Risk Stratification in Pneumonia for Identifying Patients with MRSA
의약학 > 내과학
정원재 , 박선철 , 강영애 , 홍지영 , 송주한 , 정경수 , 김송이 , 이상국 , 김은영 , 박무석 , 김영삼 , 김세규 , 장준 , 정지예
대한결핵 및 호흡기학회
대한결핵및호흡기학회 추계학술발표초록집 2012년, 제114권 234(총1페이지)
0y909971.pdf [무료 PDF 뷰어 다운로드]
  • ※ 본 자료는 참고용 논문으로 수정 및 텍스트 복사가 되지 않습니다.
  • 구매가격
    30원 (구매자료 3% 적립)
    이메일 발송  스크랩 하기
    자료 다운로드  네이버 로그인
    Background: Methicillin-resistant Staphylococcus aureus (MRSA) has been recognized as an important cause of not only hos-pital acquired pneumonia but also community acquired or healthcare associated pneumonia (HCAP). The objectives of this study was to identify factors associated with MRSA. Methods: We retrospectively evaluated patients hospitalized to Severance Hospital with culture positive pneumonia developed outside of the hospital from January 2009 to December 2010. Results: Of 451 patients, MRSA was identified in 37 (8.2%) patients. The mean age was higher in MRSA than non-MRSA groups (72.8 years old vs 66.7 years old; P<0.001). Male was more dominant in both groups (75.7.% in MRSA vs 65.2% in non-MRSA; P=0.198). Comparing the treatments and outcomes, the frequency of initial treatment with glycopeptide antibiotic was similar between the groups (16.2% in MRSA vs 13.5% in non-MRSA, P=0.649). However, 14 (37.8%) patients in MRSA and 86 (20.8%) in non-MRSA died (P=0.017). In a logistic regression, previous history of MRSA infection (OR=5.87, P<0.001), prior hospitalization within 90 days (OR=3.92, P=0.003), Multiple infiltrates on chest radiograph (OR=2.29, P=0.046), and age (OR=1.05, P=0.021) were independently associated with MRSA pneumonia. Conclusions: Empiric therapy with coverage for MRSA should be considered in patients with non hospital-acquired pneumonia having risk factors such as previous history of MRSA infection, prior hospitalization within 90 days of pneumonia, multiple infiltrates on chest radiography and old age.
    사업자등록번호 220-87-87785 대표.신현웅 주소.서울시 서초구 방배로10길 18, 402호 대표전화.070-8809-9397
    개인정보책임자.박정아 통신판매업신고번호 제2017-서울서초-1765호 이메일 help@reportshop.co.kr
    copyright (c) 2009 happynlife. steel All reserved.