The Use of Inappropriate Antibiotics in Patients Admitted to Intensive Care Units with Nursing Home-Acquired Pneumonia at a Korean Teaching Hospital

被引：5
作者：
Kim, Deok Hee [1 ]
Kim, Ha Jeong [2 ]
Koo, Hae-Won [3 ]
Bae, Won [1 ]
Park, So-Hee [1 ]
Koo, Hyeon-Kyoung [1 ]
Park, Hye Kyeong [1 ]
Lee, Sung-Soon [1 ]
Kang, Hyung Koo [1 ]
机构：
[1] Inje Univ, Ilsan Paik Hosp, Div Pulm & Crit Care Med, Dept Internal Med, Goyang, South Korea
[2] Inje Univ, Ilsan Paik Hosp, Dept Internal Med, Goyang, South Korea
[3] Inje Univ, Ilsan Paik Hosp, Neurosurg Neurosci Radiosurg & Adapt Hybrid Neuro, Goyang, South Korea
来源：
TUBERCULOSIS AND RESPIRATORY DISEASES | 2020年 / 83卷 / 01期
关键词：
Nursing Home-Acquired Pneumonia; Pneumonia; Intensive Care Unit; RISK-FACTORS; INFECTIONS; MANAGEMENT; RESIDENTS; DIAGNOSIS;
D O I：
10.4046/trd.2019.0012
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
Background: Use of appropriate antibiotics for the treatment of pneumonia is integral in patients admitted to intensive care units (ICUs). Although it is recommended that empirical treatment regimens should be based on the local distribution of pathogens in patients with suspected hospital-acquired pneumonia, few studies observe patients admitted to ICUs with nursing home-acquired pneumonia (NHAP). We found factors associated with the use of inappropriate antibiotics in patients with pneumonia admitted to the ICU via the emergency room (ER). Methods: We performed a retrospective cohort study of 83 pneumonia patients with confirmed causative bacteria admitted to ICUs via ER March 2015-May 2017. We compared clinical parameters, between patients who received appropriate or inappropriate antibiotics using the Mann-Whitney U, Pearson's chi-square, and Fisher's exact tests. We investigated independent factors associated with inappropriate antibiotic use in patients using multivariate logistic regression. Results: Among 83 patients, 30 patients (36.1%) received inappropriate antibiotics. NHAP patients were more frequently treated with inappropriate antibiotics than with appropriate antibiotics (47.2% vs. 96.7%, p<0.001). Methicillin-resistant Staphylococcus aureus was more frequently isolated from individuals in the inappropriate antibiotics-treated group than in the appropriate antibiotics-treated group (7.5% vs. 70.0%, p<0.001). In multivariate analysis, NHAP was independently associated with the use of inappropriate antibiotics in patients with pneumonia admitted to the ICU via ER. Conclusion: NHAP is a risk factor associated with the use of inappropriate antibiotics in patients with pneumonia admitted to the ICU via the ER.
引用
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页码：81 / 88
页数：8
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