Nosocomial Pneumonia Experienced in a Community Hospital

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  • KOBASHI Yoshihiro
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School Kawasaki Hospital
  • TANABE Jun
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School Kawasaki Hospital
  • FUJITA Kazue
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School Kawasaki Hospital
  • KARINO Takayuki
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School Kawasaki Hospital
  • YANO Tatsutoshi
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School Kawasaki Hospital
  • NAKAMURA Junichi
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School Kawasaki Hospital
  • OKIMOTO Niro
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School Kawasaki Hospital
  • MATSUSHIMA Toshiharu
    Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School
  • SOEJIMA Rinzo
    Kawasaki Medical Welfare University

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Other Title
  • 市中総合病院における院内肺炎の現状
  • シ チュウ ソウゴウ ビョウイン ニ オケル インナイ ハイエン ノ ゲンジョ

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Abstract

To clarify the characteristic features of nosocomial pneumonia in a community hospital, we performed a clinical analysis of 147 patients (155 episodes) with nosocomial pneumonia. The following results were obtained. 1, Regarding the risk factors for nosocomial pneumonia, factors such as the patient whose age was over 65 years, a duration of admission of over one month, performance status 4 and underlying respiratory diseases associated with the appearence of nosocomial pneumonia. 2, The causative microorganism isolated from the sputum of the patient with nosocomial pneumonia was frequently a multi-drug resistant microorganism such as Methicillin-resistant Staphylococcus aureus (MRSA). 3, regarding treatment, although several antibiotics were administered for a long time, mechanical ventilation was used on 31% of the patients, and steroid pulse therapy was carried out on 24%. The clinical efficacy was poor witha 50% mortality rate.<BR>The reason why treatment of nosocomial pneumonia was difficult is thought to be been related to the general condition of these inpatients and to the appearence of a multi-drug resistant, polymicrobial microorganisms.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 72 (12), 1253-1260, 1998

    The Japanese Association for Infectious Diseases

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