Abstract:
BACKGROUND:This study investigated the burden (incidence, mortality and serotype distribution) of pneumococcal pneumonia among older adults in the region of Tarragona (Spain). METHODS:Population-based cohort study involving 27,204 individuals ≥60 years in Tarragonès county (Southern Catalonia), who were prospectively followed between 01/12/2008 and 30/11/2011. Bacteremic and nonbacteremic (positive sputum culture and/or urinary antigen test) pneumococcal pneumonias were recruited. RESULTS:A total of 125 pneumococcal pneumonias (16 bacteremic and 109 nonbacteremic) was observed. Incidence rates (per 1000 person-years) were 0.21 (95% confidence interval [CI]: 0.13-0.35) for bacteremic cases and 1.45 (95% CI: 1.20-1.75) for nonbacteremic cases. Case-fatality rate was 10.4% (12.5% in bacteremic and 10.1% in nonbacteremic cases). Five serotypes (types 3, 6C, 19A, 22F and 35B) were the most common serotypes, accounting for 64.3% of overall isolated serotypes. 73.1% of cases were due to the strains included in the 23-valent vaccine whereas 53.6% were due to the strains included in the 13-valent vaccine. CONCLUSION:The burden of pneumococcal pneumonia remains considerable (especially among oldest people and nursing-home residents) despite a publicly funded anti-pneumococcal vaccination program operative for several years.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Vila-Corcoles A,Ansa X,Ochoa-Gondar O,Satue E,de Diego C,Rodriguez-Blanco T,EPIVAC Research Team.doi
10.1016/j.medcli.2015.09.015subject
Has Abstractpub_date
2016-03-04 00:00:00pages
199-202issue
5eissn
0025-7753issn
1578-8989pii
S0025-7753(15)00566-7journal_volume
146pub_type
杂志文章相关文献
MEDICINA CLINICA文献大全abstract:BACKGROUND AND OBJECTIVE:Growth hormone binding protein (GHBP), insuline-like growth factor 1 (IGF-1) and insuline-like growth factor binding protein 3 (IGFBP-3) serum concentrations were studied in familial short-statured patients (FSS) and age-matched normal-statured subjects. The aim of the study was to ascertain wh...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13067086
更新日期:2004-10-09 00:00:00
abstract::Systemic autoinflammatory diseases are an heterogeneous group of systemic disorders clinically characterized by recurrent or persistent inflammatory episodes, which occur in the absence of infectious, neoplastic or autoimmune etiology. During the past years, genetic defects affecting different proteins involved in the...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1157/13108350
更新日期:2007-07-14 00:00:00
abstract:BACKGROUND AND OBJECTIVE:To study the effects of antenatal corticosteroids treatment to promote fetal lung maturation, on fetal growth, depending on the number of the courses administered. PATIENTS AND METHOD:The study was based on data from the Spanish Collaborative Study of Congenital Malformations (ECEMC), analysin...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13092436
更新日期:2006-09-16 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Arterial stiffness (AS) is a well-recognized target organ lesion. This study aims to determine: 1) the frequency of AS in community pharmacies; 2) if stiffened subjects identified by brachial oscillometry have more CV risk factors than normal subjects, and 3) the dependence of stiffness on usin...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2017.04.037
更新日期:2017-12-07 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Thalassemias are the most common single-gene disorders in the world population and the most important health problem in several countries. The best program of prevention of new births is prenatal diagnosis. Here we gather the experience from 1996 of the Spanish Group of Erythropathology related...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2008.09.012
更新日期:2009-01-24 00:00:00
abstract::There are a great number of polymorphic genes in the human genome. Many of them codify enzymes that metabolizes drugs and xenobiotic agents, including carcinogens. Among the better known of them, there are a number of isozymes of the microsomal oxidative system (CYP3A4, CYP2C9, CYP2C19 y CYP2D6). This article reviews ...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1157/13088772
更新日期:2006-05-13 00:00:00
abstract:BACKGROUND:The purpose of this study was to know the concordance of diagnosis between emergency rooms amd hospitalization wards and to analyze the mistake index, the epidemiological characteristics and the main reasons for the mistakes. PATIENTS AND METHOD:We analyzed hospitalized patients and used a three-level conco...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(02)73485-4
更新日期:2002-10-26 00:00:00
abstract:BACKGROUND:To evaluate differences in the temporal profile of acute phase response (APR) between ischemic stroke (IS) and intracerebral hemorrhage (ICH). PATIENTS AND METHOD:We studied APR parameters (< 24 h and 3-5 day) in 88 consecutive patients (43 ICH and 45 IS). The increase/decrease of the parameters between bot...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(01)71717-4
更新日期:2001-01-20 00:00:00
abstract:BACKGROUND:In this study we introduce a new view of hospital infection, to apply time series techniques to it. Our objective is to complement hospital infection's epidemiological surveillance by means of obtaining alert and alarm thresholds that make easy to the epidemiologist the decision of intervention, in case they...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1992-06-06 00:00:00
abstract::Hypertension represents a relative risk of stroke up to 5 times. It is associated to ischaemic and haemorrhagic stroke. Hypertension produces an increase in brain vessels resistance and loss of the physiological mechanism of autoregulation, and it can be measured with transcranial doppler. Clinical trials have establi...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1157/13094428
更新日期:2006-10-28 00:00:00
abstract:BACKGROUND:The elevated incidence of malnutrition in the elderly and its close relation with the prevalence and evolution of determined diseases raises the need for early identification. Despite the existence of numerous indicators, specificity, sensitivity or occasionally both are lacking. METHODS:One hundred fifteen...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1992-02-22 00:00:00
abstract:UNLABELLED:BACKGROUND AND OJECTIVE: Tobacco attributable mortality offers a complementary view to smoking prevalence, giving an estimate of its impact at population level. The purpose of this study is to measure the impact, using mortality figures, of tobacco consumption in the Galician population over 34 years from 19...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2010.10.009
更新日期:2011-09-10 00:00:00
abstract:BACKGROUND:To establish the early risk of multiple sclerosis (MS) following isolated demyelinating syndromes. PATIENTS AND METHOD:36 patients with optic neuritis, 24 with brainstem syndromes, 27 with spinal cord syndromes and 8 patients with a poliregional syndrome were included in a prospective protocol: including cl...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1999-05-22 00:00:00
abstract:BACKGROUND:The aim of the present study was to investigate the characteristics of the mobilization of hematopoietic precursor cells CD34+ in peripheral blood following stimulation with recombinant granulocytic colony stimulating factor (G-CSF). METHODS:Fourteen patients (10 males, 4 females: mean age 33 years; range 1...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1995-01-21 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The Chronic Kidney Disease Epidemiology Collaboration (CDK-EPI) equation has been proposed as a replacement for the Modification of Diet in Renal Disease (MDRD) equation to estimate the glomerular filtration rate, but this equation has not yet been evaluated in the general population. PATIENTS...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2009.07.055
更新日期:2010-05-15 00:00:00
abstract:BACKGROUND:Bone mineral density (BMD) has been related with age, hormonal status, body mass index (BMI) and life style. We have evaluated the influence of these factors on BMD in healthy women, without risk factors for osteoporosis, using ultrasound measures. PATIENTS AND METHODS:We have selected 255 women (136 premen...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1999-09-18 00:00:00
abstract:BACKGROUND AND AIMS:It has been recently shown that psychiatric disorders are associated with obesity. However this association has not been studied in overweight/obese patients at a hospital setting in our country. PATIENTS AND METHODS:We have studied 333 consecutive patients who were referred to our hospital outpati...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13115025
更新日期:2008-01-26 00:00:00
abstract:BACKGROUND:We have not found any study assessing the sensitivity of different frequencies of nosocomial infection surveillance (NIS). The objective of this study is to contribute to the ascertainment of the frequency of the NIS surveillance in surgical patients, where NIS has shown to be most efficient. METHODS:A pros...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1997-02-08 00:00:00
abstract:BACKGROUND:Anal intraepithelial neoplasia is considered a precursor lesion of anal squamous carcinoma. The population with increased risk of this conditions are immunocompromised individuals, especially HIV-infected, with anal sex practices. The aim of this study was to describe the sexual habits of patients who were s...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2013.05.047
更新日期:2014-02-20 00:00:00
abstract:BACKGROUND:The aim of the present was to study the cytohistology of the bone marrow in intravenous drug addicts (IVDA) and to analyze the possible differences according to the period of drug addiction. METHODS:A prospective study was performed in 60 IVDA patients previously untreated and distributed into three groups:...
journal_title:Medicina clinica
pub_type: 临床试验,杂志文章
doi:
更新日期:1995-01-28 00:00:00
abstract::Fifteen cases of cutaneous larva migrans (CLM) diagnosed in transcontinental travellers over a period of 4 years in the Department of Tropical Medicine in Hospital Clinic i Provincial of Barcelona were reviewed. The frequency of this disease as an imported pathology is on the increase and is related to the greater mob...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:
更新日期:1992-02-15 00:00:00
abstract::Three cases of encrusted cystitis caused by Corynebacterium group D2 are described. The vesical damage previous to the establishment of this bacteria is noteworthy and the very rapid increase in urease activity explains the pathogenesis of the situation. Thus allowing for its identification and is relevant to treatmen...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1992-03-21 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Anxiety and depression are common among medical inpatients. While their relation to the severity of illness is often discussed, the feeling of such severity by the patient and his/her prospects of improvement can be influenced by anxiety and depression. PATIENTS AND METHOD:Patients admitted in...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:2003-03-22 00:00:00
abstract::The serum levels of cholesterol bound to high density lipoproteins (HDL-C) were determined by the heparin-manganese chloride precipitation method in 306 subjects, 182 male with ages ranging from 11 to 81 years, and 124 female with ages ranging from 7 to 78 years. Twenty six subjects belonged to a lacto-vegetarian comm...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1981-03-25 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Obesity is associated with cardiovascular risk factors and heart failure. SUBJECTS AND METHOD:Thirty children with overweight or obesity were matched with 30 healthy children. Corrected QT interval (QTc) and QT dispersion (QTd), left ventricular mass, left ventricular mass index, fractional sh...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13076743
更新日期:2005-06-18 00:00:00
abstract:BACKGROUND:Upon the detection of an excess number of cases of parotiditis in La Almolda (Zaragoza) a descriptive study of the epidemic was carried out with vaccination efficacy being quantified. METHODS:The definition and system of detection of the cases was established. To calculate the rate of infection the availabl...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1992-09-19 00:00:00
abstract::Practicing sports at a professional level requires the body to be in good health. The fact of carrying out a continuous and high intensity physical activity in the presence of pathological conditions and/or a maladaptation of the body can be detrimental to the athletes' health and, therefore, to their performance. Man...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2017.09.008
更新日期:2018-04-13 00:00:00
abstract:BACKGROUND:The administration of factor VIII (FVIII) in continuous infusion (CI) to hemophiliac inpatients is a therapeutic approach made possible by the development of new commercial preparations. METHODS:In the present study the outcome of 14 treatment courses of FVIII in CI to 12 patients with hemophilia A (2 of th...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1991-03-16 00:00:00
abstract::A 52 year old male presenting chronic myeloid leukemia (CML) Philadelphia chromosome positive (Ph) four years after the diagnosis of a non Hodgkin's lymphoma is described. The patient had received high total doses of alkylating drugs (cyclophosphamide and chlorambucil) as part of chemotherapy treatment for a diffuse m...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1992-06-20 00:00:00
abstract:BACKGROUND:Information, beliefs, attitudes and the motivations of the Spanish population regarding organ donation and transplantation were studied to facilitate possible programs directed at the promotion of organ donation. METHODS:The Psychosocial Aspects of Donation Questionnaire (PADQ) was applied by personal inter...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1995-10-07 00:00:00