology : Pneumonia.
- therapy : Pneumonia.
- Child, Preschool, Community-Acquired Infections, Hospitalization, Humans, Incidence, Infant, Primary Health Care, Prospective Studies.
Abstract
INTRODUCTION
Acute respiratory infections are an important cause of consultations in primary care and hospitals. Most published epidemiological studies have analyzed pneumonia in hospitals and very few include information on primary care.
MATERIAL AND METHODS
We performed a multicenter, prospective, epidemiological study in 17 primary care centers and four hospital pediatric emergency rooms. All children under 6 years of age with a clinical diagnosis of pneumonia were included.
RESULTS
There were 311 patients with a mean age of 32.2 months. The incidence of community-acquired pneumonia was 3,600 cases/100,000 children/year under 6 years old in primary care centers. Of these, 136 were diagnosed in hospitals (43.7 %). The most common clinical signs and symptoms were fever (95.4 %), cough (94.4 %), tachypnea (58.2 %), and auscultation abnormalities (90.2 %). Antibiotic therapy was started in 298 patients (98 %). The most frequent antibiotic was amoxicillin-clavulanate (39.5 %), followed by cefuroxime (32.7 %) and clarithromycin (8.3 %). The most frequently isolated microorganism was respiratory syncytial virus followed by Streptococcus pneumoniae. Hospital admission was required in 15.6 % of patients. Only 24.6 % of the patients had been vaccinated with the heptavalent pneumococcal conjugate vaccine and 12.7 % of the children with underlying respiratory diseases had been vaccinated with the influenza virus vaccine.
CONCLUSIONS
In our milieu, the diagnosis and treatment of community-acquired pneumonia is usually carried out in primary care and the incidence is high. Although most patients do not require hospitalization, etiological diagnosis of community-acquired pneumonia and optimal antibiotic therapy remain difficult goals to achieve.
DOI: 10.1157/13107392
PubMed: 17583619
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Clinicoepidemiological characteristics of community-acquired pneumonia in children aged less than 6 years old].</title><author><name sortKey="Gimenez Sanchez, F" sort="Gimenez Sanchez, F" uniqKey="Gimenez Sanchez F" first="F" last="Giménez Sánchez">F. Giménez Sánchez</name><affiliation wicri:level="1"><nlm:affiliation>Servicio de Pediatría, Clínica Mediterráneo, Granada, España. frgisa@cajamar.es</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Servicio de Pediatría, Clínica Mediterráneo, Granada</wicri:regionArea><wicri:noRegion>Granada</wicri:noRegion></affiliation></author><author><name sortKey="Sanchez Marenco, A" sort="Sanchez Marenco, A" uniqKey="Sanchez Marenco A" first="A" last="Sánchez Marenco">A. Sánchez Marenco</name></author><author><name sortKey="Battles Garrido, J M" sort="Battles Garrido, J M" uniqKey="Battles Garrido J" first="J M" last="Battles Garrido">J M Battles Garrido</name></author><author><name sortKey="L Pez Soler, J A" sort="L Pez Soler, J A" uniqKey="L Pez Soler J" first="J A" last="L Pez Soler">J A L Pez Soler</name></author><author><name sortKey="Sanchez Solis Querol, M" sort="Sanchez Solis Querol, M" uniqKey="Sanchez Solis Querol M" first="M" last="Sánchez-Solís Querol">M. Sánchez-Solís Querol</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="RBID">pubmed:17583619</idno><idno type="pmid">17583619</idno><idno type="doi">10.1157/13107392</idno><idno type="wicri:Area/Main/Corpus">00562</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">00562</idno><idno type="wicri:Area/Main/Curation">000562</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000562</idno><idno type="wicri:Area/Main/Exploration">000562</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Clinicoepidemiological characteristics of community-acquired pneumonia in children aged less than 6 years old].</title><author><name sortKey="Gimenez Sanchez, F" sort="Gimenez Sanchez, F" uniqKey="Gimenez Sanchez F" first="F" last="Giménez Sánchez">F. Giménez Sánchez</name><affiliation wicri:level="1"><nlm:affiliation>Servicio de Pediatría, Clínica Mediterráneo, Granada, España. frgisa@cajamar.es</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Servicio de Pediatría, Clínica Mediterráneo, Granada</wicri:regionArea><wicri:noRegion>Granada</wicri:noRegion></affiliation></author><author><name sortKey="Sanchez Marenco, A" sort="Sanchez Marenco, A" uniqKey="Sanchez Marenco A" first="A" last="Sánchez Marenco">A. Sánchez Marenco</name></author><author><name sortKey="Battles Garrido, J M" sort="Battles Garrido, J M" uniqKey="Battles Garrido J" first="J M" last="Battles Garrido">J M Battles Garrido</name></author><author><name sortKey="L Pez Soler, J A" sort="L Pez Soler, J A" uniqKey="L Pez Soler J" first="J A" last="L Pez Soler">J A L Pez Soler</name></author><author><name sortKey="Sanchez Solis Querol, M" sort="Sanchez Solis Querol, M" uniqKey="Sanchez Solis Querol M" first="M" last="Sánchez-Solís Querol">M. Sánchez-Solís Querol</name></author></analytic><series><title level="j">Anales de pediatria (Barcelona, Spain : 2003)</title><idno type="ISSN">1695-4033</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child, Preschool (MeSH)</term><term>Community-Acquired Infections (MeSH)</term><term>Hospitalization (MeSH)</term><term>Humans (MeSH)</term><term>Incidence (MeSH)</term><term>Infant (MeSH)</term><term>Pneumonia (diagnosis)</term><term>Pneumonia (epidemiology)</term><term>Pneumonia (therapy)</term><term>Primary Health Care (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Spain (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Enfant d'âge préscolaire (MeSH)</term><term>Espagne (MeSH)</term><term>Hospitalisation (MeSH)</term><term>Humains (MeSH)</term><term>Incidence (MeSH)</term><term>Infections communautaires (MeSH)</term><term>Nourrisson (MeSH)</term><term>Pneumopathie infectieuse (diagnostic)</term><term>Pneumopathie infectieuse (thérapie)</term><term>Pneumopathie infectieuse (épidémiologie)</term><term>Soins de santé primaires (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Spain</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Pneumonia</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Pneumopathie infectieuse</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Pneumonia</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Pneumonia</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Pneumopathie infectieuse</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Pneumopathie infectieuse</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child, Preschool</term><term>Community-Acquired Infections</term><term>Hospitalization</term><term>Humans</term><term>Incidence</term><term>Infant</term><term>Primary Health Care</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Enfant d'âge préscolaire</term><term>Espagne</term><term>Hospitalisation</term><term>Humains</term><term>Incidence</term><term>Infections communautaires</term><term>Nourrisson</term><term>Soins de santé primaires</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Acute respiratory infections are an important cause of consultations in primary care and hospitals. Most published epidemiological studies have analyzed pneumonia in hospitals and very few include information on primary care.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>We performed a multicenter, prospective, epidemiological study in 17 primary care centers and four hospital pediatric emergency rooms. All children under 6 years of age with a clinical diagnosis of pneumonia were included.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>There were 311 patients with a mean age of 32.2 months. The incidence of community-acquired pneumonia was 3,600 cases/100,000 children/year under 6 years old in primary care centers. Of these, 136 were diagnosed in hospitals (43.7 %). The most common clinical signs and symptoms were fever (95.4 %), cough (94.4 %), tachypnea (58.2 %), and auscultation abnormalities (90.2 %). Antibiotic therapy was started in 298 patients (98 %). The most frequent antibiotic was amoxicillin-clavulanate (39.5 %), followed by cefuroxime (32.7 %) and clarithromycin (8.3 %). The most frequently isolated microorganism was respiratory syncytial virus followed by Streptococcus pneumoniae. Hospital admission was required in 15.6 % of patients. Only 24.6 % of the patients had been vaccinated with the heptavalent pneumococcal conjugate vaccine and 12.7 % of the children with underlying respiratory diseases had been vaccinated with the influenza virus vaccine.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>In our milieu, the diagnosis and treatment of community-acquired pneumonia is usually carried out in primary care and the incidence is high. Although most patients do not require hospitalization, etiological diagnosis of community-acquired pneumonia and optimal antibiotic therapy remain difficult goals to achieve.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17583619</PMID><DateCompleted><Year>2007</Year><Month>09</Month><Day>18</Day></DateCompleted><DateRevised><Year>2019</Year><Month>09</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1695-4033</ISSN><JournalIssue CitedMedium="Print"><Volume>66</Volume><Issue>6</Issue><PubDate><Year>2007</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Anales de pediatria (Barcelona, Spain : 2003)</Title><ISOAbbreviation>An Pediatr (Barc)</ISOAbbreviation></Journal><ArticleTitle>[Clinicoepidemiological characteristics of community-acquired pneumonia in children aged less than 6 years old].</ArticleTitle><Pagination><MedlinePgn>578-84</MedlinePgn></Pagination><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Acute respiratory infections are an important cause of consultations in primary care and hospitals. Most published epidemiological studies have analyzed pneumonia in hospitals and very few include information on primary care.</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">We performed a multicenter, prospective, epidemiological study in 17 primary care centers and four hospital pediatric emergency rooms. All children under 6 years of age with a clinical diagnosis of pneumonia were included.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">There were 311 patients with a mean age of 32.2 months. The incidence of community-acquired pneumonia was 3,600 cases/100,000 children/year under 6 years old in primary care centers. Of these, 136 were diagnosed in hospitals (43.7 %). The most common clinical signs and symptoms were fever (95.4 %), cough (94.4 %), tachypnea (58.2 %), and auscultation abnormalities (90.2 %). Antibiotic therapy was started in 298 patients (98 %). The most frequent antibiotic was amoxicillin-clavulanate (39.5 %), followed by cefuroxime (32.7 %) and clarithromycin (8.3 %). The most frequently isolated microorganism was respiratory syncytial virus followed by Streptococcus pneumoniae. Hospital admission was required in 15.6 % of patients. Only 24.6 % of the patients had been vaccinated with the heptavalent pneumococcal conjugate vaccine and 12.7 % of the children with underlying respiratory diseases had been vaccinated with the influenza virus vaccine.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In our milieu, the diagnosis and treatment of community-acquired pneumonia is usually carried out in primary care and the incidence is high. Although most patients do not require hospitalization, etiological diagnosis of community-acquired pneumonia and optimal antibiotic therapy remain difficult goals to achieve.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Giménez Sánchez</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Servicio de Pediatría, Clínica Mediterráneo, Granada, España. frgisa@cajamar.es</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sánchez Marenco</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Battles Garrido</LastName><ForeName>J M</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>López Soler</LastName><ForeName>J A</ForeName><Initials>JA</Initials></Author><Author ValidYN="Y"><LastName>Sánchez-Solís Querol</LastName><ForeName>M</ForeName><Initials>M</Initials></Author></AuthorList><Language>spa</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><VernacularTitle>Características clínico-epidemiológicas de la neumonía adquirida en la comunidad en niños menores de 6 años.</VernacularTitle></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>An Pediatr (Barc)</MedlineTA><NlmUniqueID>101162596</NlmUniqueID><ISSNLinking>1695-4033</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017714" MajorTopicYN="N">Community-Acquired Infections</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011014" MajorTopicYN="Y">Pneumonia</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011320" MajorTopicYN="N">Primary Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>6</Month><Day>23</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>9</Month><Day>19</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>6</Month><Day>23</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17583619</ArticleId><ArticleId IdType="pii">13107392</ArticleId><ArticleId IdType="doi">10.1157/13107392</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country></list><tree><noCountry><name sortKey="Battles Garrido, J M" sort="Battles Garrido, J M" uniqKey="Battles Garrido J" first="J M" last="Battles Garrido">J M Battles Garrido</name><name sortKey="L Pez Soler, J A" sort="L Pez Soler, J A" uniqKey="L Pez Soler J" first="J A" last="L Pez Soler">J A L Pez Soler</name><name sortKey="Sanchez Marenco, A" sort="Sanchez Marenco, A" uniqKey="Sanchez Marenco A" first="A" last="Sánchez Marenco">A. Sánchez Marenco</name><name sortKey="Sanchez Solis Querol, M" sort="Sanchez Solis Querol, M" uniqKey="Sanchez Solis Querol M" first="M" last="Sánchez-Solís Querol">M. Sánchez-Solís Querol</name></noCountry><country name="Espagne"><noRegion><name sortKey="Gimenez Sanchez, F" sort="Gimenez Sanchez, F" uniqKey="Gimenez Sanchez F" first="F" last="Giménez Sánchez">F. Giménez Sánchez</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/GrippeEspagneV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000561 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000561 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= GrippeEspagneV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:17583619
|texte= [Clinicoepidemiological characteristics of community-acquired pneumonia in children aged less than 6 years old].
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:17583619" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a GrippeEspagneV1
| This area was generated with Dilib version V0.6.37. |  |