https://scholars.lib.ntu.edu.tw/handle/123456789/454898
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | SHEY-YING CHEN | en_US |
dc.contributor.author | Wu G.H.-M. | en_US |
dc.contributor.author | SHAN-CHWEN CHANG | en_US |
dc.contributor.author | PO-REN HSUEH | en_US |
dc.contributor.author | WEN-CHU CHIANG | en_US |
dc.contributor.author | CHIEN-CHANG LEE | en_US |
dc.contributor.author | MATTHEW HUEI-MING MA | en_US |
dc.contributor.author | CHIEN-CHING HUNG | en_US |
dc.contributor.author | YEE-CHUN CHEN | en_US |
dc.contributor.author | Su C.-P. | en_US |
dc.contributor.author | Tsai K.-C. | en_US |
dc.contributor.author | Chen, Tony Hsiu Hsi | en_US |
dc.contributor.author | SHYR-CHYR CHEN | en_US |
dc.contributor.author | WEN-JONE CHEN | en_US |
dc.creator | Chen W.-J.;Chen S.-C.;Chen T.H.-H.;Tsai K.-C.;Su C.-P.;Chen Y.-C.;Hung C.-C.;Ma M.H.-M.;Lee C.-C.;WEN-CHU CHIANG;Hsueh P.-R.;Chang S.-C.;Wu G.H.-M.;Chen S.-Y. | - |
dc.date.accessioned | 2020-02-07T01:18:23Z | - |
dc.date.available | 2020-02-07T01:18:23Z | - |
dc.date.issued | 2008 | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/454898 | - |
dc.description.abstract | Study objective: Patients who came from the community but were recently discharged from the hospital have a higher risk of contracting antimicrobial-resistant bacterial infections. Our objectives are to determine the time from previous hospital discharge that affects subsequent antimicrobial susceptibility pattern and risk factors for antimicrobial-resistant infection in bacteremia in recently discharged patients. Methods: Excluding patients of hospital-acquired, patients with regular health care-associated exposure, and patients whose previous hospitalization was not at our hospital, a total of 789 nonduplicated bacteremia episodes from community adult patients were enrolled in a 1-year study period. Antimicrobial-resistant bacteria, including multidrug-resistant Gram-negative bacilli, methicillin-resistant Staphylococcus aureus, and vancomycin-resistant enterococci causing bacteremia, were logistically analyzed according to different posthospitalization periods (3 to 90 days, 91 to 180 days, 181 to 360 days, and no hospitalization in the past 360 days) to identify the independent effect from previous hospitalization on subsequent antimicrobial-resistant bacteremia. Results: Of the 789 bacteremia patients, the proportion of antimicrobial-resistant bacteremia is 14.6% (95% confidence interval [CI] 9.8% to 19.4%) for 3 to 90 days, 9.6% (95% CI 1.6% to 17.6%) for 91 to 180 days, and 6.4% (95% CI 0% to 13.4%) for 181 to 360 days since last hospitalization and 1.0% (95% CI 0.1% to 1.9%) for no hospitalization within the last 360 days. Risk of antimicrobial-resistant bacteremia decreased monthly after discharge by an odds ratio of 0.83 (95% CI 0.76 to 0.90) (P<.01). Previous carriage of antimicrobial-resistant bacteria in the past 360 days and previous stay at ICU in the past 180 days were independent risk factors for antimicrobial-resistant bacteremia in previously hospitalized patients. Conclusion: Previous hospitalization affects the antimicrobial susceptibility of subsequent bacteremia up to 360 days after hospital discharge. Presence of risk factors for antimicrobial-resistant bacteremia in previously hospitalized patients may help emergency physicians in selecting empirical antimicrobial agents and prompting infection control precautions. ? 2008 American College of Emergency Physicians. | - |
dc.relation.ispartof | Annals of Emergency Medicine | - |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | aminoglycoside; carbapenem derivative; cefepime; ceftazidime; cephalosporin derivative; meticillin; oxacillin; piperacillin; quinoline derived antiinfective agent; ticarcillin; vancomycin; adult; aged; antibiotic resistance; antibiotic sensitivity; article; bacteremia; bacterial infection; confidence interval; emergency physician; female; Gram negative bacterium; high risk population; hospital discharge; hospitalization; human; infection control; infection risk; intensive care unit; major clinical study; male; methicillin resistant Staphylococcus aureus; priority journal; risk factor; vancomycin resistant Enterococcus; Anti-Bacterial Agents; Bacteremia; Community-Acquired Infections; Comorbidity; Confidence Intervals; Drug Resistance, Bacterial; Female; Hospitalization; Humans; Male; Middle Aged; Prospective Studies; Risk Factors; Taiwan; Time Factors | - |
dc.title | Bacteremia in Previously Hospitalized Patients: Prolonged Effect From Previous Hospitalization and Risk Factors for Antimicrobial-Resistant Bacterial Infections | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.1016/j.annemergmed.2007.12.022 | - |
dc.identifier.scopus | 2-s2.0-43049170461 | - |
dc.relation.pages | 639-646 | - |
dc.relation.journalvolume | 51 | - |
dc.relation.journalissue | 5 | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.openairetype | journal article | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.fulltext | no fulltext | - |
crisitem.author.dept | Emergency Medicine | - |
crisitem.author.dept | Emergency Medicine-NTUH | - |
crisitem.author.dept | Internal Medicine | - |
crisitem.author.dept | Internal Medicine-NTUH | - |
crisitem.author.dept | Office of the Vice President | - |
crisitem.author.dept | Clinical Pharmacy | - |
crisitem.author.dept | Medical Education and Bioethics | - |
crisitem.author.dept | Laboratory Medicine | - |
crisitem.author.dept | Laboratory Medicine-NTUH | - |
crisitem.author.dept | Emergency Medicine | - |
crisitem.author.dept | Emergency Medicine-NTUH | - |
crisitem.author.dept | National Taiwan University Hospital Yun-Lin Branch | - |
crisitem.author.dept | Emergency Medicine | - |
crisitem.author.dept | Emergency Medicine-NTUH | - |
crisitem.author.dept | Emergency Medicine | - |
crisitem.author.dept | Emergency Medicine-NTUH | - |
crisitem.author.dept | National Taiwan University Hospital Yun-Lin Branch | - |
crisitem.author.dept | Internal Medicine | - |
crisitem.author.dept | Tropical Medicine and Parasitology | - |
crisitem.author.dept | Internal Medicine-NTUH | - |
crisitem.author.dept | Internal Medicine | - |
crisitem.author.dept | Internal Medicine-NTUH | - |
crisitem.author.dept | Center for Infection Control | - |
crisitem.author.dept | Institute of Health Data Analytics and Statistics | - |
crisitem.author.dept | Public Health | - |
crisitem.author.dept | Emergency Medicine | - |
crisitem.author.dept | Emergency Medicine-NTUH | - |
crisitem.author.dept | Emergency Medicine | - |
crisitem.author.dept | Emergency Medicine-NTUH | - |
crisitem.author.orcid | 0000-0002-5855-6170 | - |
crisitem.author.orcid | 0000-0001-6505-4139 | - |
crisitem.author.orcid | 0000-0002-7502-9225 | - |
crisitem.author.orcid | 0000-0001-8620-7982 | - |
crisitem.author.orcid | 0000-0002-1243-2463 | - |
crisitem.author.orcid | 0000-0002-4388-9984 | - |
crisitem.author.orcid | 0000-0001-7345-0836 | - |
crisitem.author.orcid | 0000-0002-1816-9010 | - |
crisitem.author.orcid | 0000-0002-5799-6705 | - |
crisitem.author.orcid | 0000-0002-5858-3013 | - |
crisitem.author.orcid | 0000-0002-2098-5922 | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | Administrative Unit | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Public Health | - |
crisitem.author.parentorg | College of Public Health | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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