{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:23:55Z","timestamp":1793381035175,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2011,6,28]],"date-time":"2011-06-28T00:00:00Z","timestamp":1309219200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p><jats:bold>Background and objective:\u2003<\/jats:bold> More than 100\u2003000 Japanese die of pneumonia every year. The number of people residing in nursing homes is increasing with the ageing of the population. In 2005, the American Thoracic Society\/Infectious Diseases Society of America (ATS\/IDSA) published important guidelines for the management of healthcare\u2010associated pneumonia (HCAP). In Japan, however, the optimum strategy for management of HCAP is still unclear. The purpose of this study was to clarify the clinical features of patients with HCAP.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> Patients (<jats:italic>n<\/jats:italic>\u2003=\u2003202) who were consecutively admitted with a diagnosis of acute pneumonia between October 2007 and September 2009 were retrospectively evaluated. Using the ATS\/IDSA guidelines, patients were divided into three groups: a community\u2010acquired pneumonia (CAP) group (<jats:italic>n<\/jats:italic>\u2003=\u2003123), a nursing home\u2010acquired pneumonia (NHAP) group (<jats:italic>n<\/jats:italic>\u2003=\u200346) and a HCAP other than NHAP (O\u2010HCAP) group (<jats:italic>n<\/jats:italic>\u2003=\u200333). These groups were then compared with respect to laboratory data, microbiological findings and mortality.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> Thirty\u2010day mortality in the NHAP group (10.9%) tended to be higher than that in the CAP group (3.3%) or the O\u2010HCAP group (0%). The pathogens most frequently identified were <jats:italic>Streptococcus pneumoniae<\/jats:italic> and <jats:italic>Haemophilus influenzae<\/jats:italic> in the CAP group, methicillin\u2010resistant <jats:italic>Staphylococcus aureus<\/jats:italic> and <jats:italic>Klebsiella pneumoniae<\/jats:italic> in the NHAP group, and <jats:italic>S. pneumoniae<\/jats:italic> and <jats:italic>K. pneumoniae<\/jats:italic> in the O\u2010HCAP group.<\/jats:p><jats:p><jats:bold>Conclusions:\u2003<\/jats:bold> The NHAP group was clinically different from the O\u2010HCAP group, based on bacteriological examination and mortality rates. In order to accurately diagnose, and formulate optimum treatment strategies for Japanese patients, the categories of HCAP, as specified in the ATS\/IDSA guidelines, should not be applied directly either to patients with NHAP or those with O\u2010HCAP.<\/jats:p>","DOI":"10.1111\/j.1440-1843.2011.01983.x","type":"journal-article","created":{"date-parts":[[2011,5,4]],"date-time":"2011-05-04T10:57:33Z","timestamp":1304506653000},"page":"856-861","source":"Crossref","is-referenced-by-count":50,"title":["Clinical features of healthcare\u2010associated pneumonia (HCAP) in a Japanese community hospital: Comparisons among nursing home\u2010acquired pneumonia (NHAP), HCAP other than NHAP, and community\u2010acquired pneumonia"],"prefix":"10.1111","volume":"16","author":[{"given":"KENJI","family":"UMEKI","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ISSEI","family":"TOKIMATSU","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CHIE","family":"YASUDA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ATSUKO","family":"IWATA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DAISUKE","family":"YOSHIOKA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"HIROSHI","family":"ISHII","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RYO","family":"SHIRAI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KENJI","family":"KISHI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KAZUFUMI","family":"HIRAMATSU","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BUNROKU","family":"MATSUMOTO","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JUN\u2010ICHI","family":"KADOTA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,6,28]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61460-4"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-4943(09)00302-1"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/14.4.295"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0594.2009.00536.x"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(04)00931-4"},{"key":"e_1_2_5_7_2","first-page":"926","article-title":"Guidelines for preventing health\u2010care\u2010associated pneumonia, 2003 recommendations of the CDC and the Healthcare Infection Control Practices Advisory Committee","volume":"49","author":"Healthcare Infection Control Practices Advisory Committee; Centers for Disease Control and Prevention (U.S.)","year":"2004","journal-title":"Respir. Care"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200405-644ST"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-1-200901060-00005"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1086\/380488"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0b013e328329fa4e"},{"issue":"3","key":"e_1_2_5_12_2","first-page":"S79","article-title":"Guidelines for the management of community acquired pneumonia in adults, revised edition","volume":"11","author":"Committee for The Japanese Respiratory Society guidelines for the management of respiratory infections","year":"2006","journal-title":"Respirology"},{"issue":"2","key":"e_1_2_5_13_2","first-page":"S1","article-title":"The Japanese Respiratory Society guidelines for the management of hospital\u2010acquired pneumonia in adults","volume":"14","author":"Japanese Respiratory Society","year":"2009","journal-title":"Respirology"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-1357"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2009.12.008"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2008.03.027"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.45.6074"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.47.0577"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1119806"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.6.3854"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.00851-07"},{"key":"e_1_2_5_22_2","unstructured":"Organisation for Economic Cooperation and Development.Hospital beds (supply and use).2009. [Accessed 8 Dec 2009.] Available from URL:http:\/\/www.oecdilibrary.org\/content\/book\/health_glance\u20102009\u2010en"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.13.1393"}],"container-title":["Respirology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1440-1843.2011.01983.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1440-1843.2011.01983.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T10:37:19Z","timestamp":1697279839000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1440-1843.2011.01983.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,6,28]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2011,7]]}},"alternative-id":["10.1111\/j.1440-1843.2011.01983.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1440-1843.2011.01983.x","archive":["Portico"],"relation":{},"ISSN":["1323-7799","1440-1843"],"issn-type":[{"value":"1323-7799","type":"print"},{"value":"1440-1843","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,6,28]]}}}