Community-Acquired Pneumonia: Risk Focus and Family Functionality

David López del Castillo-Sánchez; Enrique Sabag-Ruiz; Manuel de Jesús Díaz-Verduzco; Mario Alonso Monzón-Vega

2006, Number 1

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2006; 44 (1)

Community-Acquired Pneumonia: Risk Focus and Family Functionality

Castillo-Sánchez DL, Sabag-Ruiz E, Díaz-Verduzco MJ, Monzón-Vega MA

Full text

How to cite this article

Language: Spanish
References: 18
Page: 35-38
PDF size: 130.85 Kb.

ABSTRACT

Introduction: Community-acquired pneumonia is one of the five most prevalent causes of death worldwide; in Mexico, it accounts for more than 10 % of the hospital admissions.
Objective: To identify the risk factors and the kind of family functionality associated to community-acquired pneumonia among adult patients.
Material and methods: With the prior authorization of the research and bioethics committees, a study of cases and controls took place, where both groups were asked about the following variables: alcohol consumption or active smoking, conditions of house and family functionality, anti-flu and anti-pneumococcal vaccination, disablement, and chronic pulmonary disease, among others.
Results: It was found that the significant variables were active smoking, disablement, pulmonary emphysema, chronic bronchitis, overcrowding at home, and alcohol consumption; and with a protective effect for this disease: a functional family and anti-pneumococcal vaccination.
Conclusion: There are risk factors that predispose the development of community-acquired pneumonia, and that allow us to make a population profile in which some preventive strategy could diminish the frequency and lethality of this disease.

REFERENCES

Sánchez-Hernández V, González-López M, Quintero-Aguirre RP. Factores de riesgo en el adulto mayor en neumonía adquirida en la comunidad. Rev Med IMSS 2002;40(5):387-392.
Feldman C. Pneumonia in the elderly. Clin Chest Med 1999; 20(3): 563-571.
IMSS. Urgencias Adultos en el Hospital General Re-gional 1 de Ciudad Obregón, Sonora. SIMO 2003. México: IMSS; 2003.
4. Niederman MS, Mandell LA, Anzueto A, Bass JB, Broughton WA, Campbell GD, et al. Guidelines for the management of adults with community, acquired pneumonia. Diagnosis, assessment of severity, antimicrobial therapy, and prevention. Am J Respir Crit Care Med 2001;163(7):1730-1754.
5. Bartlett JG, Dowell SF, Mandell LA. Practice guidelines for the management of community-acquired pneumonia in adults. Infectious Diseases Society of America. Clin Infect Dis 2000;31(2):347-382.
6. Mandell LA, Marrie TJ, Grossman RF. Canadian guidelines for the initial management of community-acquired pneumonia: an evidence-based update by the Canadian Infectious Diseases Society and the Canadian Thoracic Society. The Canadian Com-munity- Acquired Pneumonia Working Group. Clin Infect Dis 2000;31(2):383-421.
7. Laurichesse H, Gerbaud L, Baud LO. The Study Group of General Practitioners. Infection 2001; 29(6):320-325.
8. Álvarez-Martínez CJ. Neumonía adquirida en comunidad. Fundamentos del tratamiento. Inf Ter 2003;27(1):1-10.
9. Welsh DA, Carol M. Defensa del huésped en las infecciones respiratorias. Clin Med N Am 2001 (6):1263-1278.
Fine MJ, Auble TE, Yealy DM, Hanusa BH, Westfield LA, Singer DE, et al. A prediction rule to identify low-risk patients with community-acquired pneumonia. N Engl J Med 1997;336(4):243-250.
11. Sadias-Peñafiel A, Brien-Solar O, Gederlini-Golle-rino A. Neumonía adquirida en la comunidad en el anciano inmunocompetente que requiere hospita-lización: cuadro clínico, factores pronósticos y trata-miento. Arch Bronconeumol 2003;39(8):333-340.
Dorca-Sargatal J. Utilidad de los factores pronósticos en el tratamiento de la neumonía adquirida en la co-munidad. Arch Bronconeumol 2002;38(7):81-84.
Clemente MG, Budiño TG, Santiago M. Neumonía adquirida en la comunidad en el anciano: factores pronósticos. Arch Bronconeumol 2002;38(2):67-71.
Miravitlles M. Parámetros innovadores para evaluar las opciones terapéuticas de las neumonías. Rev Panam Infectol 2002;6(Supl):1-6.
Ruiz-de la Oña JM, Gómez-Fernández M, Celdrán-Gil S. Neumonía adquirida en la comunidad en pacientes ingresados: mortalidad, comorbilidad y clase de riesgo. Rev Clin Esp 2003;203(2):64-67.
Huerta-Gonzáles JL, Domínguez-del Olmo J. Estudio de salud familiar. En: PAC MF-1 (Programa de actualización continua en medicina familiar). México: Intersistemas; 1999. p. 44-69.
Irigoyen-Coria AE. Nuevos fundamentos de medicina familiar. Segunda edición. México: Medicina Familiar Mexicana; 2004. p. 172-192.
Farjas AMP, Zubizarreta AR. (2005). Manual de vacunación del adulto. Vacuna neumocócica. Disponible en http://www.fisterra.com/vacunas. Consultado el 14 de marzo de 2005.