Cited 55 times in
Healthcare-associated pneumonia among hospitalized patients in a Korean tertiary hospital
DC Field | Value | Language |
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dc.contributor.author | 김영삼 | - |
dc.contributor.author | 정지예 | - |
dc.contributor.author | 박무석 | - |
dc.contributor.author | 박병훈 | - |
dc.contributor.author | 장준 | - |
dc.contributor.author | 강영애 | - |
dc.contributor.author | 김세규 | - |
dc.date.accessioned | 2014-12-20T17:13:15Z | - |
dc.date.available | 2014-12-20T17:13:15Z | - |
dc.date.issued | 2011 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/94185 | - |
dc.description.abstract | BACKGROUND: Healthcare-associated pneumonia (HCAP) has more similarities to nosocomial pneumonia than to community-acquired pneumonia (CAP). However, there have only been a few epidemiological studies of HCAP in South Korea. We aimed to determine the differences between HCAP and CAP in terms of clinical features, pathogens, and outcomes, and to clarify approaches for initial antibiotic management. METHODS: We conducted a retrospective, observational study of 527 patients with HCAP or CAP who were hospitalized at Severance Hospital in South Korea between January and December 2008. RESULTS: Of these patients, 231 (43.8%) had HCAP, and 296 (56.2%) had CAP. Potentially drug-resistant (PDR) bacteria were more frequently isolated in HCAP than CAP (12.6% vs. 4.7%; P = 0.001), especially in the low-risk group of the PSI classes (41.2% vs. 13.9%; P = 0.027). In-hospital mortality was higher for HCAP than CAP patients (28.1% vs. 10.8%, P < 0.001), especially in the low-risk group of PSI classes (16.4% vs. 3.1%; P = 0.001). Moreover, tube feeding and prior hospitalization with antibiotic treatment within 90 days of pneumonia onset were significant risk factors for PDR pathogens, with odds ratios of 14.94 (95% CI 4.62-48.31; P < 0.001) and 2.68 (95% CI 1.32-5.46; P = 0.007), respectively. CONCLUSIONS: For HCAP patients with different backgrounds, various pathogens and antibiotic resistance of should be considered, and careful selection of patients requiring broad-spectrum antibiotics is important when physicians start initial antibiotic treatments. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 61 | - |
dc.relation.isPartOf | BMC INFECTIOUS DISEASES | - |
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 | Anti-Bacterial Agents/therapeutic use | - |
dc.subject.MESH | Bacteria/drug effects | - |
dc.subject.MESH | Bacteria/isolation & purification | - |
dc.subject.MESH | Cross Infection/epidemiology* | - |
dc.subject.MESH | Cross Infection/mortality | - |
dc.subject.MESH | Drug Resistance, Bacterial | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hospitals | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Pneumonia, Bacterial/epidemiology* | - |
dc.subject.MESH | Pneumonia, Bacterial/mortality | - |
dc.subject.MESH | Republic of Korea/epidemiology | - |
dc.title | Healthcare-associated pneumonia among hospitalized patients in a Korean tertiary hospital | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Ji Ye Jung | - |
dc.contributor.googleauthor | Moo Suk Park | - |
dc.contributor.googleauthor | Young Sam Kim | - |
dc.contributor.googleauthor | Byung Hoon Park | - |
dc.contributor.googleauthor | Se Kyu Kim | - |
dc.contributor.googleauthor | Joon Chang | - |
dc.contributor.googleauthor | Young Ae Kang | - |
dc.identifier.doi | 10.1186/1471-2334-11-61 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00707 | - |
dc.contributor.localId | A03735 | - |
dc.contributor.localId | A01457 | - |
dc.contributor.localId | A01478 | - |
dc.contributor.localId | A03472 | - |
dc.contributor.localId | A00057 | - |
dc.contributor.localId | A00602 | - |
dc.relation.journalcode | J00360 | - |
dc.identifier.eissn | 1471-2334 | - |
dc.identifier.pmid | 21396096 | - |
dc.subject.keyword | Pneumonia Severity Index | - |
dc.subject.keyword | Severance Hospital | - |
dc.subject.keyword | Early Treatment Failure | - |
dc.subject.keyword | Initial Antibiotic Treatment | - |
dc.subject.keyword | Extended Care Facility | - |
dc.contributor.alternativeName | Kim, Young Sam | - |
dc.contributor.alternativeName | Jung, Ji Ye | - |
dc.contributor.alternativeName | Park, Moo Suk | - |
dc.contributor.alternativeName | Park, Byung Hoon | - |
dc.contributor.alternativeName | Chang, Joon | - |
dc.contributor.alternativeName | Kang, Young Ae | - |
dc.contributor.alternativeName | Kim, Se Kyu | - |
dc.contributor.affiliatedAuthor | Kim, Young Sam | - |
dc.contributor.affiliatedAuthor | Jung, Ji Ye | - |
dc.contributor.affiliatedAuthor | Park, Moo Suk | - |
dc.contributor.affiliatedAuthor | Park, Byung Hoon | - |
dc.contributor.affiliatedAuthor | Chang, Joon | - |
dc.contributor.affiliatedAuthor | Kang, Young Ae | - |
dc.contributor.affiliatedAuthor | Kim, Se Kyu | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 11 | - |
dc.citation.startPage | 61 | - |
dc.identifier.bibliographicCitation | BMC INFECTIOUS DISEASES, Vol.11 : 61, 2011 | - |
dc.identifier.rimsid | 27296 | - |
dc.type.rims | ART | - |
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