Le polmoniti emergenti: Oltre la sindrome respiratoria acuta severa

Translated title of the contribution: Emergence of new pneumonia: Besides severe acute respiratory syndrome

P. Mangiarotti, E. Pozzi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Important epidemiological modifications have been registered in respiratory infections, both in immunocompetent and immunocompromised hosts. Pathogens with modified antibiotic susceptibility patterns have emerged, which display an increased antibiotic resistance, such as S. pneumoniae, S. aureus, H. influenzae. This trait has a strong impact on the therapeutic choices, particularly when an empiric antibiotic treatment is selected. The prevalence of bacterial species showing unsusceptibility to the most common prescribed antibiotics (betalactams, macrolides etc.) follows a different geographic distribution. Some pathogens have acquired a new epidemiological role in patients affected with immune deficiencies: among them P. carinii and other bacterial, fungal and viral pathogens. The emergence of new, previously unknown, species, has been registered, both bacteria (C. pneumoniae) and viruses (Metapneumovirus, Hantavirus etc.). Such aspects must be considered in the diagnosis of respiratory infections, which should include diagnostic tests for the identification of such pathogens. Among the new respiratory infections severe acute respiratory syndrome (SARS) has quickly become a health care emergency, so that efforts have been made to identify the aetiological agent as well as the main epidemiological and clinical characteristics of the disease. Avian influenza has raised great interest immediately after the first cases of human infection caused by the avian virus, expecially after the outbreaks in Asian countries and in the Nederlands. A crucial step in containing infection is the prevention of the disease; efforts are directed toward this endpoint.

Original languageItalian
Pages (from-to)395-409
Number of pages15
JournalMinerva Medica
Volume97
Issue number5
Publication statusPublished - Oct 2006

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Severe Acute Respiratory Syndrome
Respiratory Tract Infections
Pneumonia
Anti-Bacterial Agents
Metapneumovirus
Hantavirus
Viruses
Influenza in Birds
Macrolides
Immunocompromised Host
Microbial Drug Resistance
Infection
Routine Diagnostic Tests
Human Influenza
Disease Outbreaks
Emergencies
Bacteria
Delivery of Health Care
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Le polmoniti emergenti : Oltre la sindrome respiratoria acuta severa. / Mangiarotti, P.; Pozzi, E.

In: Minerva Medica, Vol. 97, No. 5, 10.2006, p. 395-409.

Research output: Contribution to journalArticle

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