アクセス数 : ?
ダウンロード数 : ?
ID 83932
著者
ワタナベ, マサナリ Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University|Motomachi Hospital
カトウ, カズヒロ San-in Rosai Hospital
タケダ, ケンイチ Matsue Red Cross Hospital
コニシ, タツヤ Matsue General Hospital
クライ, ジュン Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University|Chukai Clinic
タツカワ, トシユキ Matsue General Hospital
ヤマモト, ヒロユキ Saihaku Hospital
タムラ, ヨシサト Saihaku Hospital
イシカワ, ソウイチロウ Matsue General Hospital
カワサキ, ユウジ Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
モリタ, マサト Yonago National Hospital
ヨネダ, カズヒコ Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
フジセ, ヒデチカ Motomachi Hospital
フジセ, ユキ Motomachi Hospital|The Second Department of Internal Medicine,Faculty of Medicine, Tottori University
フジセ, カズオミ Motomachi Hospital
ヤマグチ, コウスケ Yoka Hospital
ハヤブチ, タツヤ Yoka Hospital
シゲシロ, ケジ Matsue General Hospital
カタヤマ, サトル Yoka Hospital
チクミ, ヒロキ Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
イギシ, タダシ Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
ヤマサキ, アキラ Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
ハセガワ, ヤスユキ Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
オカザキ, リョウタ Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
ブリオカ, ナオト Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
シミズ, エイジ Department of Respirology and Rheumatology, Faculty of Medicine, Tottori University
キーワード
pneumonia
severity
mortality
pathogens
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
58
1-2
開始ページ
67
終了ページ
74
並び順
67
発行日
2011-02
備考
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
フルテキストファイル
言語
eng