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Şenol E, Çilli A, Günen H, Şener A, Dumlu R, Ödemiş A, Topçu AF, Yıldız Y, Güner R, Özhasenekler A, Mutlu B, Köktürk N, Sevimli N, Baykam N, Yapar D, Ekin S, Polatlı M, Gök ŞE, Kılınç O, Sayıner A, Karaşahin Ö, Çuhadaroğlu Ç, Sesin Kocagöz A, Togan T, Arpağ H, Katı H, Köksal İ, Aksoy F, Hasanoğlu C. The Role of Pneumococcal Pneumonia among Community-Acquired Pneumonia in Adult Turkish Population: TurkCAP Study. Turk Thorac J 2022; 22:339-345. [PMID: 35110252 DOI: 10.5152/turkthoracj.2021.20223] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To evaluate the rate of pneumococcal pneumonia (PP) among patients with community-acquired pneumonia (CAP) in Turkey and to investigate and compare features of PP and non-PP CAP patients. MATERIAL AND METHODS This multicenter, non-interventional, prospective, observational study included adult CAP patients (age ≥ 18 years). Diagnosis of PP was based on the presence of at least 1 positive laboratory test result for Streptococcus pneumoniae (blood culture or sputum culture or urinary antigen test [UAT]) in patients with radiographic findings of pneumonia. RESULTS Four hundred sixty-five patients were diagnosed with CAP, of whom 59 (12.7%) had PP. The most common comorbidity was chronic obstructive pulmonary disease (30.1%). The mean age, smoking history, presence of chronic neurological disease, and CURB-65 score were significantly higher in PP patients, when compared to non-PP patients. In PP patients, 84.8% were diagnosed based ony on the UAT. The overall rate of PP patients among CAP was calculated as 22.8% considering the UAT sensitivity ratio of 63% (95% confidence interval: 45-81). The rate of intensive care treatment was higher in PP patients (P = .007). While no PP patients were vaccinated for pneumococcus, 3.8% of the non-PP patients were vaccinated (P = .235). Antibiotic use in the preceding 48 hours was higher in the non-PP group than in the PP group (31.8% vs. 11.1%, P = .002). The CURB-65 score and the rate of patients requiring inpatient treatment according to this score were higher in the PP group. CONCLUSION The facts that PP patients were older and required intensive care treatment more frequently as compared to non-PP patients underline the burden of PP.
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Affiliation(s)
- Esin Şenol
- Department of Infectious Diseases, Gazi University, Faculty of Medicine, Ankara, Turkey
| | - Aykut Çilli
- Department of Pulmonary Diseases, Akdeniz University, Faculty of Medicine, Antalya, Turkey
| | - Hakan Günen
- Department of Pulmonary Diseases, Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey
| | - Alper Şener
- Department of Infectious Diseases and Clinical Microbiology, 18 Mart University, Faculty of Medicine, Çanakkale, Turkey
| | - Rıdvan Dumlu
- Department of Infectious Diseases and Clinical Microbiology, 18 Mart University, Faculty of Medicine, Çanakkale, Turkey
| | - Ayşe Ödemiş
- Department of Pulmonary Diseases, Akdeniz University, Faculty of Medicine, Antalya, Turkey
| | - Ayşe Füsun Topçu
- Department of Pulmonary Diseases, Dicle University, Faculty of Medicine, Diyarbakır, Turkey
| | - Yeşim Yıldız
- Department of Infectious Diseases and Clinical Microbiology, Mardin State Hospital, Mardin, Turkey
| | - Rahmet Güner
- Department of Infectious Diseases and Clinical Microbiology, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
| | - Ayhan Özhasenekler
- Department of Emergency Medicine, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
| | - Birsen Mutlu
- Department of Infectious Diseases, Kocaeli University, Faculty of Medicine, Kocaeli, Turkey
| | - Nurdan Köktürk
- Department of Pulmonary Diseases, Gazi University, Faculty of Medicine, Ankara, Turkey
| | - Nurgül Sevimli
- Department of Pulmonary Diseases, Gazi University, Faculty of Medicine, Ankara, Turkey
| | - Nurcan Baykam
- Department of Infectious Diseases and Clinical Microbiology, Hitit University, Faculty of Medicine, Çorum, Turkey
| | - Derya Yapar
- Department of Infectious Diseases and Clinical Microbiology, Hitit University, Faculty of Medicine, Çorum, Turkey
| | - Selami Ekin
- Department of Pulmonary Diseases, Yüzüncü Yıl University, Faculty of Medicine, Van, Turkey
| | - Mehmet Polatlı
- Department of Pulmonary Diseases, Adnan Menderes University, Faculty of Medicine, Aydın, Turkey
| | - Şebnem Eren Gök
- Department of Infectious Diseases and Clinical Microbiology, Bozok University, Faculty of Medicine, Yozgat, Turkey
| | - Oğuz Kılınç
- Department of Pulmonary Diseases, Dokuz Eylül University, Faculty of Medicine, Izmir, Turkey
| | - Abdullah Sayıner
- Department of Pulmonary Diseases, Ege University, Faculty of Medicine, Izmir, Turkey
| | - Ömer Karaşahin
- Department of Infectious Diseases and Clinical Microbiology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | - Çağlar Çuhadaroğlu
- Department of Pulmonary Diseases and Sleep Disorder, Acıbadem Health Group Maslak Hospital, Istanbul, Turkey
| | - Ayşe Sesin Kocagöz
- Department of Infectious Diseases and Clinical Microbiology, Acıbadem Health Group Maslak Hospital, Istanbul, Turkey
| | - Turhan Togan
- Department of Infectious Diseases and Clinical Microbiology, Başkent University Konya Hospital, Konya, Turkey
| | - Hüseyin Arpağ
- Department of Pulmonary Diseases, Sutcu Imam University, Faculty of Medicine, Kahramanmaraş, Turkey
| | - Hakan Katı
- Department of Infectious Diseases, Gazi University, Faculty of Medicine, Ankara, Turkey
| | - İftihar Köksal
- Department of Infectious Diseases, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey
| | - Firdevs Aksoy
- Department of Infectious Diseases, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey
| | - Canan Hasanoğlu
- Department of Pulmonary Diseases, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
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Aktürk F, Bıyık İ, Kocaş C, Ertürk M, Yalçın AA, Savaş AU, Kuzer FP, Uzun F, Yıldırım A, Uslu N, Çuhadaroğlu Ç. The role of electrocardiography in evaluation of severity of chronic obstructive pulmonary disease in daily clinical practice. Tuberk Toraks 2013; 61:38-42. [PMID: 23581264 DOI: 10.5578/tt.4101] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
INTRODUCTION Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of chronic morbidity and mortality. Bronchial obstruction and increased pulmonary vascular resistance impairs right atrial functions. In this study, we aimed to investigate the effect of bronchial obstruction on p wave axis in patients with COPD and usefulness of electrocardiography (ECG) in the evaluation of the severity of COPD. PATIENTS AND METHODS Ninety five patients (64 male and 31 female) included to the study. Patients were in sinus rhythm, with normal ejection fraction and heart chamber sizes. Their respiratory function tests and 12 lead electrocardiograms were obtained at same day. Correlations with severity of COPD and ECG findings including p wave axis, p wave duration, QRS axis, QRS duration were studied. RESULTS The mean age was 58 ± 12 years. Their mean p wave axis was 62 ± 18 degrees. In this study, p wave axis has demonstrated significant positive correlations with stages of COPD and QRS axis but significant negative correlations with FEV1, FEF, BMI and QRS duration. P wave axis increases with increasing stages of COPD. CONCLUSION Verticalization of the frontal p wave axis may be an early finding of worsening of COPD before occurrences of other ECG changes of hypertrophy and enlargement of right heart chambers such as p pulmonale. Verticalization of the frontal p wave axis reflecting right atrial electrical activity and right heart strain may be a useful parameter for quick estimation of the severity of COPD in an out-patient cared.
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Affiliation(s)
- Faruk Aktürk
- Clinic of Cardiology, Istanbul Mehmet Akif Ersoy Chest and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
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