Akademik Veri Yönetim Sistemi
Tüberküloz ve Toraks, cilt.67, sa.2, ss.108-115, 2019 (Scopus)
Introduction: The recently introduced concept of health care-associatedpneumonia (HCAP), referring to patients with frequent healthcare contactsand at higher risk of contracting resistant pathogens is controversial.Materials and Methods: A prospective study comparing patients with HCAPand community-acquired pneumonia (CAP) in the our center. The primaryoutcome was 30 day mortality.Results: A total of the 169 patients HCAP 36 (21.3%); CAP 133 (78.7%)were evaluated. HCAP patients were older than patients with CAP [medianage was 72.5 (43-96), 60.0 (18-91) years p< 0.05]. The most commonKlebsiella pneumoniae (16.6%) and Pseudomonas aeruginosa (8.3%) weregram-negative bacteria in the SBİP group; In the TGP group, gram-positivebacteria were more frequently isolated. Polymicrobial agents (22.2% vs.3.7% p< 0.05) and MDR pathogens (57.1% vs. 24% p< 0.05) were morecommon in patients with HCAP. Mortality rate (22.2% vs. 6% p< 0.05) wasalso higher in HCAP more than CAP.Conclusion: HCAP was common among patients with pneumonia requiringhospitalization and mortality rate was high. The patients with HCAP weredifferent from CAP in terms of demographic and clinical features, etiology,outcome.