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題 名 | Klebsiella Pneumoniae Bacteremia: Community-Acquired vs. Nosocomial Infections=克雷伯氏菌菌血症--社區與院內感染的差異 |
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作 者 | 楊伯義; 黃崇旂; 呂學重; 江秉誠; 吳竹蘭; 曹昌堯; | 書刊名 | 長庚醫學 |
卷 期 | 24:11 2001.11[民90.11] |
頁 次 | 頁688-696 |
分類號 | 415.15 |
關鍵詞 | 克雷伯氏菌菌血症; 社區感染; 院內感染; Klebsiella pneumoniae bacteremia; Community-acquired infection; Nosocomial infection; |
語 文 | 英文(English) |
中文摘要 | 背景:本研究之目標,在於了解近幾年來,本院收治的克雷伯氏菌菌血症病人,其臨床表現及影響其預後的因子,並比較社區感染與院內感染病例臨床表現差異。 方法:本文採回顧性分析,自1997年1月至1999年12月共211例克雷伯氏菌菌血症加以分析。 結果:211個病例中,社區感染佔73%,此與國外報告有所不同。國外以院內感染居多(43%-77%)同時其感染途徑,不管社區與院內感染皆以膽道居多,社區感染死亡率低於院內感染。211例感染克雷伯氏菌菌血死亡率為25%,而其決定死亡的因子有年齡、感染途徑、感染時機,有無併發症。 結論:克雷伯氏菌菌血症,在社區與院內感染之病例中病人中,多半有肝膽道或腫瘤性潛在性疾病。另外值得注意的是,無論社區與院內感染的克雷伯氏菌,對第三代cephalosporin(尤其是moxalactam)的抗藥性比例均較第一、二代cephalosporin及antipseudomonal penicillin低,是否意味著此類病人治療應從第三代cephalosporin開始。 |
英文摘要 | Background: This study attempted to determine the clinical manifestations and influential factors affecting the prognosis of patients with community-acquired and nosocomial bacteremia of Klebsiella pneumoniae (K. pneumoniae). Methods: We retrospectively reviewed the medical records of 211 patients who had a clinically significant episode of K. pneumoniae bacteremia from January 1997 until December 1999. Results: Most reports describe K. pneumoniae bacteremia as typically nosocomial, but in our study approximately 3 of 4 episodes were community-acquired. Without including “unknown origin”, the most common infectious site for both community-acquired and nosocomial bacteremia was the hepatobiliary tract. The overall mortality for all 211 patients with K. pneumoniae bacteremia was 25.1%. Significantly higher mortality rates occurred in patients who were elderly (>65 years), had a nosocomial infection, for whom the respiratory tract was the portal of entry, and ultimately fatal conditions or acute complications were due to shock or renal insufficiency. Conclusions: Patients with community-acquired and nosocomial bacteremia had different types of underlying diseases. Isolates from nosocomial infections were significantly more frequently resistant to aminoglycosides, antipseudomonal penicillin, and all three generations of cephalosporins. In this regard, an aggressive empirical therapeutic approach to infections of K. pneumoniae is suggested. |
本系統中英文摘要資訊取自各篇刊載內容。