| Adult bacteremic pneumonia: bacteriology and prognostic factors. | |
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MedLine Citation:
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PMID: 1362112 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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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Authors:
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C W Chen; G M Jong; J J Shiau; T R Hsiue; H Y Chang; Y C Chuang; C R Chen |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the Formosan Medical Association = Taiwan yi zhi Volume: 91 ISSN: 0929-6646 ISO Abbreviation: J. Formos. Med. Assoc. Publication Date: 1992 Aug |
Date Detail:
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Created Date: 1993-02-09 Completed Date: 1993-02-09 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9214933 Medline TA: J Formos Med Assoc Country: HONG KONG |
Other Details:
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Languages: eng Pagination: 754-9 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, R.O.C. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Humans Male Middle Aged Pneumonia / microbiology, mortality* Prognosis Sepsis / microbiology, mortality* |
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