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Clinical Characteristics of Necrotizing Pneumonia Caused by Different Pathogens

OBJECTIVE: To explore the clinical characteristics of necrotizing pneumonia (NP) caused by different pathogens. METHODS: A total of 282 children with NP admitted to Kunming Children’s Hospital from January 2014 to November 2022 were enrolled. The clinical data of all children was collected. Accordin...

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Autores principales: Luo, Yonghan, Wang, Yanchun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276989/
https://www.ncbi.nlm.nih.gov/pubmed/37337573
http://dx.doi.org/10.2147/IDR.S419294
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author Luo, Yonghan
Wang, Yanchun
author_facet Luo, Yonghan
Wang, Yanchun
author_sort Luo, Yonghan
collection PubMed
description OBJECTIVE: To explore the clinical characteristics of necrotizing pneumonia (NP) caused by different pathogens. METHODS: A total of 282 children with NP admitted to Kunming Children’s Hospital from January 2014 to November 2022 were enrolled. The clinical data of all children was collected. According to the different pathogens causing NP, the children were divided into three groups: the Mycoplasma pneumoniae necrotizing pneumonia (MPNP) group, the bacterial necrotizing pneumonia (BNP) group, and necrotizing pneumonia with no pathogen detected (NNP) group. The basic information, symptoms, signs, laboratory tests, radiological features, treatment, and prognosis of the three groups were compared. RESULTS: Among the 282 cases of NP, there were 62 (22.0%) cases of MPNP, 98 (34.75%) cases of BNP, and 142 (50.35%) cases of NNP. The most common bacteria causing NP were Streptococcus pneumoniae, Staphylococcus aureus, Haemophilus influenzae, and Acinetobacter baumannii, respectively. Most clinical features of the three groups were statistically significant. The area under the concentration curve of white blood cell, C-reactive protein, albumin, neutrophil percentage, and fibrinogen in differentiating MPNP from BNP were 0.743 (0.638–0.849), 0.797 (0.711–0.883), 0.766 (0.671–0.861), 0.616 (0.509–0.724), and 0.634 (0.523–0.744), respectively. The decision curve showed that white blood cells, albumin, and C-reactive protein had good clinical application in differentiating MPNP from BNP. All patients were improved and discharged without death. CONCLUSION: Bacteria are the most common cause of NP, and the most common bacteria are Streptococcus pneumoniae, Staphylococcus aureus, and Haemophilus influenzae. NP with no pathogen detected accounted for a large proportion. white blood, C-reactive protein, and albumin can identify the pathogens of NP. Patients with BNP were more severe, had a longer hospital stay, and were more likely to undergo closed drainage and surgery.
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spelling pubmed-102769892023-06-19 Clinical Characteristics of Necrotizing Pneumonia Caused by Different Pathogens Luo, Yonghan Wang, Yanchun Infect Drug Resist Original Research OBJECTIVE: To explore the clinical characteristics of necrotizing pneumonia (NP) caused by different pathogens. METHODS: A total of 282 children with NP admitted to Kunming Children’s Hospital from January 2014 to November 2022 were enrolled. The clinical data of all children was collected. According to the different pathogens causing NP, the children were divided into three groups: the Mycoplasma pneumoniae necrotizing pneumonia (MPNP) group, the bacterial necrotizing pneumonia (BNP) group, and necrotizing pneumonia with no pathogen detected (NNP) group. The basic information, symptoms, signs, laboratory tests, radiological features, treatment, and prognosis of the three groups were compared. RESULTS: Among the 282 cases of NP, there were 62 (22.0%) cases of MPNP, 98 (34.75%) cases of BNP, and 142 (50.35%) cases of NNP. The most common bacteria causing NP were Streptococcus pneumoniae, Staphylococcus aureus, Haemophilus influenzae, and Acinetobacter baumannii, respectively. Most clinical features of the three groups were statistically significant. The area under the concentration curve of white blood cell, C-reactive protein, albumin, neutrophil percentage, and fibrinogen in differentiating MPNP from BNP were 0.743 (0.638–0.849), 0.797 (0.711–0.883), 0.766 (0.671–0.861), 0.616 (0.509–0.724), and 0.634 (0.523–0.744), respectively. The decision curve showed that white blood cells, albumin, and C-reactive protein had good clinical application in differentiating MPNP from BNP. All patients were improved and discharged without death. CONCLUSION: Bacteria are the most common cause of NP, and the most common bacteria are Streptococcus pneumoniae, Staphylococcus aureus, and Haemophilus influenzae. NP with no pathogen detected accounted for a large proportion. white blood, C-reactive protein, and albumin can identify the pathogens of NP. Patients with BNP were more severe, had a longer hospital stay, and were more likely to undergo closed drainage and surgery. Dove 2023-06-14 /pmc/articles/PMC10276989/ /pubmed/37337573 http://dx.doi.org/10.2147/IDR.S419294 Text en © 2023 Luo and Wang. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Luo, Yonghan
Wang, Yanchun
Clinical Characteristics of Necrotizing Pneumonia Caused by Different Pathogens
title Clinical Characteristics of Necrotizing Pneumonia Caused by Different Pathogens
title_full Clinical Characteristics of Necrotizing Pneumonia Caused by Different Pathogens
title_fullStr Clinical Characteristics of Necrotizing Pneumonia Caused by Different Pathogens
title_full_unstemmed Clinical Characteristics of Necrotizing Pneumonia Caused by Different Pathogens
title_short Clinical Characteristics of Necrotizing Pneumonia Caused by Different Pathogens
title_sort clinical characteristics of necrotizing pneumonia caused by different pathogens
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276989/
https://www.ncbi.nlm.nih.gov/pubmed/37337573
http://dx.doi.org/10.2147/IDR.S419294
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