Cited 20 times in
Validation of a scoring tool to predict drug-resistant pathogens in hospitalised pneumonia patients
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 강영애 | - |
dc.contributor.author | 김세규 | - |
dc.contributor.author | 김영삼 | - |
dc.contributor.author | 김은영 | - |
dc.contributor.author | 박무석 | - |
dc.contributor.author | 박선철 | - |
dc.contributor.author | 장준 | - |
dc.contributor.author | 정지예 | - |
dc.date.accessioned | 2014-12-18T08:59:59Z | - |
dc.date.available | 2014-12-18T08:59:59Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 1027-3719 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/87346 | - |
dc.description.abstract | BACKGROUND: Health care-associated pneumonia (HCAP) affects a heterogeneous group of patients in frequent contact with health care systems. However, HCAP criteria poorly predict infection with drug-resistant (DR) pathogens. OBJECTIVE: To validate our previously reported risk-scoring model (predictive of DR pathogen infection) in patients admitted to hospital with pneumonia. DESIGN: We evaluated 580 patients admitted with culture-positive bacterial pneumonia. We identified risk factors, evaluated the risk-scoring model's capacity to predict infection by DR pathogens and compared the model's diagnostic accuracy with that of current HCAP criteria. RESULTS: DR pathogens were observed in 227/580 patients (39.1%). Of 269 HCAP patients, 153 (56.9%) were infected with DR pathogens. Overtreatment was more common in HCAP than in community-acquired pneumonia (58.7% vs. 41.2%, P < 0.001). Recent hospitalisation, admission from a long-term care facility, recent antibiotic treatment and tube feeding were independently associated with DR pathogens. For pathogen prediction, the risk-scoring model showed better diagnostic accuracy than HCAP criteria (area under receiver operating-characteristic curve = 0.723 vs. 0.673, P < 0.001). CONCLUSION: According to current HCAP criteria, half of the HCAP patients were treated unnecessarily with broad-spectrum antibiotics. Risk scoring by stratifying risk factors could improve the identification of patients likely to be infected with DR pathogens. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | The Union | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Anti-Bacterial Agents/therapeutic use* | - |
dc.subject.MESH | Area Under Curve | - |
dc.subject.MESH | Chi-Square Distribution | - |
dc.subject.MESH | Cross Infection/diagnosis | - |
dc.subject.MESH | Cross Infection/drug therapy* | - |
dc.subject.MESH | Cross Infection/microbiology* | - |
dc.subject.MESH | Cross Infection/transmission | - |
dc.subject.MESH | Decision Support Techniques* | - |
dc.subject.MESH | Drug Resistance, Bacterial* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Inpatients* | - |
dc.subject.MESH | Logistic Models | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Microbial Sensitivity Tests | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Multivariate Analysis | - |
dc.subject.MESH | Pneumonia, Bacterial/diagnosis | - |
dc.subject.MESH | Pneumonia, Bacterial/drug therapy* | - |
dc.subject.MESH | Pneumonia, Bacterial/microbiology* | - |
dc.subject.MESH | Pneumonia, Bacterial/transmission | - |
dc.subject.MESH | Predictive Value of Tests | - |
dc.subject.MESH | ROC Curve | - |
dc.subject.MESH | Reproducibility of Results | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Assessment | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Treatment Failure | - |
dc.subject.MESH | Unnecessary Procedures | - |
dc.title | Validation of a scoring tool to predict drug-resistant pathogens in hospitalised pneumonia patients | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Park, S. C. | - |
dc.contributor.googleauthor | Kim, E. Y. | - |
dc.contributor.googleauthor | Kang, Y. A. | - |
dc.contributor.googleauthor | Park, M. S. | - |
dc.contributor.googleauthor | Kim, Y. S. | - |
dc.contributor.googleauthor | Kim, S. K. | - |
dc.contributor.googleauthor | Chang, J. | - |
dc.contributor.googleauthor | Jung, J. Y. | - |
dc.identifier.doi | 10.5588/ijtld.12.0723 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00057 | - |
dc.contributor.localId | A00602 | - |
dc.contributor.localId | A00707 | - |
dc.contributor.localId | A01457 | - |
dc.contributor.localId | A01505 | - |
dc.contributor.localId | A03472 | - |
dc.contributor.localId | A03735 | - |
dc.contributor.localId | A00811 | - |
dc.relation.journalcode | J01167 | - |
dc.identifier.eissn | 1815-7920 | - |
dc.identifier.pmid | 23575340 | - |
dc.identifier.url | http://www.ingentaconnect.com/content/iuatld/ijtld/2013/00000017/00000005/art00025?token=00541b670bae23ebc967e442f2067212376674470232b6d7b6c72687627502b333e3568263c2b55a86d6 | - |
dc.subject.keyword | health care | - |
dc.subject.keyword | prediction | - |
dc.subject.keyword | risk scoring | - |
dc.contributor.alternativeName | Kang, Young Ae | - |
dc.contributor.alternativeName | Kim, Se Kyu | - |
dc.contributor.alternativeName | Kim, Young Sam | - |
dc.contributor.alternativeName | Kim, Eun Young | - |
dc.contributor.alternativeName | Park, Moo Suk | - |
dc.contributor.alternativeName | Park, Seon Cheol | - |
dc.contributor.alternativeName | Chang, Joon | - |
dc.contributor.alternativeName | Jung, Ji Ye | - |
dc.contributor.affiliatedAuthor | Kang, Young Ae | - |
dc.contributor.affiliatedAuthor | Kim, Se Kyu | - |
dc.contributor.affiliatedAuthor | Kim, Young Sam | - |
dc.contributor.affiliatedAuthor | Park, Moo Suk | - |
dc.contributor.affiliatedAuthor | Park, Seon Cheol | - |
dc.contributor.affiliatedAuthor | Chang, Joon | - |
dc.contributor.affiliatedAuthor | Jung, Ji Ye | - |
dc.contributor.affiliatedAuthor | Kim, Eun Young | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 17 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 704 | - |
dc.citation.endPage | 709 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, Vol.17(5) : 704-709, 2013 | - |
dc.identifier.rimsid | 32993 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.