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36例确诊为流感的成年住院患者的抗生素治疗、临床特征及预后:我们遵循指南了吗?

Antibiotic therapy, clinical features and outcome of 36 adults presenting to hospital with proven influenza: do we follow guidelines?

作者信息

Jones A, Macfarlane J, Pugh S

机构信息

Department of Microbiology, City Hospital, Nottingham, UK.

出版信息

Postgrad Med J. 1991 Nov;67(793):988-90. doi: 10.1136/pgmj.67.793.988.

DOI:10.1136/pgmj.67.793.988
PMID:1775424
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2399131/
Abstract

The impact of the 1989/1990 influenza epidemic on the Nottingham hospitals was assessed in a retrospective survey. Thirty-six cases of proven influenza were identified, 14 of whom died. Non-survivors were more likely to be confused, uraemic and to lack focal chest signs and symptoms. Antibiotic therapy both prior to admission and following hospitalization was not optimal and, in many cases, failed to follow previously published guidelines. Such guidelines need emphasis during influenza epidemics.

摘要

通过一项回顾性调查评估了1989/1990年流感疫情对诺丁汉各医院的影响。确诊了36例流感病例,其中14例死亡。非幸存者更易出现意识模糊、尿毒症,且缺乏胸部局部体征和症状。入院前及住院后的抗生素治疗均不理想,在许多情况下未遵循先前发布的指南。在流感流行期间需要强调此类指南。

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引用本文的文献

1
Influenza: diagnosis, management, and prophylaxis.流感:诊断、管理与预防。
BMJ. 1994 May 21;308(6940):1341-5. doi: 10.1136/bmj.308.6940.1341.

本文引用的文献

1
Causes of pneumonia presenting to a district general hospital.一所地区综合医院收治肺炎的病因。
Thorax. 1981 Aug;36(8):566-70. doi: 10.1136/thx.36.8.566.
2
Bacterial pneumonia during the Hong Kong influenza epidemic of 1968-1969.1968 - 1969年香港流感疫情期间的细菌性肺炎
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Clinical prognostic indices of fatality in elderly patients admitted to hospital with acute pneumonia.老年急性肺炎住院患者死亡的临床预后指标
Age Ageing. 1988 May;17(3):181-6. doi: 10.1093/ageing/17.3.181.
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Community acquired pneumonia.
Br Med J (Clin Res Ed). 1987 Oct 31;295(6606):1083-4. doi: 10.1136/bmj.295.6606.1083.
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Community-acquired pneumonia requiring hospitalization: 5-year prospective study.需住院治疗的社区获得性肺炎:5年前瞻性研究。
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