RESUMO
A retrospective analysis of culture-positive cases of S pneumoniae from normally sterile body fluids is reported. Over 40% of patients were 5 years old or less while 28% of patients were 50 years old or more. Meningitis (44%) was the commonest clinical presentation followed closely by pneumonia (31%). The commonest predisposing disorder was human immunodeficiency virus infection though there were no identifiable risk factors in the majority of patients. Mortality from invasive pneumococcal disease was significantly higher in elderly patients compared with other age groups (p = 0.0003). In this study, all S pneumoniae isolates, for which there were antibiotic sensitivity data, were penicillin and/or amoxycillin sensitive.
Assuntos
Infecções Pneumocócicas/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Infecções Pneumocócicas/etiologia , Estudos Retrospectivos , Fatores de Risco , Estatísticas não Paramétricas , Streptococcus pneumoniae/isolamento & purificação , Trinidad e Tobago/epidemiologiaRESUMO
A retrospective analysis of culture-positive cases of S pneumoniae from normally sterile body fluids is reported. Over 40 percent of patients were 5 years old or less while 28 percent of patients were 50 years old or more. Meningitis (44 percent) was the commonest clinical presentation followed closely by pneumonia (31 percent). The commonest predisposing disorder was human immunodeficiency virus infection though there were no identifiable risk factors in the majority of patients. Mortality from invasive pneumococcal disease was significantly higher in elderly patients compared with other age groups (p=0.0003). In this study, all S pneumoniae isolates, for which there were antibiotic sensitivity data, were penicillin and/or amoxycillin sensitive.
Assuntos
Adulto , Criança , Pessoa de Meia-Idade , Feminino , Humanos , Adolescente , Infecções Pneumocócicas/epidemiologia , Infecções Pneumocócicas/etiologia , Streptococcus pneumoniae/isolamento & purificação , Trinidad e Tobago/epidemiologia , Estudos Retrospectivos , Fatores de Risco , Distribuição por Idade , Estatísticas não ParamétricasRESUMO
A retrospective analysis of culture-positive cases of S pneumoniae from normally sterile body fluids is reported. Over 40 percent of patients were 5 years old or less while 28 percent of patients were 50 years old or more. Meningitis (44 percent) was the commonest clinical presentation followed closely by pneumonia (31 percent). The commonest predisposing disorder was human immunodeficiency virus infection though there were no identifiable risk factors in the majority of patients. Mortality from invasive pneumococcal disease was significantly higher in elderly patients compared with other age groups (p=0.0003). In this study, all S pneumoniae isolates, for which there were antibiotic sensitivity data, were penicillin and/or amoxycillin sensitive.(Au)
Assuntos
Adulto , Criança , Pessoa de Meia-Idade , Idoso , Feminino , Humanos , Masculino , Adolescente , Infecções Pneumocócicas/epidemiologia , Trinidad e Tobago/epidemiologia , Estudos Retrospectivos , Idoso de 80 Anos ou mais , Distribuição por Idade , Infecções Pneumocócicas/etiologia , Fatores de Risco , Estatísticas não Paramétricas , Streptococcus pneumoniae/isolamento & purificaçãoRESUMO
This cross-sectional study documents the demographic features of asthmatics seeking acute asthma care at four institutions on the island of Trinidad from January 1 to December 31, 1997. More than 15,000 (15,035) different patients made 27,353 visits during the study period. Pediatric and adolescent male patients outnumbered females, but this was reversed in patients aged 20-69 years. Frequency of visits per patient ranged from 1 to 242. Significant variation in monthly admissions was observed; admission rates were highest in the last quarter of the year but were lowest in July and August. The overall crude prevalence rate was estimated at 1.71 per 100 (range 1.16-2.34).
Assuntos
Asma/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Asma/terapia , Criança , Pré-Escolar , Estudos Transversais , Demografia , Serviços Médicos de Emergência , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Prevalência , Distribuição por Sexo , Índias OcidentaisRESUMO
A retrospective analysis of culture-positive cases of S. pneumoniae infection is reported. Over 40 percent of patients were > 5 years old while patients > 50 years accounted for 28 percent of cases. Meningitis (44 percent) was the most common clinical presentation followed closely by pneumonia (31 percent). Many patients, however, were described as having sepsis and/or bacteraemia with an identifiable focus of infection. The commonest underlying predisposing condition was HIV infection though there were no identifiable risk factors in the majority of patients. Mortality from invasive pneumococcal disease was epecially high in elderly patients. In this study, all S. pneumoniae isolates for which there were antibiotic sensitivity data were penicillin and/or amoxycillin sensitive.(AU)
Assuntos
Adulto , Criança , Pessoa de Meia-Idade , Idoso , Humanos , Adolescente , Infecções Pneumocócicas/epidemiologia , Streptococcus pneumoniae/isolamento & purificação , Meningite/diagnóstico , Trinidad e TobagoRESUMO
We report on the demographic features of 11,869 asthmatic patients who made 14,074 visits to four Accident & Emergency (A & E) Departments for bronchodilator nebulisation during the first half of 1997. Most patients (30 percent) were between 3 and 12 years old. There was a male predominance in the paediatric population and in patients aged 60 years and over. Female patients exceeded males from the second to fifth decades. Female to male ratios were highest during the third and fourth decades. Admission figures in the different centres showed fewer patients attending in January and April with increase admissions in February and March. The A&E service at Chaguanas differed from the other centres in having a marked increase in admissions during May.(AU)