Clinical usefulness of Clinical Pulmonary Infection Score of ICU Patients with Sputum Culture positive for Multi-drug resistant Acinetobacter baumannii.
10.4046/trd.2003.55.6.579
- Author:
Ji Hyun LEE
1
;
Seok Cheol CHEON
;
Sun Hye JUNG
;
Lae Hyun PHYUN
;
Moon Zu JANG
;
Stephen Yonggu LEE
;
Sung Kwan HONG
;
Seong Geun HONG
;
Ji Hyun LEE
;
Sang Bum HONG
Author Information
1. Department of Internal Medicine, Bundang CHA Hospital, College of Medicine, Pochon CHA University, Korea. sbhong@cha.ac.kr
- Publication Type:Original Article
- Keywords:
Multi-drug resistant Acinetobacter baumannii;
Hospital acquired pneumonia;
Clinical Pulmonary Infection Score (CPIS)
- MeSH:
Acinetobacter baumannii*;
Acinetobacter*;
APACHE;
Cross Infection;
Humans;
Medical Records;
Mortality;
Pneumonia;
Prognosis;
Retrospective Studies;
Sputum*
- From:Tuberculosis and Respiratory Diseases
2003;55(6):579-588
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The hospital-acquired pneumonia is the most common nosocomial infection. Recently, the Acinetobacter baummannii infections are rapidly increasing, especially the frequency of Multi-drug resistant A. baumannii. Therefore we assessed clinical features and prognosis of patients in the ICU with Multi-drug resistant A. baumannii from the sputum culture using the Clinical Pulmonary Infection Score(CPIS). METHODS: The medical records of 43 patients with Multi-drug resistant A. baumannii from sputum culture who were suspected had clinically pneumonia and admitted to the ICU from January 2000 to July 2002 were retrospectively analyzed. RESULT: 19 patients were CPIS greater than 6 and 24 patients were CPIS less than or equal to 6. Mean age for the former was 71+/-11 years old, and the latter was 61+/-19 years old. The mean APACHE II score on admission and on sputum study was not different between two groups(17.4+/-5.7 vs 18.5+/-6.1, p=0.553, 20+/-6 vs 17+/-8, p=0.078). But the mortality rate was 73.7% for the former, and 16.7% for the latter(p<0.001). CONCLUSION: In ICU patients who had clinically suspected pneumonia with sputum culture positive for Multi-drug resistant A. baumannii, the mortality was significantly higher if CPIS was greater than 6.
