Smith F E, Mann J M
West J Med. 1982 Jan;136(1):1-5.
Cases of patients admitted to hospital with community-acquired pneumonia over a three-year period were reviewed to determine whether pneumococcal pneumonia and pneumococcal bacteremia occurred as frequently as reported in urban and university-based studies. Pneumococcus was isolated in only 25 of 202 patients (12 percent) in whom adequate attempts at culture were made, only one patient had documented pneumococcal bacteremia and no patients died of pneumococcal pneumonia proved by culture. Prospective studies in community hospitals should be considered to define more clearly the epidemiology of pneumococcal pneumonia in the nonurban United States population. These studies would also contribute to a rational policy for use of pneumococcal vaccine in this country.
对三年内因社区获得性肺炎入院的患者病例进行了回顾，以确定肺炎球菌肺炎和肺炎球菌菌血症的发生频率是否与城市及大学相关研究报告的一样高。在202例进行了充分培养尝试的患者中，仅25例（12%）分离出肺炎球菌，仅有1例患者有记录的肺炎球菌菌血症，且无患者死于经培养证实的肺炎球菌肺炎。应考虑在社区医院开展前瞻性研究，以更清楚地界定美国非城市人群中肺炎球菌肺炎的流行病学情况。这些研究也将有助于制定该国合理使用肺炎球菌疫苗的政策。
