The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2010;78(6):705-708.
의료시설폐렴의 임상적 및 세균학적 특성
최영주
Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea
The clinical and microbial characteristics of healthcare-associated pneumonia
Young Ju Choi
건양대학교 의과대학 내과학교실


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)

Keywords :Healthcare-associated pneumonia, Hospital-acquired pneumonia
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