Objectives: As a retrospective study by using of medical records, this study was to identify the distribution of patients with pneumonitis by sex, age, and underlying disease after determining nosocomial pneumoniae through the analysis of medical records, to investigate the incidence rate of nosocom...
Objectives: As a retrospective study by using of medical records, this study was to identify the distribution of patients with pneumonitis by sex, age, and underlying disease after determining nosocomial pneumoniae through the analysis of medical records, to investigate the incidence rate of nosocomial pneumoniae by age, and department when mechanical assistance for respiration, days of admission, and risk factors were considered, and to determine the disease-causing agent. Methods: A total of 336 patients who were assumed to have nosocomial pneumonia in intensive unit care of hospital according to the definition (CDC, 1992) during the period from January 2003 through December 2003. The statistical SPSS windows ver. 10.0 was used to analyze data that included Chi-square, t-test and multiple logistic regression. Results: The actual number of patients with nosocomial pneumonia turned out to be 42 out of total 336 patients during the survey period. The incidence rate was 125 per 1,000 patients and the infection rate was 16.7 patient per 1,000 ICU-days, which is comparable with 217 patients with ventilator-associated-pneumonia per 1,000 patients and 3 per 1,000 ventilator-days,. The statistical significances of risk factors for contracting nosocomial pneumonia were identified as (OR=9.336 p<0.05) in cardiomegaly based on chest radiography, (OR=4.775 p<0.05) in coma, (OR=2.289 p<0.05) in the use of antacid and (OR=1.140 p=0.000) in the duration of admission. Cousing agents nosocomial pneumonia were: 15 staphylococcus aureus (21.8%), 12 pseudomonas aeruginosa (17.4%) and 12 Acinetobacter baumani (17.4%) Conclusions: The diagnosis at admission, consciousness of patient, duration of admission, and use of antacids are considered to enhance the incidence rate of nosocomial pneunoniae. Further studies and reinforcement actions would be necessary to deal with the disease.
Objectives: As a retrospective study by using of medical records, this study was to identify the distribution of patients with pneumonitis by sex, age, and underlying disease after determining nosocomial pneumoniae through the analysis of medical records, to investigate the incidence rate of nosocomial pneumoniae by age, and department when mechanical assistance for respiration, days of admission, and risk factors were considered, and to determine the disease-causing agent. Methods: A total of 336 patients who were assumed to have nosocomial pneumonia in intensive unit care of hospital according to the definition (CDC, 1992) during the period from January 2003 through December 2003. The statistical SPSS windows ver. 10.0 was used to analyze data that included Chi-square, t-test and multiple logistic regression. Results: The actual number of patients with nosocomial pneumonia turned out to be 42 out of total 336 patients during the survey period. The incidence rate was 125 per 1,000 patients and the infection rate was 16.7 patient per 1,000 ICU-days, which is comparable with 217 patients with ventilator-associated-pneumonia per 1,000 patients and 3 per 1,000 ventilator-days,. The statistical significances of risk factors for contracting nosocomial pneumonia were identified as (OR=9.336 p<0.05) in cardiomegaly based on chest radiography, (OR=4.775 p<0.05) in coma, (OR=2.289 p<0.05) in the use of antacid and (OR=1.140 p=0.000) in the duration of admission. Cousing agents nosocomial pneumonia were: 15 staphylococcus aureus (21.8%), 12 pseudomonas aeruginosa (17.4%) and 12 Acinetobacter baumani (17.4%) Conclusions: The diagnosis at admission, consciousness of patient, duration of admission, and use of antacids are considered to enhance the incidence rate of nosocomial pneunoniae. Further studies and reinforcement actions would be necessary to deal with the disease.
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