Mortality indicators in community-acquired pneumonia requiring intensive care in Turkey

Autor: Hayati Bilgiç, Ahmet Karakaş, Ozgur Senturk, Gokay Gungor, Zuhal Karakurt, Levent Gorenek, Hulya Turkan, Nalan Adiguzel, Yakup Tomak, Türker Türker, Anil Aktas Samur, Hakan Leblebicioglu, Guner Sonmez, Dilek Özcengiz, Umit Savasci, Hakan Erdem, Canturk Tasci, Erol Kılıç, Fatma Yilmaz-Karadag, Nefise Oztoprak, Sibel Temur, Özcan Erdemli, Aykut Cilli, Ugur Bilge, Asim Ulcay, Gülden Yilmaz, Aylin Ozgen-Alpaydın, Serhat Ünal, Oral Oncul, Hafize Oksuz, Burcu Karaboga, Ozlem Yazicioglu-Mocin, Murat Afyon, Husrev Diktas, Ünase Büyükkoçak, Nazif Elaldi, Aygul Dogan-Celik, Asuman Inan, Demet Tok
Přispěvatelé: Çukurova Üniversitesi, Erdem, H., Turkan, H., Cilli, A., Karakas, A., Karakurt, Z., Bilge, U., Gorenek, L., Yeditepe Üniversitesi, Maltepe Üniversitesi, İç Hastalıkları, [Erdem, Hakan -- Oncul, Oral -- Ulcay, Asim -- Diktas, Husrev -- Gorenek, Levent] GATA Haydarpasa Training Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey -- [Turkan, Hulya] Gulhane Mil Med Acad, Dept Anesthesiol & Reanimat, Ankara, Turkey -- [Cilli, Aykut -- Karaboga, Burcu] Akdeniz Univ, Sch Med, Dept Pulm Dis, TR-07058 Antalya, Turkey -- [Karakas, Ahmet] Gulhane Mil Med Acad, Dept Infect Dis & Clin Microbiol, Ankara, Turkey -- [Karakurt, Zuhal -- Yazicioglu-Mocin, Ozlem -- Adiguzel, Nalan -- Gungor, Gokay] Sureyyapasa Chest Dis & Thorac Surg Educ & Res Ho, Resp Intens Care Unit, Istanbul, Turkey -- [Bilge, Ugur -- Samur, Anil Aktas] Akdeniz Univ, Sch Med, Dept Biostat & Med Informat, TR-07058 Antalya, Turkey -- [Elaldi, Nazif] Cumhuriyet Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Sivas, Turkey -- [Yilmaz, Gulden -- Bilgic, Hayati] Gulhane Mil Med Acad, Dept Pulm Dis, Ankara, Turkey -- [Yilmaz, Gulden] Ankara Numune Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Ankara, Turkey -- [Dogan-Celik, Aygul] Trakya Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Edirne, Turkey -- [Erdemli, Ozcan] Yuksek Ihtisas Training & Res Hosp, Dept Anesthesiol & Reanimat, Ankara, Turkey -- [Oztoprak, Nefise] Antalya Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Antalya, Turkey -- [Tomak, Yakup] Sakarya Univ, Sch Med, Dept Anesthesiol & Reanimat, Adapazari, Turkey -- [Inan, Asuman] Haydarpasa Numune Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey -- [Tok, Demet] Celal Bayar Univ, Sch Med, Dept Anesthesiol & Reanimat, Manisa, Turkey -- [Temur, Sibel] Yeditepe Univ, Sch Med, Dept Anesthesiol & Reanimat, Istanbul, Turkey -- [Oksuz, Hafize] Sutcu Imam Univ, Sch Med, Dept Anesthesiol & Reanimat, Kahramanmaras, Turkey -- [Senturk, Ozgur] Maltepe Univ, Sch Med, Dept Anesthesiol & Reanimat, Istanbul, Turkey -- [Buyukkocak, Unase] Kirikkale Univ, Sch Med, Dept Anesthesiol & Reanimat, Kirikkale, Turkey -- [Yilmaz-Karadag, Fatma] Medeniyet Univ, Goztepe Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey -- [Ozcengiz, Dilek] Cukurova Univ, Sch Med, Dept Anesthesiol & Reanimat, Adana, Turkey -- [Turker, Turker] Gulhane Mil Med Acad, Dept Publ Hlth, Ankara, Turkey -- [Afyon, Murat] Kasimpasa Mil Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey -- [Savasci, Umit] Sarikamis Mil Hosp, Dept Infect Dis & Clin Microbiol, Kars, Turkey -- [Ozgen-Alpaydin, Aylin] Dokuz Eylul Univ, Sch Med, Dept Pulmonol, Izmir, Turkey -- [Kilic, Erol] Kasimpasa Mil Hosp, Dept Pulmonol, Istanbul, Turkey -- [Leblebicioglu, Hakan] Ondokuz Mayis Univ, Sch Med, Dept Infect Dis & Clin Microbiol, Samsun, Turkey -- [Unal, Serhat] Hacettepe Univ, Sch Med, Infect Dis Unit, Ankara, Turkey -- [Sonmez, Guner] GATA Haydarpasa Training Hosp, Dept Radiol, Istanbul, Turkey, UNAL, SERHAT -- 0000-0003-1184-4711, Leblebicioglu, Hakan -- 0000-0002-6033-8543, Elaldi, Nazif -- 0000-0002-9515-770X, Gungor, Gokay -- 0000-0003-2294-489X, Karakas, Ahmet -- 0000-0002-0553-8454, OMÜ, Kırıkkale Üniversitesi, Erdem, H, Turkan, H, Cilli, A, Karakas, A, Karakurt, Z, Bilge, U, Yazicioglu-Mocin, O, Elaldi, N, Adiguzel, N, Gungor, G, Tasci, C, Yilmaz, G, Oncul, O, Dogan-Celik, A, Erdemli, O, Oztoprak, N, Tomak, Y, Inan, A, Karaboga, B, Tok, D, Temur, S, Oksuz, H, Senturk, O, Buyukkocak, U, Yilmaz-Karadag, F, Ozcengiz, D, Turker, T, Afyon, M, Samur, AA, Ulcay, A, Savasci, U, Diktas, H, Ozgen-Alpaydin, A, Kilic, E, Bilgic, H, Leblebicioglu, H, Unal, S, Sonmez, G, Gorenek, L, Sakarya Üniversitesi/Tıp Fakültesi/Cerrahi Tıp Bilimleri Bölümü, Tomak, Yakup
Rok vydání: 2012
Předmět:
Zdroj: International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases. 17(9)
ISSN: 1878-3511
0003-2417
Popis: WOS: 000324172200021
PubMed ID: 23664334
Background: Severe 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. Methods: This 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. Results: Overall 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. Conclusions: SCAP requiring ICU admission is associated with considerable mortality for ICU patients. Increased awareness appears essential for the microbiological diagnosis of this disease. (C) 2013 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
Databáze: OpenAIRE
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