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의료환경 변화에 따른 감염성 심내막염의 양상 변화

DC FieldValueLanguage
dc.contributor.author김준명-
dc.contributor.author김준명-
dc.contributor.author김창오-
dc.contributor.author박윤선-
dc.contributor.author송영구-
dc.contributor.author신소연-
dc.contributor.author윤희정-
dc.contributor.author최준용-
dc.date.accessioned2017-10-26T06:45:29Z-
dc.date.available2017-10-26T06:45:29Z-
dc.date.issued2005-
dc.identifier.issn1226-329X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/151258-
dc.description.abstractBackground: In July 2000, there was a dramatic change in Korean health care system with the medical reform, the separation system of pharmacies and prescriptions. Before then, patients could easily get antibiotics without doctors’ prescriptions. Since the symptoms and signs of infective endocarditis are very nonspecific, prior self treatment with antibiotics before admission was common. This study was performed to determine the changing trends of infective endocarditis according to the change in health care system. Methods: One hundred eighty eight patients from 8 different medical institutions were included. Medical records were reviewed retrospectively for each patient who was diagnosed as infective endocarditis by Modified Duke criteria. Patients were separated into two different groups (Group I : patients diagnosed before July 2000, Group II : patients diagnosed after November 2000). Clinical characteristics, blood culture positivity, and in-hospital mortality were compared. Results: There was no difference in clinical manifestation between two groups other than malaise. Blood culture positivity was 57.4% in group I and 71.1% in group II. Blood culture positivity was significantly higher in group II (p=0.038). In-hospital mortality tends to be lower in group II, which was 22.3% in group I and 12.9% in group II (p=0.066). The relationship between higher blood culture positivity and lower in-hospital mortality couldn’t be clarified. Conclusion: There was an increase in blood culture positivity and a tendency to decrease in in-hospital mortality after July, 2000, possibly due to health care reform. This, to my knowledge, is the first effort to investigate the changing trends of an actual clinical disease according to the change in health care system.-
dc.description.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher대한내과학회-
dc.relation.isPartOfKorean Journal of Medicine (대한내과학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHEndocarditis-
dc.subject.MESHHealth care reform-
dc.subject.MESHMicrobiology-
dc.title의료환경 변화에 따른 감염성 심내막염의 양상 변화-
dc.title.alternativeChanging trends of infective endocarditis according to the change in health care system in Korea-
dc.typeArticle-
dc.publisher.locationKorea-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthor신소연-
dc.contributor.googleauthor박윤수-
dc.contributor.googleauthor최준용-
dc.contributor.googleauthor조정호-
dc.contributor.googleauthor박윤선-
dc.contributor.googleauthor김창오-
dc.contributor.googleauthor윤희정-
dc.contributor.googleauthor김효열-
dc.contributor.googleauthor염준섭-
dc.contributor.googleauthor이꽃실-
dc.contributor.googleauthor최영화-
dc.contributor.googleauthor허애정-
dc.contributor.googleauthor홍성관-
dc.contributor.googleauthor송영구-
dc.contributor.googleauthor김준명-
dc.identifier.doiOAK-2005-05417-
dc.contributor.localIdA00953-
dc.contributor.localIdA00953-
dc.contributor.localIdA01044-
dc.contributor.localIdA01597-
dc.contributor.localIdA02037-
dc.contributor.localIdA02116-
dc.contributor.localIdA02632-
dc.contributor.localIdA04191-
dc.relation.journalcodeJ02060-
dc.relation.journalsince1993~2005-
dc.relation.journalafter2006~ Korean Journal of Medicine-
dc.subject.keywordEndocarditis-
dc.subject.keywordHealth care reform-
dc.subject.keywordMicrobiology-
dc.contributor.alternativeNameKim, June Myung-
dc.contributor.alternativeNameKim, June Myung-
dc.contributor.alternativeNameKim, Chang Oh-
dc.contributor.alternativeNamePark, Yoon Seon-
dc.contributor.alternativeNameSong, Young Goo-
dc.contributor.alternativeNameShin, So Youn-
dc.contributor.alternativeNameYoon, Hee Jung-
dc.contributor.alternativeNameChoi, Jun Yong-
dc.contributor.affiliatedAuthor김준명-
dc.citation.volume68-
dc.citation.number2-
dc.citation.startPage157-
dc.citation.endPage167-
dc.identifier.bibliographicCitationKorean Journal of Medicine (대한내과학회지), Vol.68(2) : 157-167, 2005-
dc.date.modified2017-05-04-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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