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    Improved Survival Among Icu-Hospitalized Patients With Community-Acquired Pneumonia by Unidentified Organisms: A Multicenter Case-Control Study

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    This study compared mortality rates between ICU patients with community-acquired pneumonia (CAP) from 2000-2002 and 2008-2015. The study found improved survival over the 15-year period in all subsets of ICU patients with CAP. Better implementation of clinical guidelines, including early antibiotic therapy and antibiotic combinations, was associated with the improved survival rates. The primary objective was achieved in showing lower mortality in the later 2008-2015 cohort compared to the earlier 2000-2002 cohort of severe CAP patients admitted to the ICU.

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    Improved Survival Among Icu-Hospitalized Patients With Community-Acquired Pneumonia by Unidentified Organisms: A Multicenter Case-Control Study

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    19 views12 pages
    This study compared mortality rates between ICU patients with community-acquired pneumonia (CAP) from 2000-2002 and 2008-2015. The study found improved survival over the 15-year period in all subsets of ICU patients with CAP. Better implementation of clinical guidelines, including early antibiotic therapy and antibiotic combinations, was associated with the improved survival rates. The primary objective was achieved in showing lower mortality in the later 2008-2015 cohort compared to the earlier 2000-2002 cohort of severe CAP patients admitted to the ICU.

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    pneumonia

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    Presentation 2

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    This study compared mortality rates between ICU patients with community-acquired pneumonia (CAP) from 2000-2002 and 2008-2015. The study found improved survival over the 15-year period in all subsets of ICU patients with CAP. Better implementation of clinical guidelines, including early antibiotic therapy and antibiotic combinations, was associated with the improved survival rates. The primary objective was achieved in showing lower mortality in the later 2008-2015 cohort compared to the earlier 2000-2002 cohort of severe CAP patients admitted to the ICU.

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    19 views12 pages

    Improved Survival Among Icu-Hospitalized Patients With Community-Acquired Pneumonia by Unidentified Organisms: A Multicenter Case-Control Study

    Uploaded by

    sigit_ananda07
    This study compared mortality rates between ICU patients with community-acquired pneumonia (CAP) from 2000-2002 and 2008-2015. The study found improved survival over the 15-year period in all subsets of ICU patients with CAP. Better implementation of clinical guidelines, including early antibiotic therapy and antibiotic combinations, was associated with the improved survival rates. The primary objective was achieved in showing lower mortality in the later 2008-2015 cohort compared to the earlier 2000-2002 cohort of severe CAP patients admitted to the ICU.

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    of 12

    Journal Reading

    IMPROVED SURVIVAL AMONG ICU-HOSPITALIZED


    PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA BY
    UNIDENTIFIED ORGANISMS:
    a multicenter case-control study
    J. Rello1,2 & E. Diaz2,3 & R. Maez4 & J. Sole-Violan2,5 & J. Valles2,6 & L. Vidaur2,7 &
    R. Zaragoza8 & S. Gattarello9 & CAPUCI II Consortium

    SIGIT ANANDA
    1407101030284

    dr. HERRY PRIYANTO, Sp.P(K)

    BAGIAN/ SMF PULMONOLOGI FAKULTAS KEDOKTERAN


    UNIVERSITAS SYIAH KUALA/ RSUD dr. ZAINOEL ABIDIN BANDA ACEH
    2017
    Introduction
    Community
    Acquired
    Pneumonia

    Mortality and
    Social cost
    morbidity

    Better
    Early outcome?
    antibiotic
    Severe CAP &
    Antibiotic
    combination
    Worst
    Objective

    Primary Objective
    The primary objective of the present study was to
    compare mortality between two cohorts of patients
    diagnosed with severe CAP in different time periods
    and admitted to the intensive care unit (ICU).

    Secondary Objective
    The secondary objective was to determine whether
    changes in antibiotic policies were associated with
    different outcomes.
    Material and Methods
    The CAPUCI I33 hospitals
    from 2000 to 2002 (n=529)
    Prospective The CAPUCI II 2008-2015
    Cohort (n=616)

    Inclusion criteria
    CAPUCI 1
    Severe CAP was defined as pneumonia that required ICU admission
    following Infectious Diseases Society of America/American Thoracic
    Society (IDSA/ATS) indications

    Exclusion criteria
    CAPUCI II
    Patients with severe chronic illness in whom pneumonia was an
    expected terminal event (do not resuscitate or intubate orders)
    Patients diagnosed with healthcareassociated pneumonia or with a
    no-cardiopulmonary resuscitation indication
    Immune compromise

    Demographic data and


    clinical presentation,
    outcome, and antibiotic
    therapy
    Material and Methods
    Result
    Result
    Result
    Result
    Result
    Conclusion

    Our findings confirm that, over the past 15 years,


    survival for community-acquired pneumonia
    (CAP) in the intensive care unit (ICU) has
    improved in all subsets, like in sepsis, myocardial
    infarction, or stroke. Better implementation of the
    recommendations in the guidelines has been
    associated with improved survival in a condition
    that remains a management challenge, being
    the first cause of sepsis in general ICUs.
    Thank You

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