Multidrug-Resistant, Gram-Negative Bacteria in Hospitalized Elderly Patients from Non-Hospital Long-Term Care Facilities / 대한내과학회지
Korean Journal of Medicine
; : 107-113, 2019.
Article
en Ko
| WPRIM
| ID: wpr-741124
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND/AIMS: We investigated the risk of multidrug-resistant, gram-negative bacteria (MDRGNB) in hospitalized elderly patients from non-hospital long-term care facilities (LTCFs) and the antibiotic prescription pattern. METHODS: All clinical cultures obtained within 48 hours of hospitalization from elderly patients of at least 55 years of age arriving at a 623-bed, public teaching hospital in Seoul, Republic of Korea from LTCFs between April 1, 2011 and April 1, 2012 were collected retrospectively. RESULTS: During this period, 365 elderly persons from 13 LTCFs were hospitalized. This study enrolled 135 patients who had cultures performed. In this group, 27.4% harbored MDRGNB at hospitalization. The presence of MDRGNB during prior hospitalization was the only risk factor that predicted harboring it (p = 0.043, odds ratio = 5.00, confidence interval = 1.049-23.834). Combinations of antibiotics or carbapenems were used initially in 35.6% of the patients, and this did not affect the mortality rate in this population. CONCLUSIONS: Hospitalized elderly patients from non-hospital LTCFs need more attention. Judicious antibiotic selection is needed according to the risk factor of harboring MDRGNB for antibiotics stewardship.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Carbapenémicos
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Oportunidad Relativa
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Estudios Retrospectivos
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Factores de Riesgo
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Mortalidad
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Cuidados a Largo Plazo
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Farmacorresistencia Bacteriana Múltiple
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Prescripciones
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República de Corea
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Seúl
Tipo de estudio:
Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Aged
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Humans
País/Región como asunto:
Asia
Idioma:
Ko
Revista:
Korean Journal of Medicine
Año:
2019
Tipo del documento:
Article