Evaluation of initial antibiotic regimens for nosocomial pneumonia in the elders
- Author:
Le Thi Kim Nhung
- Publication Type:Journal Article
- Keywords:
Pneumonia;
Aged;
Anti-Bacterial Agents
- MeSH:
pneumonia
- From:Journal of Vietnamese Medicine
2005;314(9):22-27
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Nosocomial pneumonia is a leading type of respiratory infection among hospital-acquired infections. Despite the introductions of new antibiotics, nosocomial pneumonia is associated with high morbidity and mortality. Among 80 patients aged more than 60 years old with nosocomial pneumonia, 17 patients (21.3%) received initial adequate therapies, 63 patients (78.7%) received initial inadequate therapies. Nosocomial pneumonia is often difficult to treat because of multi-resistant bacteria. Initially adequate antibiotic regimens are major prognostic factor for patients with nosocomial pneumonia. 3rd generation cephalosporines and fluoroquinolones aren’t effective. Imipenem, Timentin, Tazoncin, Cepfepim plus Amikacin and Vancomicin (if suspected bacterium is S. aureus) can be initial effective antibiotics
