Source:http://linkedlifedata.com/resource/pubmed/id/21129817
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2010-12-27
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pubmed:abstractText |
The impact of high level cephalosporin resistance due to Enterobacteriaceae harbouring a type I-inducible chromosomal ?-lactamase on the outcome of ventilator-associated pneumonia (VAP) remains unknown. A retrospective cohort study was conducted in two intensive care units (ICUs) over a four-year period to identify factors prognostic of VAP caused by high level AmpC (HL-AmpC)-producing Enterobacteriaceae. The study included 75 patients, who developed VAP due to Enterobacteriaceae harbouring a type I-inducible chromosomal ?-lactamase. One-third of these VAP episodes were due to HL-AmpC-producing Enterobacteriaceae. Demographic and clinical characteristics at ICU admission were similar for patients, regardless of Enterobacteriaceae susceptibility, but those who developed VAP due to HL-AmpC-producing Enterobacteriaceae received antibiotics more frequently before its onset and had higher disease severity and organ dysfunction scores. Enterobacter spp. were the major HL-AmpC-producing micro-organisms responsible for VAP. VAP due to HL-AmpC-producing Enterobacteriaceae is rare. High level cephalosporin resistance was not associated with higher day 28 mortality, despite its association with more severe disease at VAP onset.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
1532-2939
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pubmed:author | |
pubmed:copyrightInfo |
Copyright © 2010 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.
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pubmed:issnType |
Electronic
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pubmed:volume |
77
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
64-9
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pubmed:meshHeading |
pubmed-meshheading:21129817-Aged,
pubmed-meshheading:21129817-Anti-Bacterial Agents,
pubmed-meshheading:21129817-Cephalosporins,
pubmed-meshheading:21129817-Cohort Studies,
pubmed-meshheading:21129817-Enterobacteriaceae,
pubmed-meshheading:21129817-Enterobacteriaceae Infections,
pubmed-meshheading:21129817-Female,
pubmed-meshheading:21129817-Humans,
pubmed-meshheading:21129817-Intensive Care Units,
pubmed-meshheading:21129817-Male,
pubmed-meshheading:21129817-Middle Aged,
pubmed-meshheading:21129817-Pneumonia, Ventilator-Associated,
pubmed-meshheading:21129817-Prognosis,
pubmed-meshheading:21129817-Retrospective Studies,
pubmed-meshheading:21129817-Severity of Illness Index,
pubmed-meshheading:21129817-Shock,
pubmed-meshheading:21129817-beta-Lactam Resistance
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pubmed:year |
2011
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pubmed:articleTitle |
High level cephalosporin-resistant Enterobacteriaceae ventilator-associated pneumonia: prognostic factors based on a cohort study.
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pubmed:affiliation |
Service de Réanimation Médicale, Groupe Hospitalier Bichat-Claude-Bernard, Assistance Publique-Hôpitaux de Paris, Université Xavier-Bichat, 46, rue Henri-Huchard, 75877 Paris Cedex 18, France. c.aubron@free.fr
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pubmed:publicationType |
Journal Article
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