Miyazaki H, Nagata N, Shigematsu N, Ishibashi T, Ueda K, Fujishima M, Sueishi K
Research Institute for Disease of the Chest, Faculty of Medicine, Kyushu University.
Nihon Kyobu Shikkan Gakkai Zasshi. 1992 Nov;30(11):1911-6.
All people in Hisayama town who died either at home or in hospital are autopsied in Kyushu University Hospital. We examined the incidence and the pathogen of community-acquired lung infection and nosocomial infection from the records of 463 autopsy cases from 1977 to 1988. Of these cases, 243 died at home. Among them, pulmonary infections were present in 122 cases (50.2%), and pulmonary infection was the cause of death in 87 cases (35.8%). Of 220 cases that died in hospital, pulmonary infections were present in 133 cases (60.5%) and were the cause of death in 83 cases (37.7%). In the cases that died at home, the incidence of pulmonary infections during the first 6-year period of the study was almost the same as that during the last 6 years. In the case that died in hospital, the incidence of pulmonary infections during the last 6-year period was higher than that during the first 6-year period. Regarding the pathogenic organisms of the fungal infections, only Candida was detected in case that died at home, while Candida, Aspergillus and Cryptococcus were detected in the case that died in hospital.
久山町所有在家中或医院死亡的人都会在九州大学医院进行尸检。我们从1977年至1988年的463例尸检病例记录中，研究了社区获得性肺部感染和医院感染的发病率及病原体。在这些病例中，243人在家中死亡。其中，122例（50.2%）存在肺部感染，87例（35.8%）因肺部感染死亡。在220例在医院死亡的病例中，133例（60.5%）存在肺部感染，83例（37.7%）因肺部感染死亡。在家中死亡的病例中，研究前6年期间肺部感染的发病率与最后6年几乎相同。在医院死亡的病例中，最后6年期间肺部感染的发病率高于前6年。关于真菌感染的病原体，在家中死亡的病例中仅检测到念珠菌，而在医院死亡的病例中检测到念珠菌、曲霉菌和隐球菌。
