community-acquired pneumonia, hospital-acquired pneumonia, healthcare-associated pneumonia
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Pneumonia patients who comply the existence of new infiltration shadow in chest X-rays or CT with at least one of inflamatory (1) and clinical (2) findings below: (1) Inflammatory findings - Fever: 37&#730;C or higher (axillary measurement) - Leukocytosis (WBC> 10,000/mm3) or stab cells > 15% or leukopenia (WBC < 4500/mm3) - CRP positive (2) Clinical findings - Cough - Existence of purulent sputum or airway secreta, or deterioration of properties of sputum observed. - Abnormal auscultation and percussion findings (moist rale, dullness on percussion, reduced respiratory sound, etc.) - Dyspnea, hyperpnea, increased respiratory rate (> 30 / min), whichever is aggravated - Hypoxemia
Exclusion criteria
Exclusion criteria: 1) Patients already administered antibacterial agents for pneumonia before sample collection 2) Other patients judged to be inappropriate by the attending physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Assessment of relation between severity and PCT values in each CAP, HAP and HCAP. As indicators of severity, A-DROP and PSI systems are used for CAP, IROAD and PSI systems for HAP and A-DROP, IROAD and PSI systems for HCAP patients. 2) Assessment of relation between currently available inflammatory markers and PCT values in each CAP, HAP and HCAP patients. Inflammatory markers used as comparators: CRP, white blood cell count (WBC) 3) Assessment of relation between patient prognosis and PCT values in each CAP, HAP and HCAP patients. 4) Assessment of relation between causative pathogens and PCT values in each ach CAP, HAP and HCAP patients. 5) Examination of current status and profiles of HCAP. Differences between HCAP and CAP or HCAP will be compared in patient characteristics, laboratory findings and agents for initial treatment. | — |
Countries
Japan
Contacts
Nagasaki University School of Medicine