Comparative analysis of the patients with community-acquired pneumonia (CAP) and health care-associated pneumonia (HCAP) requiring hospitalization.

Autor:	Kara S; Department of Chest Diseases, Baskent University Adana Dr. Turgut Noyan Application and Research Center, Adana, Turkey., Akçay MŞ; Clinic of Chest Diseases, Baskent University, Ankara Hospital, Ankara, Turkey., Ekici Ünsal Z; Department of Chest Diseases, Baskent University Dr. Turgut Noyan Application and Research Center, Adana, Turkey., Bozkurt Yılmaz HE; Department of Chest Diseases, Baskent University Dr. Turgut Noyan Application and Research Center, Adana, Turkey., Habeşoğlu MA; Department of Chest Diseases, Baskent University Dr. Turgut Noyan Application and Research Center, Adana, Turkey.
Jazyk:	angličtina
Zdroj:	Tuberkuloz ve toraks [Tuberk Toraks] 2019 Jun; Vol. 67 (2), pp. 108-115.
DOI:	10.5578/tt.68421
Abstrakt:	Introduction: The recently introduced concept of health care-associated pneumonia (HCAP), referring to patients with frequent healthcare contacts and at higher risk of contracting resistant pathogens is controversial. Materials and Methods: A prospective study comparing patients with HCAP and community-acquired pneumonia (CAP) in the our center. The primary outcome was 30 day mortality. Result: A total of the 169 patients HCAP 36 (21.3%); CAP 133 (78.7%) were evaluated. HCAP patients were older than patients with CAP [median age was 72.5 (43-96), 60.0 (18-91) years p<0.05]. The most common Klebsiella pneumoniae (16.6%) and Pseudomonas aeruginosa (8.3%) were gram-negative bacteria in the SBİP group; In the TGP group, gram-positive bacteria were more frequently isolated. Polymicrobial agents (22.2% vs. 3.7% p<0.05) and MDR pathogens (57.1% vs. 24% p<0.05) were more common in patients with HCAP. Mortality rate (22.2% vs. 6% p<0.05) was also higher in HCAP more than CAP. Conclusions: HCAP was common among patients with pneumonia requiring hospitalization and mortality rate was high. The patients with HCAP were different from CAP in terms of demographic and clinical features, etiology, outcome.
Databáze:	MEDLINE
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