The clinical and microbial characteristics of healthcare-associated pneumonia |
Young Ju Choi |
건양대학교 의과대학 내과학교실 |
의료시설폐렴의 임상적 및 세균학적 특성 |
최영주 |
Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea |
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Abstract |
Patients from healthcare facililties are are likely to be of old age, disabilitated and have associated comorbidities. Most frequently
associated organisms are enteric gram negative rods and staphylococcus aureus. However patients referred from healthcare facilities
are comprised of heterogeneous risk groups, so individual risk for harboring resistant pathogens should be assessed before
treatment. People residing in healthcare facilities are also at risk for atypical pneumonia and viral pneumonia. Pathogens such as legionella
and chlamydia should also be taken into account, as well as viral agents like influenza and RSV which could result in seasonal,
mass infection in patients residing in healthcare facilities like nursing homes.
Considering the high rates of antibiotic resistance in korea, a prospective trial comparing community acquired and healthcare associated
pneumonia is needed. (Korean J Med 78:705-708, 2010) |
Key Words:
Healthcare-associated pneumonia; Hospital-acquired pneumonia |
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