Fulfilment assessment of the good clinical practices guidelines for community acquired pneumonia.
<strong>Background:</strong> Community acquired pneumonia is the most common cause of infections found during the medical practice. <strong><br />Objective:</strong> To assess the fulfilment of the good clinical practices guidelines for the treatment of community acquir...
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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2009-07-01
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Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/639 |
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author | Iris Gonzalez Morales Alfredo Darío Espinosa Brito Gustavo Álvarez Amador María Caridad Fragoso Marchante Miguel A. Mosquera Fernández |
author_facet | Iris Gonzalez Morales Alfredo Darío Espinosa Brito Gustavo Álvarez Amador María Caridad Fragoso Marchante Miguel A. Mosquera Fernández |
author_sort | Iris Gonzalez Morales |
collection | DOAJ |
description | <strong>Background:</strong> Community acquired pneumonia is the most common cause of infections found during the medical practice. <strong><br />Objective:</strong> To assess the fulfilment of the good clinical practices guidelines for the treatment of community acquired pneumonia. <strong><br />Methods:</strong> Prospective, descriptive study of series of cases developed in the Hospital “Dr. Gustavo Aldereguía Lima” between January, 1st and June 30th, 2006. 500 patients were studied which main diagnosis was pneumonia or bronchial pneumonia. The assessment tool includes four questions. A single-varied analysis was performed, with a confidence interval of 95%. The final result of this measurement was the fulfilment of the guidelines as excellent, fine, acceptable and not well, as well as the outcome in living and dead patients. <strong><br />Results:</strong> Patients older than 65 years of age are the most affected by this disease and fatality is also higher in this age group; 40, 6% of admitted patients are classified as type III. Not performing thoracic radiography and inappropriate treatment led to a higher lethality risk. 53, 2 % of the clinical histories reflects a bad fulfillment of the guide, likewise the biggest lethality was found in that group (36,8 percent). <strong><br />Conclusions: </strong>The patients with pneumonias non serious are those that more are admitted in the center, with a non negligible lethality, although the highest was found in the classes IV and V of pnemonia, that were considered the most serious pneumonias. The global adherence to the guide can be related with the final outcome of the patient.<br /> |
format | Article |
id | doaj-art-b28753e8687b4676b04f45a1acd47024 |
institution | Kabale University |
issn | 1727-897X |
language | Spanish |
publishDate | 2009-07-01 |
publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
record_format | Article |
series | Medisur |
spelling | doaj-art-b28753e8687b4676b04f45a1acd470242025-01-30T21:28:41ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2009-07-0173163176495Fulfilment assessment of the good clinical practices guidelines for community acquired pneumonia.Iris Gonzalez Morales0Alfredo Darío Espinosa Brito1Gustavo Álvarez Amador2María Caridad Fragoso Marchante3Miguel A. Mosquera Fernández4Hospital General Universitario “Dr. Gustavo Aldereguía Lima”. Cienfuegos.Hospital General Universitario “Dr. Gustavo Aldereguía Lima”. Cienfuegos.Hospital “Miguel Alipio León” Aguada de Pasajeros. Cienfuegos.Hospital General Universitario “Dr. Gustavo Aldereguía Lima”. Cienfuegos.Hospital “Miguel Alipio León”. Aguada de Pasajeros. Cienfuegos.<strong>Background:</strong> Community acquired pneumonia is the most common cause of infections found during the medical practice. <strong><br />Objective:</strong> To assess the fulfilment of the good clinical practices guidelines for the treatment of community acquired pneumonia. <strong><br />Methods:</strong> Prospective, descriptive study of series of cases developed in the Hospital “Dr. Gustavo Aldereguía Lima” between January, 1st and June 30th, 2006. 500 patients were studied which main diagnosis was pneumonia or bronchial pneumonia. The assessment tool includes four questions. A single-varied analysis was performed, with a confidence interval of 95%. The final result of this measurement was the fulfilment of the guidelines as excellent, fine, acceptable and not well, as well as the outcome in living and dead patients. <strong><br />Results:</strong> Patients older than 65 years of age are the most affected by this disease and fatality is also higher in this age group; 40, 6% of admitted patients are classified as type III. Not performing thoracic radiography and inappropriate treatment led to a higher lethality risk. 53, 2 % of the clinical histories reflects a bad fulfillment of the guide, likewise the biggest lethality was found in that group (36,8 percent). <strong><br />Conclusions: </strong>The patients with pneumonias non serious are those that more are admitted in the center, with a non negligible lethality, although the highest was found in the classes IV and V of pnemonia, that were considered the most serious pneumonias. The global adherence to the guide can be related with the final outcome of the patient.<br />http://medisur.sld.cu/index.php/medisur/article/view/639neumoníaguía de práctica clínica |
spellingShingle | Iris Gonzalez Morales Alfredo Darío Espinosa Brito Gustavo Álvarez Amador María Caridad Fragoso Marchante Miguel A. Mosquera Fernández Fulfilment assessment of the good clinical practices guidelines for community acquired pneumonia. Medisur neumonía guía de práctica clínica |
title | Fulfilment assessment of the good clinical practices guidelines for community acquired pneumonia. |
title_full | Fulfilment assessment of the good clinical practices guidelines for community acquired pneumonia. |
title_fullStr | Fulfilment assessment of the good clinical practices guidelines for community acquired pneumonia. |
title_full_unstemmed | Fulfilment assessment of the good clinical practices guidelines for community acquired pneumonia. |
title_short | Fulfilment assessment of the good clinical practices guidelines for community acquired pneumonia. |
title_sort | fulfilment assessment of the good clinical practices guidelines for community acquired pneumonia |
topic | neumonía guía de práctica clínica |
url | http://medisur.sld.cu/index.php/medisur/article/view/639 |
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