Antimicrobial drug-resistant microbes associated with hospitalized community-acquired and healthcare-associated pneumonia: A multi-center study in Taiwan

Autor: Chieh-Liang Wu, Shih-Chi Ku, Kuang-Yao Yang, Wen-Feng Fang, Chih-Yen Tu, Chang-Wen Chen, Kuo-Hsuan Hsu, Wen-Chien Fan, Meng-Chih Lin, Wei Chen, Chih-Ying Ou, Chong-Jen Yu
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Journal of the Formosan Medical Association, Vol 112, Iss 1, Pp 31-40 (2013)
Druh dokumentu: article
ISSN: 0929-6646
DOI: 10.1016/j.jfma.2011.09.028
Popis: Community-acquired pneumonia (CAP) and healthcare-associated pneumonia (HCAP) may be caused by potential antimicrobial drug-resistant (PADR) microbes. The aims of this study were to evaluate the incidences and risk factors associated with PADR microbes observed in patients with pneumonia occurring outside the hospital setting in Taiwan. Methods: We conducted a retrospective study of patients with CAP or HCAP admitted to six medical centers in the northern, central, and southern regions of Taiwan in 2007. The pathogens were evaluated by microbiological specimens within 72 hours after admission. The patients’ comorbidities, pathogens, and outcomes were evaluated. The risk factors of PADR microbes were identified by logistic regression analysis. Results: The enrolled patients exhibited HCAP (n=713) and CAP (n=933). The pathogens associated with HCAP (n=383) and CAP (n=441) included Pseudomonas spp. (29%vs. 10%, p
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