Carga de doença por infecções do trato respiratório inferior no Brasil, 1990 a 2015: estimativas do estudo Global Burden of Disease 2015

Corrêa, Ricardo de Amorim; José, Bruno Piassi de São; Malta, Déborah Carvalho; Passos, Valéria Maria de Azeredo; França, Elisabeth Barboza; Teixeira, Renato Azeredo; Camargos, Paulo Augusto Moreira

doi:10.1590/1980-5497201700050014

Cited by 29 publications

(17 citation statements)

References 21 publications

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“…The 2015 Global burden of disease (GBD) study reported over 290 million cases of LRTIs worldwide, a 6.8% increase from the 2005 LRTIs incidence (4). This according to Corrêa et al (5) accounts for 4.9% of all deaths in the world (5). Cupurdija (6) further estimated that 4–6 million of CAP cases occur in the United States annually, of which approximately 20–25 % required hospitalization (6).…”

Section: Introductionmentioning

confidence: 99%

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A Comparative Cost Analysis of Antibiotic Treatment for Community Acquired Pneumonia (CAP) in Adult Inpatients at Piggs Peak Government Hospital in Swaziland

Zwane

McGee

Suleman

2018

Front. Public Health

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Background: Of the different types of pneumonia, community acquired pneumonia (CAP), has been identified as the leading cause of infectious morbidity and mortality in the western and developing countries. To eradicate the bacterial cause of CAP, medical doctors) often tend to prescribe a differing cocktail of medicine which may be costly for the health care system.Aim: To analyze the cost of oral and/or intravenous antibiotic medicine use in different treatment approaches for treating CAP in adult inpatients from the health care system perspective.Settings: This study was undertaken at Piggs Peak Government Hospital, a 220 bed tertiary hospital located in the rural northern Hhohho region of Swaziland.Method: Seventy-one (n = 71) medical records of adult patients, hospitalized and diagnosed with CAP at Piggs Peak Government Hospital from July 2014 to June 2015, were retrieved and entered into the database once confirmed as having met the selection criteria. Only direct antibiotic medicine(s) costs were considered. The total cost per treatment option was calculated by multipling the unit cost of the medicine by the administration frequency and the length of hospital stay. The Kruskal-Wallis test was used to compare the cost difference between more than two treatment options.Results: Medical doctors at Piggs Peak Government Hosptial use a range of antibiotics to treat community acquire pneumonia. Furthermore, doctors prefer using dual antibiotics combination as first line treatment of CAP in adult inpatients. The cost of treating community acquire pneumonia at the hospital ranged from ZAR 70.98 to ZAR 467.60 per adult inpatient admitted into care. A statistically significant difference in the cost of the different treatment approaches used for treating CAP was noted.Conclusion: This cost-exploratory study has highlighted a significant difference in the monetary cost of the differing approaches used for treating CAP at the hospital. It is evident therefore that the use of different treatment approaches in treating CAP significantly influences the cost of CAP treatment. There is therefore need for cost minimization measure to be put in place at the facility.

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Section: Introductionmentioning

confidence: 99%

“…Medical doctors in such instances tend to prescribe a differing cocktail of medicine in order to eradicate pneumonia (5). Many factors may contribute to the rationale behind these differing approaches.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Cost Analysis of Antibiotic Treatment for Community Acquired Pneumonia (CAP) in Adult Inpatients at Piggs Peak Government Hospital in Swaziland

Zwane

McGee

Suleman

2018

Front. Public Health

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“…Streptococcus pneumoniae, or pneumococcus, is the main etiologic agent of community-acquired pneumonia (CAP) in children and adults. (1,2) Elderly people, patients with chronic conditions (chronic obstructive pulmonary disease, bronchial asthma, chronic cardiovascular disease, cerebrovascular disease, chronic renal disease, chronic liver disease, or diabetes mellitus), and immunosuppressed persons are at risk for pneumococcal pneumonia (PP) and bacteremic pneumococcal pneumonia (BPP). (3)(4)(5)(6)(7) Ruiz et al carried out a study published in 2017 comparing adults aged 18-64 years and elderly people (aged ≥ 65 years) who were diagnosed with PP.…”

Section: Introductionmentioning

confidence: 99%

Mortalidade e custos da pneumonia pneumocócica em adultos: um estudo transversal

et al. 2019

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RESUMO Objetivo A pneumonia pneumocócica é uma causa significativa de morbimortalidade entre adultos. Desta maneira, o objetivo principal deste estudo foi avaliar a mortalidade intra-hospitalar e os custos relacionados à doença adquirida em adultos. Métodos Este estudo transversal utilizou prontuários de pacientes adultos com pneumonia pneumocócica internados em um hospital universitário no Brasil, de outubro de 2009 a abril de 2017. Todos os pacientes com idade ≥ 18 anos e diagnosticados com pneumonia pneumocócica foram incluídos. Dados como os fatores de risco, a internação em unidade de terapia intensiva, o tempo de internação, a mortalidade hospitalar e os custos diretos e indiretos foram analisados. Resultados No total, 186 pacientes foram selecionados. A taxa média de mortalidade intra-hospitalar foi de 18% para adultos com idade < 65 anos e 23% para os idosos (≥ 65 anos). A pneumonia pneumocócica bacterêmica acometeu 20% dos pacientes em ambos os grupos, principalmente por doença respiratória crônica (OR ajustada: 3,07; IC95%: 1,23‐7,65; p < 0,01). Após levantamento das internações ocorridas no período de sete anos de tratamento, verificou-se que os custos diretos e indiretos totais anuais foram de US$ 28.188 para adultos < 65 anos (US$ 1.746 per capita) e US$ 16.350 para os idosos (US$ 2.119 per capita). Conclusão A pneumonia pneumocócica continua sendo uma importante causa de morbimortalidade entre adultos, afetando significativamente os custos diretos e indiretos. Esses resultados sugerem a necessidade de estratégias de prevenção para todos os adultos, especialmente para pacientes com doenças respiratórias crônicas.

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“…In Brazil, although the reduction of the mortality rate is related to the improvement of the economic conditions of the population, to the access to health care and the national availability of antibiotics and vaccination policies, to the reduction of infections of the lower respiratory tract, especially pneumonia, it remains the third cause of mortality over the years, reaching a total of 75,602 deaths, which corresponds to 5.6% of the total deaths in the country (2) . For this reason, the interest remains in research with a focus on respiratory diseases (2)(3)(4) , with the acute diseases being a concern in nursing studies (4) in order to strengthen the provision of care so that it becomes more effective.…”

Section: Introductionmentioning

confidence: 99%

Funcionalidade do apoio à família da criança com pneumonia

Souza

Borges

et al. 2019

Rev. Gaúcha Enferm.

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Resumo OBJETIVO Conhecer a composição e o funcionamento do apoio social utilizado pela família da criança adoecida por pneumonia. MÉTODO Pesquisa qualitativa, realizada com quatorze famílias de crianças menores de cinco anos internadas por pneumonia, provenientes de regiões de maior vulnerabilidade social de um município do interior paulista, no período de novembro de 2015 a maio de 2016. Utilizou-se como referencial teórico o Modelo Calgary de Avaliação Familiar, e a Análise de Conteúdo Temática de Bardin como método. RESULTADOS A família nuclear e a extensa constituem o apoio social utilizado; a rede de apoio acessada engloba a Atenção Primária de Saúde, Unidades de Pronto Atendimento e hospitais, observando falha na referência e contra-referência intersetoriais. CONSIDERAÇÕES FINAIS A reorganização familiar mostrou-se relevante e efetiva em períodos de crise; as famílias buscam no nível secundário de atenção à saúde a resolutividade para o adoecimento de seu filho.

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Carga de doença por infecções do trato respiratório inferior no Brasil, 1990 a 2015: estimativas do estudo Global Burden of Disease 2015

Abstract: Despite the current socioeconomic difficulties, there has been a progressive reduction of the LRTIs load effect in Brazil, mostly in mortality and disability, and among children under 5 years of age.

Cited by 29 publications

References 21 publications

A Comparative Cost Analysis of Antibiotic Treatment for Community Acquired Pneumonia (CAP) in Adult Inpatients at Piggs Peak Government Hospital in Swaziland

A Comparative Cost Analysis of Antibiotic Treatment for Community Acquired Pneumonia (CAP) in Adult Inpatients at Piggs Peak Government Hospital in Swaziland

Mortalidade e custos da pneumonia pneumocócica em adultos: um estudo transversal

Funcionalidade do apoio à família da criança com pneumonia

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