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Discontinuation of Glycopeptides in Patients with Culture Negative Severe Sepsis or Septic Shock: A Propensity-Matched Retrospective Cohort Study
DC Field | Value | Language |
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dc.contributor.author | 김하얀 | - |
dc.contributor.author | 염준섭 | - |
dc.contributor.author | 송영구 | - |
dc.contributor.author | 박윤수 | - |
dc.contributor.author | 구남수 | - |
dc.contributor.author | 김용찬 | - |
dc.contributor.author | 김정호 | - |
dc.contributor.author | 정수진 | - |
dc.contributor.author | 최준용 | - |
dc.contributor.author | 안진영 | - |
dc.date.accessioned | 2020-09-28T11:30:59Z | - |
dc.date.available | 2020-09-28T11:30:59Z | - |
dc.date.issued | 2020-05 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/179216 | - |
dc.description.abstract | Implementation of antibiotic stewardship is difficult in patients with sepsis because of severity of disease. We evaluated the impact of glycopeptide discontinuation (GD) in patients with culture negative severe sepsis or septic shock who received glycopeptides as initial empiric antibiotic therapy at admission. We conducted a single center retrospective cohort study between January 2010 and March 2018. GD was defined as discontinuation of initial empiric glycopeptides on availability of culture results, revealing the absence of identified pathogens. In 92 included patients, the leading causes of sepsis were pneumonia (34.8%) and intra-abdominal infection (23.9%); 28-day mortality and overall mortality were 14% and 21%, respectively. Glycopeptides were discontinued in 42/92 patients. After propensity score matching, baseline characteristics were not significantly different between the GD and non-GD (GND) groups. GND was associated with development of acute kidney injury (OR 5.54, 95% CI 1.49-20.6, P = 0.011). GD did not increase the 7-day, 14-day, and 28-day mortality compared with GND. The length of hospital stay was shorter in the GD group than in GND group (16.33 ± 17.11 vs. 25.05 ± 14.37, P = 0.082), though not statistically significant. GD may be safe and reduce adverse events of prolonged antibiotic use in patients with culture negative severe sepsis or septic shock receiving glycopeptides as initial empiric antibiotic therapy. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.relation.isPartOf | ANTIBIOTICS-BASEL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Discontinuation of Glycopeptides in Patients with Culture Negative Severe Sepsis or Septic Shock: A Propensity-Matched Retrospective Cohort Study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) | - |
dc.contributor.googleauthor | Yong Chan Kim | - |
dc.contributor.googleauthor | Jung Ho Kim | - |
dc.contributor.googleauthor | Jin Young Ahn | - |
dc.contributor.googleauthor | Su Jin Jeong | - |
dc.contributor.googleauthor | Nam Su Ku | - |
dc.contributor.googleauthor | Jun Yong Choi | - |
dc.contributor.googleauthor | Joon-Sup Yeom | - |
dc.contributor.googleauthor | Yoon Soo Park | - |
dc.contributor.googleauthor | Young Goo Song | - |
dc.contributor.googleauthor | Ha Yan Kim | - |
dc.identifier.doi | 10.3390/antibiotics9050250 | - |
dc.contributor.localId | A01091 | - |
dc.contributor.localId | A02353 | - |
dc.contributor.localId | A02037 | - |
dc.contributor.localId | A01598 | - |
dc.contributor.localId | A00189 | - |
dc.contributor.localId | A00752 | - |
dc.contributor.localId | A00902 | - |
dc.contributor.localId | A03638 | - |
dc.contributor.localId | A04191 | - |
dc.contributor.localId | A02267 | - |
dc.relation.journalcode | J03862 | - |
dc.identifier.eissn | 2079-6382 | - |
dc.identifier.pmid | 32414054 | - |
dc.subject.keyword | antimicrobial stewardship | - |
dc.subject.keyword | glycopeptides | - |
dc.subject.keyword | propensity score | - |
dc.subject.keyword | sepsis | - |
dc.subject.keyword | septic shock | - |
dc.contributor.alternativeName | Kim, Ha Yan | - |
dc.contributor.affiliatedAuthor | 김하얀 | - |
dc.contributor.affiliatedAuthor | 염준섭 | - |
dc.contributor.affiliatedAuthor | 송영구 | - |
dc.contributor.affiliatedAuthor | 박윤수 | - |
dc.contributor.affiliatedAuthor | 구남수 | - |
dc.contributor.affiliatedAuthor | 김용찬 | - |
dc.contributor.affiliatedAuthor | 김정호 | - |
dc.contributor.affiliatedAuthor | 정수진 | - |
dc.contributor.affiliatedAuthor | 최준용 | - |
dc.contributor.affiliatedAuthor | 안진영 | - |
dc.citation.volume | 9 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 250 | - |
dc.identifier.bibliographicCitation | ANTIBIOTICS-BASEL, Vol.9(5) : 250, 2020-05 | - |
dc.identifier.rimsid | 67389 | - |
dc.type.rims | ART | - |
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