| 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
|
