지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 967 - 974 (8page)
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Purpose: Methicillin-resistant Staphylococcus aureus (MRSA) is recognized as an important cause of not only healthcare-associated pneumonia (HCAP) but also community-acquired pneumonia (CAP). We determined the impact of MRSA on differences in clinical characteristics, courses, and outcomes between CAP and HCAP. Materials and Methods: We conducted a retrospective observational study on 78 adult patients admitted with MRSA pneumonia at a university-affiliated tertiaryhospital between January 2008 and December 2011. We compared baseline characteristics, chest radiographs, treatment outcomes, and drug resistance patterns between the CAP and HCAP groups. Results: Of the 78 patients with MRSA pneumonia,57 (73.1%) were HCAP and 21 (26.9%) were CAP. MRSA infection history in the previous year (29.8% vs. 14.3%, p=0.244) tended to be more common in HCAP than in CAP. Despite similar Pneumonia Severity Index scores (151 in CAP vs. 142 in HCAP), intubation rates (38.1% vs. 17.5%; p=0.072) and intensive care unit admission (42.9% vs. 22.8%; p=0.095) tended to be higher in the CAP group, while 28-day mortality was higher in the HCAP group (14.3% vs. 26.3%; p=0.368), although without statistical significance. All patients showed sensitivity to vancomycinand linezolid; meanwhile, HCAP patients showed greater resistance to gentamicinthan CAP patients (58.3% vs. 16.6%; p=0.037). The median total hospital charges were 6899 American dollars for CAP and 5715 American dollars for HCAP (p=0.161). Conclusion: MRSA pneumonia showed significantly differences in baseline characteristics, chest radiographs, treatment outcomes, and medical expensesbetween HCAP and CAP groups.
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참고문헌 (22)
참고문헌 신청
American Thoracic Society / 2005 / Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia / Am J Respir C
Carratala J / 2005 / Outpatient care compared with hospitalization for community-acquired pneumonia: a randomized trial in low-risk patients / Ann Intern Med 142 : 165 ~ 172
Defres S / 2009 / M
Friedman ND / 2002 / Health care--associated bloodstream infections in adults: a reason to change the accepted definition of community-acquired infections / Ann Intern Med 1
Gillet Y / 2007 / Factors predicting mortality in necrotizing community-acquired pneumonia caused by Staphylococcus aureus containing Panton-Valentine leukocidin / Clin Infe
Carratala J / 2005 / Outpatient care compared with hospitalization for community-acquired pneumonia: a randomized trial in low-risk patients / Ann Intern Med 142 : 165 ~ 172
Defres S / 2009 / M
Friedman ND / 2002 / Health care--associated bloodstream infections in adults: a reason to change the accepted definition of community-acquired infections / Ann Intern Med 1
Gillet Y / 2007 / Factors predicting mortality in necrotizing community-acquired pneumonia caused by Staphylococcus aureus containing Panton-Valentine leukocidin / Clin Infe
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