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        "titulo" => "The hospital faced with a prolonged Legionella outbreak"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir los recursos asistenciales utilizados en pacientes hospitalizados por neumon&#237;a por Legionella durante un brote ocurrido en Alcoy y compararlos con los empleados en otras neumon&#237;as&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos y resultados</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Mediante un protocolo&#44; se analiza y compara a 177 pacientes con neumon&#237;a por Legionella con 180 pacientes ingresados por otras neumon&#237;as&#44; y se describe su tratamiento y los recursos empleados&#46; La claritromicina fue el antibi&#243;tico m&#225;s utilizado en ambos grupos&#46; La estancia hospitalaria fue similar&#44; pero los requerimientos de ventilaci&#243;n mec&#225;nica y cuidados intensivos fueron superiores para Legionella&#46; La hospitalizaci&#243;n domiciliaria se utiliz&#243; con &#233;xito en un 15&#44;6&#37; de los pacientes con Legionella y en un 11&#44;3&#37; de los dem&#225;s&#46; El uso de oxigenoterapia domiciliaria al alta fue menor para Legionella &#40;7&#44;8&#37;&#41; que para el resto de neumon&#237;as &#40;16&#44;7&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se destaca la mayor necesidad de ventilaci&#243;n mec&#225;nica en la neumon&#237;a por Legionella y los buenos resultados de la hospitalizaci&#243;n domiciliaria dentro de los nuevos sistemas de gesti&#243;n&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">To describe the health resources used in patients hospitalized with Legionella pneumonia during an outbreak of Legionnaire&#39;s disease in Alcoy &#40;Spain&#41;&#44; and to compare them with those used in other forms of pneumonia&#46;</p> <span class="elsevierStyleSectionTitle">Methods and results</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Using a clinical protocol&#44; 177 Legionella pneumonia patients were compared with 180 patients hospitalized for other types of pneumonia&#46; Data on therapy and the resources used were collected&#46; The most common antibiotic treatment in both groups was clarithromycin&#44; but intensive care and mechanical ventilation requirements were greater in Legionella pneumonia&#46; Home-based hospital care was successfully used in 15&#46;6&#37; of patients with Legionella pneumonia and in 11&#46;3&#37; of those with other types of pneumonia&#46; Home oxygen therapy after discharge was less frequent in the Legionella pneumonia group &#40;7&#46;8&#37;&#41; than in the group with non-Legionella pneumonia &#40;16&#46;7&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Notable results were the greater requirement for mechanical ventilation in Legionella pneumonia and the good results obtained by home-based hospital care within current health care management&#46;</p>"
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                      "titulo" => "Severe community-acquired pneumonia&#58; use of intensive care services and evaluation of American and British Thoracic Society Diagnostic criteria"
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Vol. 18. Núm. 4.
Páginas 335-337 (julio - agosto 2004)
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Vol. 18. Núm. 4.
Páginas 335-337 (julio - agosto 2004)
Open Access
El hospital ante un brote prolongado de legionelosis
The hospital faced with a prolonged Legionella outbreak
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6002
Juan Antonio Fernándeza,
Autor para correspondencia
jua.fernandezna@coma.es

Correspondencia: Avda. Hispanidad, 24, 5B. 03804 Alcoy. Alicante. España.
, Tomás Marcoa, Domingo Orozcob, Jaime Merinob
a Servicio de Medicina Interna. Hospital Virgen de los Lirios. Alcoy. Alicante
b Departamento de Medicina Clínica. Universidad Miguel Hernández. Alicante. España
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Información del artículo
Resumen
Objetivo

Describir los recursos asistenciales utilizados en pacientes hospitalizados por neumonía por Legionella durante un brote ocurrido en Alcoy y compararlos con los empleados en otras neumonías.

Métodos y resultados

Mediante un protocolo, se analiza y compara a 177 pacientes con neumonía por Legionella con 180 pacientes ingresados por otras neumonías, y se describe su tratamiento y los recursos empleados. La claritromicina fue el antibiótico más utilizado en ambos grupos. La estancia hospitalaria fue similar, pero los requerimientos de ventilación mecánica y cuidados intensivos fueron superiores para Legionella. La hospitalización domiciliaria se utilizó con éxito en un 15,6% de los pacientes con Legionella y en un 11,3% de los demás. El uso de oxigenoterapia domiciliaria al alta fue menor para Legionella (7,8%) que para el resto de neumonías (16,7%).

Conclusiones

Se destaca la mayor necesidad de ventilación mecánica en la neumonía por Legionella y los buenos resultados de la hospitalización domiciliaria dentro de los nuevos sistemas de gestión.

Palabras clave:
Recursos asistenciales
Legionella
Hospitalización domiciliaria
Abstract
Objective

To describe the health resources used in patients hospitalized with Legionella pneumonia during an outbreak of Legionnaire's disease in Alcoy (Spain), and to compare them with those used in other forms of pneumonia.

Methods and results

Using a clinical protocol, 177 Legionella pneumonia patients were compared with 180 patients hospitalized for other types of pneumonia. Data on therapy and the resources used were collected. The most common antibiotic treatment in both groups was clarithromycin, but intensive care and mechanical ventilation requirements were greater in Legionella pneumonia. Home-based hospital care was successfully used in 15.6% of patients with Legionella pneumonia and in 11.3% of those with other types of pneumonia. Home oxygen therapy after discharge was less frequent in the Legionella pneumonia group (7.8%) than in the group with non-Legionella pneumonia (16.7%).

Conclusions

Notable results were the greater requirement for mechanical ventilation in Legionella pneumonia and the good results obtained by home-based hospital care within current health care management.

Key words:
Health Resources
Legionella
Home-based hospital care
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Copyright © 2004. Sociedad Española de Salud Pública y Administración Sanitaria
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