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Mortality indicators in community-acquired pneumonia requiring intensive care in Turkey

Date

2013

Author

Erdem, Hakan
Turkan, Hulya
Cilli, Aykut
Karakas, Ahmet
Karakurt, Zuhal
Bilge, Ugur
Yazicioglu-Mocin, Ozlem
Elaldi, Nazif
Adiguzel, Nalan
Gungor, Gokay
Tasci, Canturk
Yilmaz, Gulden
Oncul, Oral
Dogan-Celik, Aygul
Erdemli, Ozcan
Oztoprak, Nefise
Tomak, Yakup
Inan, Asuman
Karaboga, Burcu
Tok, Demet
Temur, Sibel
Oksuz, Hafize
Senturk, Ozgur
Buyukkocak, Unase
Yilmaz-Karadag, Fatma
Ozcengiz, Dilek
Turker, Turker
Afyon, Murat
Samur, Anil Aktas
Ulcay, Asim
Savasci, Umit
Diktas, Husrev
Ozgen-Alpaydin, Aylin
Kilic, Erol
Bilgic, Hayati
Leblebicioglu, Hakan
Unal, Serhat
Sonmez, Guner
Gorenek, Levent

Metadata

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Abstract

Background: Severe community-acquired pneumonia (SCAP) is a fatal disease. This study was conducted to describe an outcome analysis of the intensive care units (ICUs) of Turkey. Methods: This study evaluated SCAP cases hospitalized in the ICUs of 19 different hospitals between October 2008 and January 2011. The cases of 413 patients admitted to the ICUs were retrospectively analyzed. Results: Overall 413 patients were included in the study and 129 (31.2%) died. It was found that bilateral pulmonary involvement (odds ratio (OR) 2.5, 95% confidence interval (CI) 1.1-5.7) and CAP PIRO score (OR 2, 95% CI 1.3-2.9) were independent risk factors for a higher in-ICU mortality, while arterial hypertension (OR 0.3, 95% CI 0.1-0.9) and the application of non-invasive ventilation (OR 0.2, 95% CI 0.1-0.5) decreased mortality. No culture of any kind was obtained for 90 (22%) patients during the entire course of the hospitalization. Blood, bronchoalveolar lavage, and non-bronchoscopic lavage cultures yielded enteric Gram-negatives (n = 12), followed by Staphylococcus aureus (n = 10), pneumococci (n = 6), and Pseudomonas aeruginosa (n = 6). For 22% of the patients, none of the culture methods were applied. Conclusions: SCAP requiring ICU admission is associated with considerable mortality for ICU patients. Increased awareness appears essential for the microbiological diagnosis of this disease. (C) 2013 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

Source

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES

Volume

17

Issue

9

URI

https://dx.doi.org/10.1016/j.ijid.2013.03.015
https://hdl.handle.net/20.500.12418/8602

Collections

  • Makale Koleksiyonu [5200]
  • Makale Koleksiyonu [5745]
  • Öksüz Yayınlar Koleksiyonu - WoS [6162]



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