Agüero MAM, Infante RKZ, Delgado LF

Language: Spanish
References: 0
Page: 104-115
PDF size: 116.32 Kb.

ABSTRACT

A cohort, analytical, prospective, observational study was carried out in the clinical therapy unit of the Carlos Manuel de Céspedes University General Hospital, with the aim of identifying factors associated with mortality in patients with severe community pneumonia and one or more specific risks for methicillin-resistant Staphylococcus aureus, from March 2016 to August 2016. The relationship between the variables and mortality was analyzed through a multivariate binary logistic regression analysis, the results were presented absolute numbers and percentages. The variables that were independently related to mortality were: age over 65 years, the increase at 48 hours of the value of SOFA and the use of vancomycin within the initial treatment. In the results obtained, patients older than 65 years, the increase of SOFA in the first 48 hours and the non-inclusion of vancomycin in the initial treatment are factors of poor prognosis. The inclusion of vancomycin in the initial treatment of patients with severe community-acquired pneumonia and one or more risks specific to methicillin-resistant Staphylococcus aureus reduces mortality.