Previous Hospital Care and Pneumococcal Bacteremia: Importance for Pneumococcal Immunization

doi:10.1001/archinte.1983.00350050039008

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Vol. 143 No. 5, May 1983

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Previous Hospital Care and Pneumococcal Bacteremia

Importance for Pneumococcal Immunization

David S. Fedson, MD; Linda A. Chiarello, RN

Arch Intern Med. 1983;143(5):885-889.

Abstract

• At the University of Chicago Hospitals and Clinics (UCHC),60% of 126 patients who survived, and 70% of 40 patients whodied with pneumococcal bacteremia had been discharged at leastonce within the previous five years. The experience of 39 patientswith bacteremia at the Mary Imogene Bassett Hospital, Cooperstown,NY, was similar. There were 144 UCHC patients with high-riskconditions. In 69%, these conditions were evident on an earlierhospital admission. In contrast, only two of 22 UCHC patientswithout high-risk conditions had been previously discharged.In addition to age and underlying medical condition, previoushospital care can help to define high-risk individuals for pneumococcalimmunization. The results also suggest that hospitals shouldassume a major role in the prevention of serious pneumococcalinfections.

(Arch Intern Med 1983;143:885-889)

Author Affiliations

From the Department of Medicine, the University of Chicago (Dr Fedson); and the Department of Pharmacy, the Mary Imogene Bassett Hospital, Cooperstown, NY (Ms Chiarello). Dr Fedson is now with the Department of Internal Medicine, University of Virginia Medical Center, Charlottesville.

Footnotes

Accepted for publication Nov 16, 1982.

Reprint requests to the Department of Internal Medicine, Box494, University of Virginia Medical Center, Charlottesville,VA 22908 (Dr Fedson).

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