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Prediction of methicillin-resistant Staphylococcus aureus in patients with non-nosocomial pneumonia

DC Field Value Language
dc.contributor.author강영애-
dc.contributor.author김세규-
dc.contributor.author김영삼-
dc.contributor.author김은영-
dc.contributor.author박무석-
dc.contributor.author박선철-
dc.contributor.author임아영-
dc.contributor.author장준-
dc.contributor.author정경수-
dc.contributor.author정원재-
dc.contributor.author정지예-
dc.date.accessioned2014-12-18T09:08:48Z-
dc.date.available2014-12-18T09:08:48Z-
dc.date.issued2013-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/87620-
dc.description.abstractBACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) is recognized as an important cause of not only hospital acquired pneumonia, but also non-nosocomial pneumonia. However, the risk factors for non-nosocomial MRSA pneumonia are not clearly defined. Our objective was to identify risk factors at admission that were associated with non-nosocomial MRSA pneumonia. METHODS: We evaluated 943 patients admitted to a university-affiliated hospital with culture-positive bacterial pneumonia developed outside the hospital from January 2008 to December 2011. We compared the clinical characteristics between MRSA and non-MRSA pneumonia, and identified risk factors associated with MRSA pneumonia. RESULTS: Of 943 patients, MRSA was identified in 78 (8.2%). Higher mortality was observed in MRSA than in non-MRSA patients (33.3% vs. 21.5%; P = 0.017). In a logistic regression analysis, MRSA pneumonia was observed more frequently in patients with a previous history of MRSA infection (OR = 6.05; P < 0.001), a PSI score ≥120 (OR = 2.40; P = 0.015), intravenous antibiotic treatment within 30 days of pneumonia (OR = 2.23; P = 0.018). By contrast, non-MRSA pneumonia was observed more often in patients with a single infiltrate on chest radiography (OR = 0.55; P = 0.029). CONCLUSIONS: Anti-MRSA antibiotics could be considered in hospitalized non-nosocomial patients with several risk factors identified herein. The presence or absence of these factors would provide useful guidance in selecting initial empirical antibiotics.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfBMC INFECTIOUS DISEASES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHChi-Square Distribution-
dc.subject.MESHCommunity-Acquired Infections/diagnosis-
dc.subject.MESHCommunity-Acquired Infections/epidemiology*-
dc.subject.MESHCommunity-Acquired Infections/microbiology*-
dc.subject.MESHCommunity-Acquired Infections/mortality-
dc.subject.MESHCross Infection/diagnosis-
dc.subject.MESHCross Infection/epidemiology-
dc.subject.MESHCross Infection/microbiology-
dc.subject.MESHCross Infection/mortality-
dc.subject.MESHFemale-
dc.subject.MESHHospitalization/statistics & numerical data-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMethicillin-Resistant Staphylococcus aureus/isolation & purification*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPneumonia, Bacterial/diagnosis-
dc.subject.MESHPneumonia, Bacterial/epidemiology-
dc.subject.MESHPneumonia, Bacterial/microbiology*-
dc.subject.MESHPneumonia, Bacterial/mortality-
dc.subject.MESHPneumonia, Staphylococcal/diagnosis-
dc.subject.MESHPneumonia, Staphylococcal/epidemiology*-
dc.subject.MESHPneumonia, Staphylococcal/microbiology*-
dc.subject.MESHPneumonia, Staphylococcal/mortality-
dc.subject.MESHRadiography, Thoracic-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHStatistics, Nonparametric-
dc.subject.MESHTreatment Outcome-
dc.titlePrediction of methicillin-resistant Staphylococcus aureus in patients with non-nosocomial pneumonia-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorWon Jai Jung-
dc.contributor.googleauthorYoung Ae Kang-
dc.contributor.googleauthorMoo Suk Park-
dc.contributor.googleauthorSeon Cheol Park-
dc.contributor.googleauthorAh Young Leem-
dc.contributor.googleauthorEun Young Kim-
dc.contributor.googleauthorKyung Soo Chung-
dc.contributor.googleauthorYoung Sam Kim-
dc.contributor.googleauthorSe Kyu Kim-
dc.contributor.googleauthorJoon Chang-
dc.contributor.googleauthorJi Ye Jung-
dc.identifier.doi10.1186/1471-2334-13-370-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00057-
dc.contributor.localIdA00602-
dc.contributor.localIdA00707-
dc.contributor.localIdA01457-
dc.contributor.localIdA01505-
dc.contributor.localIdA03382-
dc.contributor.localIdA03472-
dc.contributor.localIdA03570-
dc.contributor.localIdA03677-
dc.contributor.localIdA03735-
dc.contributor.localIdA00811-
dc.relation.journalcodeJ00360-
dc.identifier.eissn1471-2334-
dc.identifier.pmid23937553-
dc.subject.keywordPneumonia-
dc.subject.keywordMethicillin-resistant Staphylococcus aureus-
dc.subject.keywordNon-nosocomial-
dc.subject.keywordRisk factors-
dc.subject.keywordCommunity-acquired pneumonia-
dc.subject.keywordHealthcare-associated pneumonia-
dc.contributor.alternativeNameKang, Young Ae-
dc.contributor.alternativeNameKim, Se Kyu-
dc.contributor.alternativeNameKim, Young Sam-
dc.contributor.alternativeNameKim, Eun Young-
dc.contributor.alternativeNamePark, Moo Suk-
dc.contributor.alternativeNamePark, Seon Cheol-
dc.contributor.alternativeNameLeem, Ah Young-
dc.contributor.alternativeNameChang, Joon-
dc.contributor.alternativeNameJung, Kyung Soo-
dc.contributor.alternativeNameJung, Won Jai-
dc.contributor.alternativeNameJung, Ji Ye-
dc.contributor.affiliatedAuthorKang, Young Ae-
dc.contributor.affiliatedAuthorKim, Se Kyu-
dc.contributor.affiliatedAuthorKim, Young Sam-
dc.contributor.affiliatedAuthorPark, Moo Suk-
dc.contributor.affiliatedAuthorPark, Seon Cheol-
dc.contributor.affiliatedAuthorLeem, Ah Young-
dc.contributor.affiliatedAuthorChang, Joon-
dc.contributor.affiliatedAuthorJung, Kyung Soo-
dc.contributor.affiliatedAuthorJung, Won Jai-
dc.contributor.affiliatedAuthorJung, Ji Ye-
dc.contributor.affiliatedAuthorKim, Eun Young-
dc.rights.accessRightsfree-
dc.citation.volume13-
dc.citation.startPage370-
dc.identifier.bibliographicCitationBMC INFECTIOUS DISEASES, Vol.13 : 370, 2013-
dc.identifier.rimsid32166-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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