Adult bacteremic pneumonia: bacteriology and prognostic factors.

Chang-Wen Chen, G. M. Jong, J. J. Shiau, Tzuen-Ren Hsiue, Han-Yu Chang, Y. C. Chuang, C. R. Chen

研究成果: Article

29 引文 (Scopus)

摘要

Bacteremic pneumonia is a highly specified subgroup of pneumonia that is potentially life-threatening. In order to find out the prognostic factors in this subgroup of pneumonia, we conducted a 40-month retrospective analysis of 70 cases in our hospital. The male to female ratio was 54:16. Forty-one cases were community-acquired bacteremic pneumonia (CABP), and 29 cases were nosocomial bacteremic pneumonia (NBP). Both CABP and NBP were predominated by gram-negative bacteria. Klebsiella pneumoniae was the most common microorganism isolated in both CABP and NBP. The overall mortality was 62.9% (44/70). There was no significant difference in the mortality between CABP (61.0%) and NBP (65.5%). After univariate analysis of all possible prognostic factors, 10 variables were found to have significantly poor prognostic values. They were: 1) the presence of septic shock; 2) the use of ventilatory support; 3) the presence of radiologic spread; 4) treatment in an intensive care unit; 5) male gender; 6) the development of adult respiratory distress syndrome; 7) Klebsiella bacteremic pneumonia in patients with an alcohol habit; 8) patients with ultimately fatal underlying diseases; 9) an initial AaDO2 > 200 mmHg; and 10) an initial arterial pH < 7.25.

原文English
頁(從 - 到)754-759
頁數6
期刊Journal of the Formosan Medical Association = Taiwan yi zhi
91
發行號8
出版狀態Published - 1992 一月 1

指紋

Bacteriology
Pneumonia
Klebsiella pneumoniae
Mortality
Adult Respiratory Distress Syndrome
Septic Shock
Gram-Negative Bacteria
Habits
Intensive Care Units
Alcohols

All Science Journal Classification (ASJC) codes

  • Medicine(all)

引用此文

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title = "Adult bacteremic pneumonia: bacteriology and prognostic factors.",
abstract = "Bacteremic pneumonia is a highly specified subgroup of pneumonia that is potentially life-threatening. In order to find out the prognostic factors in this subgroup of pneumonia, we conducted a 40-month retrospective analysis of 70 cases in our hospital. The male to female ratio was 54:16. Forty-one cases were community-acquired bacteremic pneumonia (CABP), and 29 cases were nosocomial bacteremic pneumonia (NBP). Both CABP and NBP were predominated by gram-negative bacteria. Klebsiella pneumoniae was the most common microorganism isolated in both CABP and NBP. The overall mortality was 62.9{\%} (44/70). There was no significant difference in the mortality between CABP (61.0{\%}) and NBP (65.5{\%}). After univariate analysis of all possible prognostic factors, 10 variables were found to have significantly poor prognostic values. They were: 1) the presence of septic shock; 2) the use of ventilatory support; 3) the presence of radiologic spread; 4) treatment in an intensive care unit; 5) male gender; 6) the development of adult respiratory distress syndrome; 7) Klebsiella bacteremic pneumonia in patients with an alcohol habit; 8) patients with ultimately fatal underlying diseases; 9) an initial AaDO2 > 200 mmHg; and 10) an initial arterial pH < 7.25.",
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Adult bacteremic pneumonia : bacteriology and prognostic factors. / Chen, Chang-Wen; Jong, G. M.; Shiau, J. J.; Hsiue, Tzuen-Ren; Chang, Han-Yu; Chuang, Y. C.; Chen, C. R.

於: Journal of the Formosan Medical Association = Taiwan yi zhi, 卷 91, 編號 8, 01.01.1992, p. 754-759.

研究成果: Article

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T1 - Adult bacteremic pneumonia

T2 - bacteriology and prognostic factors.

AU - Chen, Chang-Wen

AU - Jong, G. M.

AU - Shiau, J. J.

AU - Hsiue, Tzuen-Ren

AU - Chang, Han-Yu

AU - Chuang, Y. C.

AU - Chen, C. R.

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