一般社団法人日本呼吸器学会 公式サイト
日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集

Abstract

Full Text of PDF Full Text of PDF (401k)  required ID / password
Article in Japanese

Original Article

Relationship between death from pneumonia that had led to hospitalization and empiric antibiotic therapy

Yasuo Chojina,b  Kaori Shimosakic  Ryo Toriia  Kazuki Nagatac  Tetsuya Sugiharac  Hiromi Kiharac  Hiroko Minamic  Hisaaki Shimokoubec,d  Yu Sasakic,e  Tatsuji Katoa,c 

aDepartment of Respiratory Medicine, Tobata Kyoritsu Hospital
bDepartment of Respiratory Medicine, Kitakyushu Central Hospital
cDepartment of Infection Control, Tobata Kyoritsu Hospital
dDepartment of Surgery, Tobata Kyoritsu Hospital
eDepartment of Gastroenterology, Tobata Kyoritsu Hospital

ABSTRACT

Because the American Thoracic Society and Infectious Diseases Society of America in 2019 revised the Diagnosis and Treatment of Adults with Community-acquired Pneumonia Guidelines and rejected the use of broad-spectrum antimicrobial agents as a first choice, we investigated the association between the current status, i.e., the initial choice for nursing- and healthcare-associated pneumonia (NHCAP) of antimicrobial therapy and the in-hospital mortality rate. A total of 158 patients were classified according to the Japanese Respiratory Society Guidelines for the Management of Pneumonia in Adults, 2017 and examined retrospectively. Of patients who died of pneumonia that had led to hospitalization there was no significant difference between the number treated with or without broad-spectrum antimicrobial agents. It is not necessary to use broad-spectrum antimicrobial agents in all patients with NHCAP, even those with sepsis/severe disease or those at risk for bacterial resistance.

KEYWORDS

Nursing- and healthcare-associated pneumonia (NHCAP)  In-hospital mortality  Empiric therapy 

Received 14 Jul 2021 / Accepted 21 Sep 2021

AJRS, 10(6): 441-448, 2021

Google Scholar