کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3362919 1592082 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Mortality indicators in community-acquired pneumonia requiring intensive care in Turkey
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروبیولوژی و بیوتکنولوژی کاربردی
پیش نمایش صفحه اول مقاله
Mortality indicators in community-acquired pneumonia requiring intensive care in Turkey
چکیده انگلیسی

SummaryBackgroundSevere community-acquired pneumonia (SCAP) is a fatal disease. This study was conducted to describe an outcome analysis of the intensive care units (ICUs) of Turkey.MethodsThis study evaluated SCAP cases hospitalized in the ICUs of 19 different hospitals between October 2008 and January 2011. The cases of 413 patients admitted to the ICUs were retrospectively analyzed.ResultsOverall 413 patients were included in the study and 129 (31.2%) died. It was found that bilateral pulmonary involvement (odds ratio (OR) 2.5, 95% confidence interval (CI) 1.1–5.7) and CAP PIRO score (OR 2, 95% CI 1.3–2.9) were independent risk factors for a higher in-ICU mortality, while arterial hypertension (OR 0.3, 95% CI 0.1–0.9) and the application of non-invasive ventilation (OR 0.2, 95% CI 0.1–0.5) decreased mortality. No culture of any kind was obtained for 90 (22%) patients during the entire course of the hospitalization. Blood, bronchoalveolar lavage, and non-bronchoscopic lavage cultures yielded enteric Gram-negatives (n = 12), followed by Staphylococcus aureus (n = 10), pneumococci (n = 6), and Pseudomonas aeruginosa (n = 6). For 22% of the patients, none of the culture methods were applied.ConclusionsSCAP requiring ICU admission is associated with considerable mortality for ICU patients. Increased awareness appears essential for the microbiological diagnosis of this disease.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Infectious Diseases - Volume 17, Issue 9, September 2013, Pages e768–e772
نویسندگان
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