Clinical and economic burden of community-acquired pneumonia amongst adults in the Asia-Pacific region
Journal
International Journal of Antimicrobial Agents
Journal Volume
38
Journal Issue
2
Pages
108-117
Date Issued
2011
Author(s)
Abstract
Community-acquired pneumonia (CAP) is an important cause of mortality and morbidity amongst adults in the Asia-Pacific region. Literature published between 1990 and May 2010 on the clinical and economic burden of CAP amongst adults in this region was reviewed. CAP is a significant health burden with significant economic impact in this region. Chronic obstructive pulmonary disease, cardiovascular disease, diabetes mellitus and advanced age were risk factors for CAP. Aetiological agents included Streptococcus pneumoniae, Klebsiella pneumoniae, Gram-negative bacteria, Mycobacterium tuberculosis, Burkholderia pseudomallei, Staphylococcus aureus and atypical pathogens (Mycoplasma pneumoniae, Chlamydophila pneumoniae and Legionella spp.), with important differences in the prevalence of these pathogens within the region. Antibiotic resistance was significant but was not linked to excess mortality. Aetiological pathogens remained susceptible to newer antimicrobial agents. Rational antibiotic use is essential for preventing resistance, and increased surveillance is required to identify future trends in incidence and aetiology and to drive treatment and prevention strategies. ? 2011 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.
SDGs
Other Subjects
amoxicillin plus clavulanic acid; azithromycin; cefdinir; ceftriaxone; chloramphenicol; erythromycin; gatifloxacin; gemifloxacin; levofloxacin; minocycline; moxifloxacin; penicillin G; sparfloxacin; age; antibiotic resistance; antibiotic sensitivity; Asia; Australia; Burkholderia pseudomallei; cardiovascular disease; China; Chlamydophila pneumoniae; chronic obstructive lung disease; community acquired pneumonia; cost control; diabetes mellitus; disease surveillance; drug cost; economic aspect; Gram negative bacterium; health care cost; human; India; infection prevention; Influenza virus A; Japan; Klebsiella pneumoniae; Korea; Legionella; Malaysia; morbidity; mortality; Mycobacterium tuberculosis; Mycoplasma pneumoniae; New Zealand; Parainfluenza virus; pathogenesis; patient care; Philippines; prevalence; priority journal; Respiratory syncytial pneumovirus; review; risk factor; Singapore; Staphylococcus aureus; Streptococcus pneumoniae; systematic review; Taiwan; Thailand; Varicella zoster virus
Type
short survey