Cited 0 times in
요양병원과 연관된 균혈증의 임상양상 및 항균제 내성현황
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김창오 | - |
dc.date.accessioned | 2017-02-24T11:12:20Z | - |
dc.date.available | 2017-02-24T11:12:20Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 1229-6538 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/146689 | - |
dc.description.abstract | Background: The risk of healthcare-associated infections (HCAI) is increasing, due to the increase in geriatric hospitals. However there has been a lack of studies on HCAI in patients of geriatric hospitals. Hence, we aimed to investigate the epidemiological and microbiological characteristics of geriatric hospital patients who developed bloodstream infections (BSI). Method: Among patients who visited emergency department of a single university hospital between January 2007 and December 2011 and showed BSI, we selected patients transferred from geriatric hospitals by reviewing the medical records. Results: Among a total of 921 patients who visited the emergency department with BSI during the study period, 63 patients (6.84%) were residents at geriatric hospitals. Of these, 53.7% were male, the mean age was 69.8 years, and 73.0% were elderly patients of 65 years or over. Malignant tumor was the most common underlying disease. Urinary tract infection (30.1%) was the most common cause of BSI, and in terms of causative pathogen, there were 34.8% of gram-positive bacteria, 31.3% of gram-negative bacteria, and 17.3% of multiple infection with two or more types of bacteria. Multidrug resistant bacteria were reported in 13.0%, including 8.7% of MRSA infection. In patients with less than the mean length of stay (LOS) (20 days), there was a significant association between appropriate early antibiotics use and mean LOS. Conclusion: Treating BSI in geriatric hospital patients requires appropriate antibiotics treatment taking into account multi- factors, including the pathogen of BSI, antibiotics resistance, the patient’s age. Use of appropriate early antibiotics reduces the mean LOS. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 63-68 | - |
dc.language | Korean | - |
dc.publisher | 대한임상노인의학회 | - |
dc.relation.isPartOf | Korean Journal of Clinical Geriatrics (임상노인의학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 요양병원과 연관된 균혈증의 임상양상 및 항균제 내성현황 | - |
dc.title.alternative | Clinical Finding and Antimicrobial Resistance in Bacteremia Associated Geriatric Hospital | - |
dc.type | Article | - |
dc.publisher.location | Korea | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Internal Medicine | - |
dc.contributor.googleauthor | 김영주 | - |
dc.contributor.googleauthor | 안성영 | - |
dc.contributor.googleauthor | 지종현 | - |
dc.contributor.googleauthor | 김창오 | - |
dc.identifier.doi | 10.15656/kjcg.2015.16.2.63 | - |
dc.contributor.localId | A01044 | - |
dc.relation.journalcode | J01981 | - |
dc.subject.keyword | Geriatric hospital | - |
dc.subject.keyword | Healthcare-associated infection | - |
dc.subject.keyword | Bloodstream infection | - |
dc.subject.keyword | Multidrug resistant | - |
dc.contributor.alternativeName | Kim, Chang Oh | - |
dc.contributor.affiliatedAuthor | Kim, Chang Oh | - |
dc.citation.volume | 16 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 63 | - |
dc.citation.endPage | 68 | - |
dc.identifier.bibliographicCitation | Korean Journal of Clinical Geriatrics (임상노인의학회지), Vol.16(2) : 63-68, 2016 | - |
dc.date.modified | 2017-02-24 | - |
dc.identifier.rimsid | 47434 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.