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6. The role of infectious disease consultations in the management of patients with fever in a long-term care facility.

Author

Moon, Soo-youn, Lim, Kyoung Ree, and Son, Jun Seong

Subjects
LONG-term care facilities, COMMUNICABLE diseases, DISEASE management, FEVER, SEPTIC shock, BODY temperature
Abstract

Background: Infectious disease (ID) clinicians can provide essential services for febrile patients in tertiary hospitals. The aim of this study was to evaluate the role of ID consultations (IDC) in managing hospitalized patients with infections in an oriental medical hospital (OMH), which serves as a long-term care facility. To our knowledge, this is the first study on the role of IDCs in managing patients in an OMH. Methods: This retrospective study was conducted in an OMH in Seoul, Korea, from June 2006 to June 2013. Results: Among the 465 cases of hospital-acquired fever, 141 (30.3%) were referred for ID. The most common cause of fever was infection in both groups. The peak body temperature of the patient was higher in IDC group (38.8±0.6°C vs. 38.6±0.5°C, p<0.001). Crude mortality at 30 days (14.6% vs. 7.8%, p = 0.043) and infection-attributable mortality (15.3% vs. 6.7%, p = 0.039) were higher in the No-IDC group. Multivariable analysis showed that infection as the focus of fever (adjusted Odd ratio [aOR] 3.49, 95% confidence interval (CI) 1.64–7.44), underlying cancer (aOR 10.32, 95% CI 4.34–24.51,), and multiorgan dysfunction syndrome (aOR 15.68, 95% CI 2.06–119.08) were associated with increased 30-day mortality. Multivariate analysis showed that in patients with infectious fever, appropriate antibiotic therapy (aOR 0.19, 95% CI 0.05–0.76) was the only factor associated with decreased infection-attributable mortality while underlying cancer (aOR 7.80, 95% CI 2.555–23.807) and severe sepsis or septic shock at the onset of fever (aOR 10.15, 95% CI 1.00–102.85) were associated with increased infection-attributable mortality. Conclusion: Infection was the most common cause of fever in patients hospitalized for OMH. Infection as the focus of fever, underlying cancer, and MODS was associated with increased 30-day mortality in patients with nosocomial fever. Appropriate antibiotic therapy was associated with decreased infection-attributable mortality in patients with infectious fever. [ABSTRACT FROM AUTHOR]

Published
2023
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7. Predictive risk factors for Listeria monocytogenes meningitis compared to pneumococcal meningitis: a multicenter case–control study

Author

Lim, Seungjin, Chung, Doo Ryeon, Kim, Yeon-Sook, Sohn, Kyung Mok, Kang, Seung-Ji, Jung, Sook-In, Kim, Shin-Woo, Chang, Hyun Ha, Lee, Seung Soon, Bae, In-Gyu, Moon, Chisook, Rhee, Ji-Young, Lee, Jin Seo, Ki, Hyun Kyun, Kim, Hyun Ah, Ryu, Seong Yeol, Yeom, Joon-Sup, Son, Jun Seong, Moon, Soo-youn, Kwon, Ki Tae, Lee, Hyuck, Heo, Sang Taek, Kang, Cheol-In, Peck, Kyong Ran, and Song, Jae-Hoon

Published
2017
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12. Clinical impact of methicillin resistance on outcome of patients with Staphylococcus aureus infection: A stratified analysis according to underlying diseases and sites of infection in a large prospective cohort

Author

Kang, Cheol-In, Song, Jae-Hoon, Chung, Doo Ryeon, Peck, Kyong Ran, Ko, Kwan Soo, Yeom, Joon-Sup, Kim, Shin-Woo, Chang, Hyun-Ha, Kim, Yeon-Sook, Jung, Sook-In, Son, Jun Seong, Hsueh, Po-Ren, So, Thomas Man-kit, Lalitha, M.K., Yang, Yonghong, Huang, Shao-Guang, Wang, Hui, Lu, Quan, Carlos, Celia C., Perera, Jennifer A., Chiu, Cheng-Hsun, Liu, Jien-Wei, Chongthaleong, Anan, Thamlikitkul, Visanu, and Van Pham, Hung

Published
2010
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16. Spread of methicillin-resistant Staphylococcus aureus between the community and the hospitals in Asian countries: an ANSORP study

Author

Song, Jae-Hoon, Hsueh, Po-Ren, Chung, Doo Ryeon, Ko, Kwan Soo, Kang, Cheol-In, Peck, Kyong Ran, Yeom, Joon-Sup, Kim, Shin-Woo, Chang, Hyun-Ha, Kim, Yeon-Sook, Jung, Sook-In, Son, Jun Seong, So, Thomas Man-kit, Lalitha, M. K., Yang, Yonghong, Huang, Shao-Guang, Wang, Hui, Lu, Quan, Carlos, Celia C., Perera, Jennifer A., Chiu, Cheng-Hsun, Liu, Jien-Wei, Chongthaleong, Anan, Thamlikitkul, Visanu, Van, Pham Hung, Song, Jae-Hoon, Chung, Doo Ryeon, Yeom, Joon-Sup, Lee, Hyuck, Kim, Shin-Woo, Chang, Hyun-Ha, Kim, Yeon-Sook, Jung, Sook-In, Son, Jun Seong, So, Thomas M. K., Thamlikitkul, Visanu, Chongthaleong, Anan, Hsueh, Po-Ren, Chiu, Cheng-Hsun, Liu, David Jien-Wei, Lalitha, M. K., Mathai, Dilip, Perera, Jennifer, Hung Van, Pham, Van Ngoc, Tran, and Carlos, Celia C.

Published
2011
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18. Is adjunctive corticosteroid beneficial in pneumococcal meningitis in a region with high rates of resistance to penicillin and ceftriaxone?

Author

Moon, Soo-Youn, Chung, Doo Ryeon, Kim, Shin-Woo, Chang, Hyun Ha, Lee, Hyuck, Jung, Dong Sik, Kim, Yeon-Sook, Jung, Sook In, Ryu, Seong Yeol, Heo, Sang Taek, Moon, Chisook, Ki, Hyun Kyun, Son, Jun Seong, Kwon, Ki Tae, Shin, Sang Yop, Lee, Jin Seo, Lee, Seung Soon, Rhee, Ji-Young, Kang, Cheol-In, Peck, Kyong Ran, and Song, Jae-Hoon

Published
2012
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20. Clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries: a study by the Asian Network for Surveillance of Resistant Pathogens

Author

Song, Jae-Hoon, Jung, Sook-In, Ki, Hyun Kyun, Shin, Myung-Hee, Ko, Kwan Soo, Son, Jun Seong, Chang, Hyun-Ha, Kim, Shin Woo, Lee, Hyuck, Kim, Yeon-Sook, Oh, Won Sup, Peck, Kyong Ran, Chongthaleong, Anan, Lalitha, M.K., Perera, Jennifer, Yee, Ti Teow, Jamal, Farida, Kamarulzaman, Adeeba, Carlos, Celia C., and So, Thomas

Subjects
Antibiotics -- Health aspects, Antibiotics -- Research, Pneumonia, Pneumococcal -- Development and progression, Pneumonia, Pneumococcal -- Care and treatment, Pneumonia, Pneumococcal -- Research, Streptococcus pneumoniae -- Development and progression, Streptococcus pneumoniae -- Care and treatment, Streptococcus pneumoniae -- Research, Health, Health care industry
Published
2004

23. Predominance of an ST11 extended-spectrum β-lactamase-producing Klebsiella pneumoniae clone causing bacteraemia and urinary tract infections in Korea

Author

Ko, Kwan Soo, Lee, Ji-Young, Baek, Jin Yang, Suh, Ji-Yoeun, Lee, Mi Young, Choi, Ji Young, Yeom, Joon-Sup, Kim, Yeon-Sook, Jung, Sook-In, Shin, Sang Yop, Heo, Sang Taek, Kwon, Ki Tae, Son, Jun Seong, Kim, Shin-Woo, Chang, Hyun-Ha, Ki, Hyun Kyun, Chung, Doo Ryeon, Peck, Kyong Ran, and Song, Jae-Hoon

Published
2010
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28. Predictive risk factors for Listeria monocytogenes meningitis compared to pneumococcal meningitis: a multicenter case–control study

Author

Lim, Seungjin, primary, Chung, Doo Ryeon, additional, Kim, Yeon-Sook, additional, Sohn, Kyung Mok, additional, Kang, Seung-Ji, additional, Jung, Sook-In, additional, Kim, Shin-Woo, additional, Chang, Hyun Ha, additional, Lee, Seung Soon, additional, Bae, In-Gyu, additional, Moon, Chisook, additional, Rhee, Ji-Young, additional, Lee, Jin Seo, additional, Ki, Hyun Kyun, additional, Kim, Hyun Ah, additional, Ryu, Seong Yeol, additional, Yeom, Joon-Sup, additional, Son, Jun Seong, additional, Moon, Soo-youn, additional, Kwon, Ki Tae, additional, Lee, Hyuck, additional, Heo, Sang Taek, additional, Kang, Cheol-In, additional, Peck, Kyong Ran, additional, and Song, Jae-Hoon, additional

Published
2016
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30. The cefazolin inoculum effect in methicillin-susceptible Staphylococcus aureus blood isolates: their association with dysfunctional accessory gene regulator (agr)

Author

Wi, Yu Mi, primary, Park, Young Kyoung, additional, Moon, Chisook, additional, Ryu, Seong Yeol, additional, Lee, Hyuck, additional, Ki, Hyun Kyun, additional, Cheong, Hae Suk, additional, Son, Jun Seong, additional, Lee, Jin Seo, additional, Kwon, Ki Tae, additional, Kim, June Myong, additional, Ha, Young Eun, additional, Kang, Cheol In, additional, Ko, Kwan Soo, additional, Chung, Doo Ryeon, additional, Peck, Kyong Ran, additional, and Song, Jae-Hoon, additional

Published
2015
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31. Anti-anaerobic coverage is not necessary for Klebsiella pneumoniae liver abscess: a propensity score–matched cohort study

Author

Kim, Hyun Ah, primary, Chung, Doo Ryeon, additional, Yeom, Joon-Sup, additional, Ki, Hyun Kyun, additional, Cheong, Hae Suk, additional, Son, Jun Seong, additional, Lee, Jin Seo, additional, Moon, Soo-youn, additional, Lee, Seung Soon, additional, Lee, Jeong-A, additional, Park, Kyung-Hwa, additional, Kang, Seung-Ji, additional, Jung, Sook-In, additional, Kim, Shin-Woo, additional, Chang, Hyun Ha, additional, Ryu, Seong Yeol, additional, Kwon, Ki Tae, additional, Moon, Chisook, additional, Wi, Yu Mi, additional, Heo, Sang Taek, additional, Joung, Mi Kyong, additional, Kang, Cheol-In, additional, Peck, Kyong Ran, additional, and Song, Jae-Hoon, additional

Published
2015
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38. High prevalence of antimicrobial resistance among clinical Streptococcus pneumoniae isolates in Asia (an ANSORP study)

Author

Song, Jae Hoon, Jung, Sook In, Ko, Kwan Soo, Kim, Na Young, Son, Jun Seong, Chang, Hyun Ha, Ki, Hyun Kyun, Oh, Won Sup, Suh, Ji Yoeun, Peck, Kyong Ran, Lee, Nam Yong, Yang, Yonghong, Lu, Quan, Chongthaleong, Anan, Chiu, Cheng Hsun, Lalitha, Mukkai Kesavan, Perera, Jennifer A., Yee, Ti Teow, Kumarasinghe, Gamini, Jamal, Farida, Kamarulzaman, Adeeba, Parasakthi, Navaratnam, Van Hung, Pham, Carlos, Celia Carpio, So, Thomas Man-Kit, Ng, Tak Keung, Shibl, Atef M., Song, Jae Hoon, Jung, Sook In, Ko, Kwan Soo, Kim, Na Young, Son, Jun Seong, Chang, Hyun Ha, Ki, Hyun Kyun, Oh, Won Sup, Suh, Ji Yoeun, Peck, Kyong Ran, Lee, Nam Yong, Yang, Yonghong, Lu, Quan, Chongthaleong, Anan, Chiu, Cheng Hsun, Lalitha, Mukkai Kesavan, Perera, Jennifer A., Yee, Ti Teow, Kumarasinghe, Gamini, Jamal, Farida, Kamarulzaman, Adeeba, Parasakthi, Navaratnam, Van Hung, Pham, Carlos, Celia Carpio, So, Thomas Man-Kit, Ng, Tak Keung, and Shibl, Atef M.

Abstract

A total of 685 clinical Streptococcus pneumoniae isolates from patients with pneumococcal diseases were collected from 14 centers in 11 Asian countries from January 2000 to June 2001. The in vitro susceptibilities of the isolates to 14 antimicrobial agents were determined by the broth microdilution test. Among the isolates tested, 483 (52.4%) were not susceptible to penicillin, 23% were intermediate, and 29.4% were penicillin resistant (MICs ≥ 2 mg/liter). Isolates from Vietnam showed the highest prevalence of penicillin resistance (71.4%), followed by those from Korea (54.8%), Hong Kong (43.2%), and Taiwan (38.6%). The penicillin MICs at which 90% of isolates are inhibited (MIC90s) were 4 mg/liter among isolates from Vietnam, Hong Kong, Korea, and Taiwan. The prevalence of erythromycin resistance was also very high in Vietnam (92.1%), Taiwan (86%), Korea (80.6%), Hong Kong (76.8%), and China (73.9%). The MIC90s of erythromycin were >32 mg/liter among isolates from Korea, Vietnam, China, Taiwan, Singapore, Malaysia, and Hong Kong. Isolates from Hong Kong showed the highest rate of ciprofloxacin resistance (11.8%), followed by isolates from Sri Lanka (9.5%), the Philippines (9.1%), and Korea (6.5%). Multilocus sequence typing showed that the spread of the Taiwan19F clone and the Spain23F clone could be one of the major reasons for the rapid increases in antimicrobial resistance among S. pneumoniae isolates in Asia. Data from the multinational surveillance study clearly documented distinctive increases in the prevalence rates and the levels of antimicrobial resistance among S. pneumoniae isolates in many Asian countries, which are among the highest in the world published to date.

Published
2004

39. Clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries: a study by the Asian network for surveillance of resistant pathogens

Author

Song, Jae Hoon, Jung, Sook In, Ki, Hyun Kyun, Shin, Myung Hee, Ko, Kwan Soo, Son, Jun Seong, Chang, Hyun Ha, Kim, Shin Woo, Lee, Hyuck, Kim, Yeon Sook, Oh, Won Sup, Peck, Kyong Ran, Chongthaleong, Anan, Lalitha, Mukkai Kesavan, Perera, Jennifer, Yee, Ti Teow, Jamal, Farida, Kamarulzaman, Adeeba, Carlos, Celia Carpio, So, Thomas Man Kit, Song, Jae Hoon, Jung, Sook In, Ki, Hyun Kyun, Shin, Myung Hee, Ko, Kwan Soo, Son, Jun Seong, Chang, Hyun Ha, Kim, Shin Woo, Lee, Hyuck, Kim, Yeon Sook, Oh, Won Sup, Peck, Kyong Ran, Chongthaleong, Anan, Lalitha, Mukkai Kesavan, Perera, Jennifer, Yee, Ti Teow, Jamal, Farida, Kamarulzaman, Adeeba, Carlos, Celia Carpio, and So, Thomas Man Kit

Abstract

To evaluate the clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries, we performed a prospective observational study of 233 cases of adult pneumococcal pneumonia in 9 Asian countries from January 2000 to June 2001. Among 233 isolates, 128 (55%) were not susceptible to penicillin (25.3% were intermediately susceptible, and 29.6% were resistant). Clinical severity of pneumococcal pneumonia was not significantly different between antibiotic-resistant and antibiotic-susceptible groups. Mortality rates among patients with pneumococcal pneumonia caused by penicillin-, cephalosporin-, or macrolide-resistant strains were not higher than those with antibiotic-susceptible pneumococcal pneumonia. Bacteremia and mechanical ventilation were significant risk factors for death, but any kind of antibiotic resistance was not associated with increased mortality due to pneumococcal pneumonia. Outcome of pneumococcal pneumonia was not significantly affected by drug resistance, and current antimicrobial regimens are mostly effective in the treatment of pneumococcal pneumonia, despite the widespread emergence of in vitro resistance.

Published
2004

46. Bloodstream Infections and Clinical Significance of Healthcare-associated Bacteremia: A Multicenter Surveillance Study in Korean Hospitals

Author

Son, Jun Seong, primary, Song, Jae-Hoon, additional, Ko, Kwan Soo, additional, Yeom, Joon Sup, additional, Ki, Hyun Kyun, additional, Kim, Shin-Woo, additional, Chang, Hyun-Ha, additional, Ryu, Seong Yeol, additional, Kim, Yeon-Sook, additional, Jung, Sook-In, additional, Shin, Sang Yop, additional, Oh, Hee Bok, additional, Lee, Yeong Seon, additional, Chung, Doo Ryeon, additional, Lee, Nam Yong, additional, and Peck, Kyong Ran, additional

Published
2010
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48. Evaluation of Ceftriaxone Utilization at Multicenter Study

Author

Lee, Hyuck, primary, Jung, Dongsik, additional, Yeom, Joon Sup, additional, Son, Jun Seong, additional, Jung, Sook-In, additional, Kim, Yeon-Sook, additional, Kim, Chun Kwan, additional, Chang, Hyun-Ha, additional, Kim, Shin-Woo, additional, Ki, Hyun Kyun, additional, Moon, Chi Sook, additional, Chung, Doo Ryeon, additional, Peck, Kyong Ran, additional, Song, Jae-Hoon, additional, and Woo, Gun-Jo, additional

Published
2009
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