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Community-acquired pneumonia with severe sepsis: Etiology and prognosis

Beatriz Montull, Antonio Torres, Soledad Reyes, Rafael Zalacain, Alberto Capelastegui, Javier Aspa, Luis Borderías, Juan Martin Villasclaras, Salvador Bello, Immaculada Alfageme, Felipe Rodriguez de Castro, Jordi Rello, Luis Molinos, Juan Ruiz Manzano, Rosario Menendez
European Respiratory Journal 2013 42: P293; DOI:
Beatriz Montull
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Antonio Torres
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Soledad Reyes
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Rafael Zalacain
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Alberto Capelastegui
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Javier Aspa
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Luis Borderías
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Juan Martin Villasclaras
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Salvador Bello
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Immaculada Alfageme
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Felipe Rodriguez de Castro
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Jordi Rello
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Luis Molinos
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Juan Ruiz Manzano
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Rosario Menendez
1Pneumology, Universitary and Politecnic La Fe Hospital, Valencia, Comunidad Valenciana, Spain
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Abstract

Background: Community Acquired Pneumonia (CAP) is a serious respiratory infection that may cause severe sepsis in around 30% of patients, thus increasing severity and mortality.

Objective: To characterize patients with CAP and severe sepsis at diagnosis.

Results: A prospective multicentric cohort study was performed in 13 hospitals. Severe sepsis was diagnosed using Drenmsizov criteria (Chest 2006). 4,070 patients were included: 1,529 (37.6%) with severe sepsis. The number and the most frequent organ failures are shown in Figure 1.

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Statistical differences between etiology and number of organ failure are depicted in Table 1.

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Etiology and Number of organ failures (n)

Mortality significantly increases in those with more organ failures (1 organ (3.4%) vs ≥ 3 organs (22%)).

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Conclusions: S. pneumoniae and mixed etiology are the main cause of severe sepsis in CAP. The higher number of organ failures the more complications and the poorer prognosis with greater mortality.

  • Pneumonia
  • Sepsis
  • Critically ill patients
  • © 2013 ERS
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Community-acquired pneumonia with severe sepsis: Etiology and prognosis
Beatriz Montull, Antonio Torres, Soledad Reyes, Rafael Zalacain, Alberto Capelastegui, Javier Aspa, Luis Borderías, Juan Martin Villasclaras, Salvador Bello, Immaculada Alfageme, Felipe Rodriguez de Castro, Jordi Rello, Luis Molinos, Juan Ruiz Manzano, Rosario Menendez
European Respiratory Journal Sep 2013, 42 (Suppl 57) P293;

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Community-acquired pneumonia with severe sepsis: Etiology and prognosis
Beatriz Montull, Antonio Torres, Soledad Reyes, Rafael Zalacain, Alberto Capelastegui, Javier Aspa, Luis Borderías, Juan Martin Villasclaras, Salvador Bello, Immaculada Alfageme, Felipe Rodriguez de Castro, Jordi Rello, Luis Molinos, Juan Ruiz Manzano, Rosario Menendez
European Respiratory Journal Sep 2013, 42 (Suppl 57) P293;
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