作者
Ching-Chi Lee, Chung-Hsun Lee, Ming-Che Chuang, Ming-Yuan Hong, Hsiang-Chin Hsu, Wen-Chien Ko
发表日期
2012/10/1
期刊
The American journal of emergency medicine
卷号
30
期号
8
页码范围
1447-1456
出版商
WB Saunders
简介
OBJECTIVES
To investigate the clinical impact of inappropriate empirical antibiotics on patient outcome and determine the risk factors for mortality in bacteremic adults who visited the emergency department (ED).
METHODS
Bacteremic adults visiting the ED from January 2007 to June 2008 were identified retrospectively. Demographic characteristics, clinical conditions, bacteremic pathogens, antimicrobial agents, and outcomes were determined from chart records.
RESULTS
The total of 454 eligible bacteremic adults were included in the analysis; excluded from the study were another 261 patients with contaminated blood cultures and 64 patients with ED stays of less than 24 hours. Among the included individuals, the mean age was 64.6 years, with a small predominance of males (230 patients, 50.7%). Of a total 494 bacteremic isolates, Escherichia coli (206, 41.7%) and Klebsiella species (81, 16.4%) were the …
学术搜索中的文章
Impact of inappropriate empirical antibiotic therapy on outcome of bacteremic adults visiting the ED
CC Lee, CH Lee, MC Chuang, MY Hong, HC Hsu… - The American journal of emergency medicine, 2012