Community Acquired Pneumonia
Conditions
Keywords
Community Acquired Pneumonia, health care associated pneumonia
Brief summary
The purpose of this study is to evaluate the disease burden of hospitalized patients with CAP and healthcare-associated pneumonia (HCAP) in real life of China .
Detailed description
In China, the data about current management of patients hospitalized with CAP in the real-life setting is not available,type of pneumonia, selection of initial antibiotic, time to clinical stability, antibiotic choice anf modification,clinical outcomes and costs remain unclear. In this study, we will collect comprehensive information on CAP and HCAP management patterns to evaluate the disease burden of hospitalized patients with CAP and HCAP in real life of China .to analyze microbiological characteristics,clinical manifestations,antibiotic regimens ,adherences to guidelines and effect on outcome in different groups of patients with CAP (\> and = 65 years, different comorbidities ,risk factors) ,to investigate microbiological characteristics,clinical manifestations,antibiotic regimens ,adherences to guidelines and effect on outcome in different groups of disease severity with CAP ,to provide the difference on microbiological characteristics,clinical manifestations,antibiotic regimens ,and outcome between patients with CAP and HCAP ,to understand the current situation of antibiotic regimen ,to evaluate influence of different antibiotic regimens on prognosis.
Interventions
OTHERother
retrospective cohort study
Sponsors
Beijing Chao Yang Hospital
Beijing Jishuitan Hospital
Beijing Luhe Hospital
Qingdao Municipal Hospital
Qilu Hospital of Shandong University
Beijing Huimin Hospital
China-Japan Friendship Hospital
Linzi Hospital
Second Hospital of Beijing Armed Police Corps
Kunming Yan'an Hospital
Capital Medical University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
14 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients \> or = 14 years of age * Patient meets the criteria of community acquired pneumonia * Patient meets the criteria of healthcare-associated pneumonia
Exclusion criteria
* Patients \<14 years of age * Patient meets the criteria of hospital acquired pneumonia * Known active tuberculosis or current treatment for tuberculosis * Non-infectious pulmonary diseases * HIV positive
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| treatment failure at 72h after initiation of antibiotics | Time from the first dose use of antibiotics to 72 hours | treatment failure was defined as a change of antibiotics due to worsening signs or symptoms associated with pneumonia |
| in-hospital treatment failure due to multiple causes | Time from date of admission to discharge up to 1 week | 1)death in hospital;2)change of antibiotics due to worsening signs or symptoms of infection, 3) recurrence, defined as signs or symptoms of infection after completion of therapy requiring re-initiation of antibiotics |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of intravenous antimicrobial therapy | 2 weeks | Time from the first dose of intravenous antibiotics to date of stop of intravenous antibiotics ,participants will be followed for the duration of hospital stay |
| Hospital length of stay | 2 weeks | Patients will be asked about hospitalization, date, Patients will be asked about hospitalization, date, participants will be asked about the time of admission and discharge |
| in-hospital mortality | 2 weeks | Time from date of admission to date of discharge,participants will be followed for the duration of hospital stay |
Countries
China
Contacts
Primary ContactBin Cao, MD
Backup ContactLI Gu, MD
Outcome results
None listed