Clinical characteristics and outcome of healthcare associated pneumonia in Turkey; [Türkiye’de sağlık bakımı ile ilişkili pnömoni olgularının klinik özellikleri ve sonuçları]

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dc.contributor.authorGündüz C.
dc.contributor.authorTaşbakan M.S.
dc.contributor.authorSayiner A.
dc.contributor.authorÇıllı A.
dc.contributor.authorKilinç O.
dc.contributor.authorŞakar Coşkun A.
dc.date.accessioned2024-07-22T08:12:21Z
dc.date.available2024-07-22T08:12:21Z
dc.date.issued2016
dc.description.abstractIntroduction: Pneumonia in cases with preceding hospitalization, hemodialysis, intravenous therapy, wound care, or chemotherapy within the prior 30 days and residence in nursing homes are defined as healthcare associated pneumonia (HCAP). The aim of this study was to compare the demographic and laboratory data, isolated causative agents and prognosis of patients with communityacquired pneumonia (CAP) and HCAP in a large population in Turkey. Materials and Methods: The data of 785 cases (average age 65.3 ± 16.4, 530 male) registered to Turkish Thoracic Society Respiratory Infections Study Group CAP database (TURCAP) were examined. The demographic data, clinical history, pneumonia severity scores (PSI), laboratory and radiologic findings of the CAP and HCAP patients were compared. Results: Out of 785 cases, 207 (26.4%) were diagnosed with HCAP and 578 (73.6%) with CAP. Among HCAP cases, 140/207 (67.6%) had preceding hospitalization in the last 90 days, 28/207 (13.5%) were on a hemodialysis program during the previous 30 days and 22/207 (10.6%) were staying in nursing homes. Patients with HCAP more frequently had comorbidities (93.2% vs. 81.6%; p= 0.001) and higher PSI scores (103.9 ± 37.2 vs. 94.6 ± 35.4; p= 0.002) compared to patients with CAP. A causative microorganism was isolated in only 12.1% (70/578) of CAP and 14.5% (30/207) of HCAP patients. The length of stay in hospital was higher in HCAP than CAP (8.6 ± 5.5 vs. 7.5 ± 6.1 days, p= 0.03); however the rates of treatment failure, intensive care unit admission and mortality were similar. Conclusion: In comparison to CAP, HCAP patients tend to have more severe disease, despite have no difference in mortality. The current criteria for HCAP do not predict worse clinical outcomes. Further work is required to define local risk factors for multidrug resistant pathogens. © 2016, Ankara University. All rights reserved.
dc.identifier.DOI-ID10.5578/tt.26423
dc.identifier.issn04941373
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/16018
dc.language.isoEnglish
dc.publisherAnkara University
dc.rightsAll Open Access; Bronze Open Access
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectCommunity-Acquired Infections
dc.subjectComorbidity
dc.subjectCross Infection
dc.subjectFemale
dc.subjectHospitalization
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPneumonia
dc.subjectPrognosis
dc.subjectRetrospective Studies
dc.subjectRisk Factors
dc.subjectSeverity of Illness Index
dc.subjectTurkey
dc.subjectalbumin
dc.subjectC reactive protein
dc.subjectprocalcitonin
dc.subjectAcinetobacter baumannii
dc.subjectadult
dc.subjectantibiotic sensitivity
dc.subjectantibiotic therapy
dc.subjectarterial gas
dc.subjectArticle
dc.subjectclinical outcome
dc.subjectcommunity acquired pneumonia
dc.subjectcomorbidity
dc.subjectCURB 65 score
dc.subjectdialysis
dc.subjectEscherichia coli
dc.subjectfemale
dc.subjectHaemophilus influenzae
dc.subjecthealth care associated pneumonia
dc.subjecthome infusion therapy
dc.subjecthospitalization
dc.subjecthuman
dc.subjectKlebsiella pneumoniae
dc.subjectleukocyte count
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmortality
dc.subjectnursing home
dc.subjectpneumonia Severity Index score
dc.subjectPseudomonas aeruginosa
dc.subjectscoring system
dc.subjectStaphylococcus aureus
dc.subjectStreptococcus pneumoniae
dc.subjecttreatment failure
dc.subjectwound care
dc.subjectaged
dc.subjectCommunity-Acquired Infections
dc.subjectcross infection
dc.subjectmiddle aged
dc.subjectpneumonia
dc.subjectprognosis
dc.subjectretrospective study
dc.subjectrisk factor
dc.subjectseverity of illness index
dc.subjectstatistics and numerical data
dc.subjectTurkey
dc.subjectvery elderly
dc.titleClinical characteristics and outcome of healthcare associated pneumonia in Turkey; [Türkiye’de sağlık bakımı ile ilişkili pnömoni olgularının klinik özellikleri ve sonuçları]
dc.typeArticle

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