https://scholars.lib.ntu.edu.tw/handle/123456789/528602
標題: | Positive culture for Klebsiella pneumoniae in relevant sputum samples as a predictor of rapidly fatal outcome in septic patients at medical intensive care units | 作者: | Chuang T.-Y. Lin C.-J. Chou T.-C. Huang H.-H. Lee S.-W. PO-REN HSUEH |
公開日期: | 2010 | 卷: | 29 | 期: | 8 | 起(迄)頁: | 969-975 | 來源出版物: | European Journal of Clinical Microbiology and Infectious Diseases | 摘要: | Sixty-five patients with main diagnosis of sepsis, who were directly admitted to the emergency department (ED) and had fatal outcomes after transfer to the medical intensive care units (MICU), were included. Patients who died within 48 hours of MICU transfer were defined as having rapidly fatal outcomes (RFO). The following clinical variables, including diagnosis of infection source; results of blood, sputum, and urine cultures; management for sepsis in the ED and MICU and survival time, were analyzed. There were 30 (46%) patients with RFO. The median survival time in the RFO group was 22.6 hours in MICU. Klebsiella pneumoniae was the most common pathogen isolated from blood (7/65, 10.7%) and relevant sputum samples (7/45, 15.5% ). Multivariate analysis revealed that age, gender and positive sputum culture for K. pneumoniae (hazard ratio, 11.898, p<0.001) were independently associated with RFO in septic patients. The median survival times for patients with positive and negative K. pneumoniae sputum culture were 17 hours and 66.8 hours (p<0.001, by the log rank test), respectively. This study found that positive sputum culture of K. pneumoniae was an important independent predictive factor of RFO in septic patients admitted to the MICU. ? 2010 Springer-Verlag. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/528602 | ISSN: | 0934-9723 | DOI: | 10.1007/s10096-010-0953-8 | SDG/關鍵字: | ampicillin; cefazolin; ceftriaxone; cefuroxime; imipenem; levofloxacin; piperacillin plus tazobactam; sultamicillin; adult; age; aged; antibiotic resistance; antibiotic sensitivity; article; bacterium culture; controlled study; death; fatality; female; gender; Gram negative sepsis; human; intensive care unit; Klebsiella pneumoniae; major clinical study; male; prediction; priority journal; risk factor; sputum culture; survival time; blood; isolation and purification; Klebsiella Infections; Klebsiella pneumoniae; microbiology; middle aged; mortality; prognosis; sepsis; sputum; survival; time; urine; very elderly; Adult; Aged; Aged, 80 and over; Blood; Female; Humans; Intensive Care Units; Klebsiella Infections; Klebsiella pneumoniae; Male; Middle Aged; Prognosis; Sepsis; Sputum; Survival Analysis; Time Factors; Urine; Adult; Aged; Aged, 80 and over; Blood; Female; Humans; Intensive Care Units; Klebsiella Infections; Klebsiella pneumoniae; Male; Middle Aged; Prognosis; Sepsis; Sputum; Survival Analysis; Time Factors; Urine |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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