ID 83932
Author
Watanabe, Masanari Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University|Motomachi Hospital
Kato, Kazuhiro San-in Rosai Hospital
Takeda, Kenichi Matsue Red Cross Hospital
Konishi, Tatsuya Matsue General Hospital
Kurai, Jun Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University|Chukai Clinic
Tatsukawa, Toshiyuki Matsue General Hospital
Yamamoto, Hiroyuki Saihaku Hospital
Tamura, Yoshisato Saihaku Hospital
Ishikawa, Soichiro Matsue General Hospital
Kawasaki, Yuji Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
Morita, Masato Yonago National Hospital
Yoneda, Kazuhiko Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
Fujise, Hidechika Motomachi Hospital
Fujise, Yuki Motomachi Hospital|The Second Department of Internal Medicine,Faculty of Medicine, Tottori University
Fujise, Kazuomi Motomachi Hospital
Yamaguchi, Kosuke Yoka Hospital
Hayabuchi, Tatsuya Yoka Hospital
Shigeshiro, Keji Matsue General Hospital
Katayama, Satoru Yoka Hospital
Chikumi, Hiroki Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
Igishi, Tadashi Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
Yamasaki, Akira Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
Hasegawa, Yasuyuki Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
Okazaki, Ryota Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
Burioka, Naoto Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
Shimizu, Eiji Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
Keywords
pneumonia
severity
mortality
pathogens
Content Type
Journal Article
Description
Objective : Health-care associated pneumonia (HCAP) is a new category of
pneumonia. We investigated differences of epidemiology, pathogens, and outcomes between
HCAP patients in large hospitals and those in small hospitals. Methods : This was
a retrospective observational study of patients hospitalized with HCAP from December
2009 to March 2010. HCAP was defined according to ATS/IDSA criteria. A large hospital
was defined as 200 beds and a small hospital was 200 beds. Results : Of 117 patients, 61
patients were admitted to large hospitals and 56 patients were admitted to small hospitals.
There was a significant difference of HCAP diagnostic criteria between the two groups.
The A-DROP severity class was worse in the large hospital group than the small hospital
group (P 0.05). Respiratory failure and disturbance of consciousness were more frequent
in the large hospital group (P 0.05). The mortality rate was 8.2% in the large hospital
group versus 1.8% in the small hospital group. Patients in the very severe A-DROP class
had a high mortality rate of 33% in both groups. Conclusion : Patients with severe HCAP
were more likely to be admitted to large hospitals. Patients in the very severe A-DROP
class should receive intensive antibiotic therapy, but not all patients need broad-spectrum
therapy.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
58
Issue
1-2
Start Page
67
End Page
74
Sort Key
67
Published Date
2011-02
Remark
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
FullText File
language
eng