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Journal ArticleDOI

Community-acquired pneumonia

S.P. Stone
- 19 Dec 1998 - 
- Vol. 352, Iss: 9145, pp 2019-2019
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This article is published in The Lancet.The article was published on 1998-12-19. It has received 1403 citations till now. The article focuses on the topics: Community-acquired pneumonia.

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Citations
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Therapy for pneumococcal bacteremia: monotherapy or combination therapy?

TL;DR: The issue of whether the outcome of bacteremic pneumococcal infections is improved with the use of combination antibiotic therapy versus monotherapy is still not resolved and a number of recent studies that have addressed this issue are highlighted.
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Evaluation of Blind Nasotracheal Suctioning and Non bronchoscopic Mini-Bronchoalveolar Lavage in Critically Ill Patients with Infectious Pneumonia: A Preliminary Study

TL;DR: Blind nasotracheal suctioning confirmed via colorimetric capnography allows microbiological diagnosis, and can be enhanced by non-bronchoscopic mini-BAL, a novel and feasible way to collect bronchial secretions without fibroscopy.
Journal ArticleDOI

Acute cough in the elderly: aetiology, diagnosis and therapy.

TL;DR: Clinical examination and patient history are paramount, supplemented by chest X-ray, viral and bacterial culture and serological testing, and specific antibacterial therapy may be called for, although there is dispute as to the merits of antib bacterial therapy in cases of uncertain diagnosis.
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Accuracy of lung ultrasonography in the hands of non-imaging specialists to diagnose and assess the severity of community-acquired pneumonia in adults: a systematic review.

TL;DR: In the majority of studies, LUS in the hands of the non-imaging specialists demonstrated high sensitivities and specificities in diagnosing pneumonia, however, due to problems with methodology and heterogeneity there is a need for larger studies with uniform and clearly established criteria for diagnosis and blinding.
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Plasma lipid profiling for the prognosis of 90-day mortality, in-hospital mortality, ICU admission, and severity in bacterial community-acquired pneumonia (CAP)

TL;DR: It is shown that the decreased lysophosphatidylcholines and increased acylcarnitines are significantly associated with increased mortality in bacterial CAP, and lipid profiling can be utilized to identify patients with bacterial CAP who are at the highest risk of dying in hospital and who need ICU admission as well as the severity assessment of CAP.
References
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Journal ArticleDOI

Mortality, morbidity, and psychosocial outcomes of persons spinal cord injured more than 20 years ago.

TL;DR: Declines with age were found in measures of handicap and life satisfaction, but three quarters of those interviewed reported generally good health and rated their current quality of life as either good or excellent.
Journal ArticleDOI

Causes of death during the first 12 years after spinal cord injury

TL;DR: Though some cause-specific mortality rates for spinal cord injured persons have declined dramatically, many remain substantially above normal and improved methods for preventing and managing these fatal complications must be developed.
Journal Article

Risk factors for Clostridium difficile carriage and C. difficile-associated diarrhea in a cohort of hospitalized patients

TL;DR: C. difficile was a common Nosocomial infection on this ward, resulting in asymptomatic carriage more often than diarrhea and accounting for one-fifth of all cases of nosocomial diarrhea.
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Risk Factors for Clostridium difficile Carriage and C. difficile-Associated Diarrhea in a Cohort of Hospitalized Patients

TL;DR: In this paper, a prospective cohort study of 399 consecutive patients in a single ward over an 11-month period was conducted to identify risk factors for nosocomial C. difficile colonization and diarrhea.
Journal ArticleDOI

Successful control of Clostridium difficile infection in an elderly care unit through use of a restrictive antibiotic policy.

TL;DR: The use of narrow-spectrum antibiotics for hospital treatment of community-acquired infections in the elderly should be encouraged.