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Clinical Predictors of Pseudomonas aeruginosa Bacteremia in Emergency Department
المؤلفون المشاركون
Choi, Yongsoon
Paik, Jin Hui
Kim, Ji Hye
Han, Seung Baik
Durey, Areum
المصدر
Emergency Medicine International
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-09-24
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objectives.
Pseudomonas aeruginosa shows higher mortality rate compared to other bacterial infections and is susceptible to a limited number of antimicrobial agents.
Considering inadequate empirical treatment of Pseudomonas bacteremia has been associated with increased mortality, it is important for emergency physicians to identify infections by P.
aeruginosa.
Methods.
This was a single-center retrospective case-control study to investigate the clinical predictors of patients diagnosed as Pseudomonas bacteremia in the emergency department (ED) from June 2012 to December 2016.
Patients with blood culture positive for Escherichia coli in the same period were chosen as the control group, and type of infection was matched for each patient.
Results.
A total of 54 cases with Pseudomonas bacteremia and 108 controls with E.
coli bacteremia were included.
In the case group, 76% was community-acquired infection, 44% received inappropriate empirical treatment in the ED, and in-hospital mortality was 30%.
Multiple logistic regression showed that respiratory tract infection was an independent risk factor for Pseudomonas bacteremia (OR 6.56, 95% CI 1.78-23.06; p = 0.004), whereas underlying diabetes mellitus (OR 0.22, 95% CI 0.07-0.61; p = 0.004) and presentation as urinary tract infection (OR 0.06, 95% CI 0.02-0.18; p < 0.001) were negative clinical predictors.
Conclusions.
We suggest that antipseudomonal antibiotics should be considered beyond simple coverage of Gram-negative bacteria in the ED, especially if the patient is likely to have pneumonia.
Having diabetes or presenting with urinary tract infection could be clinical factors unfavorable to use of antipseudomonal antibiotics.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Choi, Yongsoon& Paik, Jin Hui& Kim, Ji Hye& Han, Seung Baik& Durey, Areum. 2018. Clinical Predictors of Pseudomonas aeruginosa Bacteremia in Emergency Department. Emergency Medicine International،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1157094
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Choi, Yongsoon…[et al.]. Clinical Predictors of Pseudomonas aeruginosa Bacteremia in Emergency Department. Emergency Medicine International No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1157094
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Choi, Yongsoon& Paik, Jin Hui& Kim, Ji Hye& Han, Seung Baik& Durey, Areum. Clinical Predictors of Pseudomonas aeruginosa Bacteremia in Emergency Department. Emergency Medicine International. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1157094
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1157094
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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