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
- 2019.2
- 수록면
- 107 - 113 (7page)
- DOI
- https://doi.org/10.3904/kjm.2019.94.1.107
이용수
초록· 키워드
오류제보하기
Background/Aims: We investigated the risk of multidrug-resistant, gram-negative bacteria (MDRGNB) in hospitalized elderly patients from non-hospital long-term care facilities (LTCFs) and the antibiotic prescription pattern.
Methods: All clinical cultures obtained within 48 hours of hospitalization from elderly patients of at least 55 years of age arriving at a 623-bed, public teaching hospital in Seoul, Republic of Korea from LTCFs between April 1, 2011 and April 1, 2012 were collected retrospectively.
Results: During this period, 365 elderly persons from 13 LTCFs were hospitalized. This study enrolled 135 patients who had cultures performed. In this group, 27.4% harbored MDRGNB at hospitalization. The presence of MDRGNB during prior hospitalization was the only risk factor that predicted harboring it (p = 0.043, odds ratio = 5.00, confidence interval = 1.049-23.834).
Combinations of antibiotics or carbapenems were used initially in 35.6% of the patients, and this did not affect the mortality rate in this population.
Conclusions: Hospitalized elderly patients from non-hospital LTCFs need more attention. Judicious antibiotic selection is needed according to the risk factor of harboring MDRGNB for antibiotics stewardship.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
D'Agata EM / 2004 / Rapidly rising prevalence of nosocomial multidrug-resistant, gram-negative bacilli : a 9-year surveillance study / Infect Control Hosp Epidemiol 25:842~846
Pop-Vicas A / 2009 / Influx of multidrug-resistant, gram-negative bacteria in the hospital setting and the role of elderly patients with bacterial bloodstream infection / Infect Control Hosp Epidemiol 30:325~331
Lautenbach E / 2009 / Epidemiology of antimicrobial resistance among gram-negative organisms recovered from patients in a multistate network of long-term care facilities / Infect Control Hosp Epidemiol 30:790~793
American Thoracic Society / 2005 / Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia / Am J Respir Crit Care Med 171:388~416
Loeb M / 2000 / Antibiotic use in long-term-care facilities : many unanswered questions / Infect Control Hosp Epidemiol 21:680~683
Pop-Vicas A / 2009 / Influx of multidrug-resistant, gram-negative bacteria in the hospital setting and the role of elderly patients with bacterial bloodstream infection / Infect Control Hosp Epidemiol 30:325~331
Lautenbach E / 2009 / Epidemiology of antimicrobial resistance among gram-negative organisms recovered from patients in a multistate network of long-term care facilities / Infect Control Hosp Epidemiol 30:790~793
American Thoracic Society / 2005 / Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia / Am J Respir Crit Care Med 171:388~416
Loeb M / 2000 / Antibiotic use in long-term-care facilities : many unanswered questions / Infect Control Hosp Epidemiol 21:680~683
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