146 380

Cited 0 times in

카테터 집락화가 없는 지속성 캔디다혈증의 위험인자와 예후

DC FieldValueLanguage
dc.contributor.author구남수-
dc.contributor.author김선빈-
dc.contributor.author김준명-
dc.contributor.author김혜원-
dc.contributor.author백지현-
dc.contributor.author송영구-
dc.contributor.author윤지현-
dc.contributor.author정수진-
dc.contributor.author진성준-
dc.contributor.author최준용-
dc.contributor.author한상훈-
dc.date.accessioned2014-12-20T17:03:11Z-
dc.date.available2014-12-20T17:03:11Z-
dc.date.issued2011-
dc.identifier.issn1598-8112-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/93872-
dc.description.abstractBACKGROUND: Candidemia is one of the most common causes of nosocomial bloodstream infection, and increases the morbidity and mortality rate of seriously ill patients. We evaluated the risk factors and outcomes associated with persistent candidemia without catheter colonization (non-catheter related candidemia) and compared them with those of non-persistent candidemia. MATERIALS AND METHODS: A retrospective case-control study was performed to identify risk factors for, and outcomes of, persistent candidemia. All adults who experienced candidemia in a university-affiliated hospital in Korea between January 2005 and December 2009 were included. Patients with catheter colonization were excluded. Persistent candidemia was defined as the occurrence of candidemia in a patient receiving at least 3 days of systemic antifungal agents prior to the second positive blood culture. RESULTS: Of 605 adult patients with candidemia, 104 (17.2%) patients had persistent candidemia and 23 (3.8%) patients were free of catheter colonization. There were no statistically significant differences in baseline characteristics between patients with persistent and non-persistent candidemia. In univariate analysis, less use of metronidazole, glycopeptide, fluoroquinolone, and aminoglycoside, and presence of Candida parapsilosis were significantly associated with persistent candidemia. In multivariate analysis, less use of metronidazole was an independent factor associated with persistent candidemia. The candidemia related mortality was insignificantly (P=0.094) higher in persistent candidemia than non-persistent candidemia. CONCLUSIONS: Persistent candidemia can occur without catheterization. Patterns of antibiotic use could be associated with the occurrence of persistent candidemia, and prognosis of persistent candidemia seems to be worse than non-persistent candidemia. Further studies for persistent candidemia should be performed-
dc.description.statementOfResponsibilityopen-
dc.format.extent349~354-
dc.relation.isPartOfInfection and Chemotherapy-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.title카테터 집락화가 없는 지속성 캔디다혈증의 위험인자와 예후-
dc.title.alternativeRisk Factors and Prognosis for Persistent Candidemia without Catheter Colonization-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthor채윤태-
dc.contributor.googleauthor정수진-
dc.contributor.googleauthor구남수-
dc.contributor.googleauthor백지현2,3 김혜원-
dc.contributor.googleauthor김선빈-
dc.contributor.googleauthor윤지현-
dc.contributor.googleauthor진성준2 한상훈-
dc.contributor.googleauthor송영구-
dc.contributor.googleauthor김준명-
dc.contributor.googleauthor최준용-
dc.identifier.doi10.3947/ic.2011.43.4.349-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00189-
dc.contributor.localIdA00547-
dc.contributor.localIdA00953-
dc.contributor.localIdA01176-
dc.contributor.localIdA01839-
dc.contributor.localIdA02037-
dc.contributor.localIdA02609-
dc.contributor.localIdA03638-
dc.contributor.localIdA03983-
dc.contributor.localIdA04191-
dc.contributor.localIdA04286-
dc.relation.journalcodeJ01053-
dc.subject.keywordCandidemia-
dc.subject.keywordRisk factors-
dc.subject.keywordMortality-
dc.contributor.alternativeNameKu, Nam Su-
dc.contributor.alternativeNameKim, Sun Bean-
dc.contributor.alternativeNameKim, June Myung-
dc.contributor.alternativeNameKim, Hye Won-
dc.contributor.alternativeNameBaek, Ji Hyeon-
dc.contributor.alternativeNameSong, Young Goo-
dc.contributor.alternativeNameYoon, Ji Hyun-
dc.contributor.alternativeNameJeong, Su Jin-
dc.contributor.alternativeNameJin, Sung Joon-
dc.contributor.alternativeNameChoi, Jun Yong-
dc.contributor.alternativeNameHan, Sang Hoon-
dc.contributor.affiliatedAuthorKu, Nam Su-
dc.contributor.affiliatedAuthorKim, Sun Bean-
dc.contributor.affiliatedAuthorKim, June Myung-
dc.contributor.affiliatedAuthorKim, Hye Won-
dc.contributor.affiliatedAuthorBaek, Ji Hyeon-
dc.contributor.affiliatedAuthorSong, Young Goo-
dc.contributor.affiliatedAuthorYoon, Ji Hyun-
dc.contributor.affiliatedAuthorJeong, Su Jin-
dc.contributor.affiliatedAuthorJin, Sung Joon-
dc.contributor.affiliatedAuthorChoi, Jun Yong-
dc.contributor.affiliatedAuthorHan, Sang Hoon-
dc.rights.accessRightsfree-
dc.citation.volume43-
dc.citation.number4-
dc.citation.startPage349-
dc.citation.endPage354-
dc.identifier.bibliographicCitationInfection and Chemotherapy, Vol.43(4) : 349-354, 2011-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.