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Preoperative bacterial culture can predict severe pneumonia in patients receiving esophagectomy
https://fmu.repo.nii.ac.jp/records/2002050
https://fmu.repo.nii.ac.jp/records/200205078a87570-e16f-4113-903b-de9fa1d6a9b3
| 名前 / ファイル | ライセンス | アクション |
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FksmJMedSci_68_p109.pdf (458.9 KB)
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| Item type | デフォルトアイテムタイプ（フル）fmu(1) | |||||||||||||||||||||||||
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| 公開日 | 2022-08-23 | |||||||||||||||||||||||||
| タイトル | ||||||||||||||||||||||||||
| タイトル | Preoperative bacterial culture can predict severe pneumonia in patients receiving esophagectomy | |||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||
| 作成者 |
Kaneta, Akinao
× Kaneta, Akinao
× Sato, Takahiro
× Nakano, Hiroshi
× Matsumoto, Takuro
× Tada, Takeshi
× Watanabe, Yohei
× Hanayama, Hiroyuki
× Hayase, Suguru
× Saze, Zenichiro
× Kono, Koji
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| 権利情報 | ||||||||||||||||||||||||||
| 権利情報Resource | https://creativecommons.org/licenses/by-nc-sa/4.0/ | |||||||||||||||||||||||||
| 権利情報 | © 2022 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. | |||||||||||||||||||||||||
| 内容記述 | ||||||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||||||
| 内容記述 | Background: Postoperative pneumonia is one of the major complications after esophagectomy. The aim of this study was to determine whether bacterial cultures before esophagectomy could predict occurrence of postoperative pneumonia and help treatment strategies for postoperative pneumonia. Methods: Sixty-nine patients who underwent subtotal esophagectomy at Fukushima Medical University Hospital between January 2017 and May 2021 were included in this study. We collected sputum, oral, and/or nasopharyngeal swabs for bacterial culture preoperatively from all patients and from those who were suspected of postoperative pulmonary infections. We compared cultured pathogenic bacteria obtained preoperatively and postoperatively from patients who developed postoperative pneumonia, and investigated their association with incidence of postoperative pneumonia. Results: Postoperative pneumonia occurred in 22 of 69 patients (31%), including 13 cases of severe pneumonia with a Clavien-Dindo classification of grade IIIa or higher. Multivariate analysis revealed that longer operative duration (for 30 minutes increase;odds ratio 1.27, 95% CI 1.01-1.51, p=0.039) and positivity for preoperative bacterial culture (odds ratio 5.03, 95% CI 1.31-19.2, p=0.018) were independent risk factors for severe postoperative pneumonia, but not for all incidences of postoperative pneumonia. Of note, in only 5 of the 22 patients with pneumonia, the same pathogenic species were detected preoperatively and after the onset of pneumonia. Conclusions: Our results imply that preoperative bacterial culture may be useful to predict severe postoperative pneumonia. However, it may not be useful in determining pathogenic bacteria responsible for postoperative pneumonia. | |||||||||||||||||||||||||
| 出版者 | ||||||||||||||||||||||||||
| 出版者 | The Fukushima Society of Medical Science | |||||||||||||||||||||||||
| 言語 | ||||||||||||||||||||||||||
| 言語 | eng | |||||||||||||||||||||||||
| 書誌情報 |
en : Fukushima Journal of Medical Science 巻 68, 号 2, p. 109-116, 発行日 2022 |
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| 関連タイプ | isIdenticalTo | |||||||||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||||||||
| 関連識別子 | https://doi.org/10.5387/fms.2022-09 | |||||||||||||||||||||||||
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| 識別子タイプ | PMID | |||||||||||||||||||||||||
| 関連識別子 | 35934806 | |||||||||||||||||||||||||
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| 識別子タイプ | ICHUSHI | |||||||||||||||||||||||||
| 関連識別子 | 2023252942 | |||||||||||||||||||||||||
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| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||||||
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| 出版タイプ | VoR | |||||||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||||||
| 収録物識別子 | ||||||||||||||||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||||||||||||||||
| 収録物識別子 | 0016-2590 | |||||||||||||||||||||||||
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| 収録物識別子タイプ | EISSN | |||||||||||||||||||||||||
| 収録物識別子 | 2185-4610 | |||||||||||||||||||||||||
| 収録物識別子 | ||||||||||||||||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||||||||||||||||
| 収録物識別子 | AA0065246X | |||||||||||||||||||||||||
| 主題 | ||||||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||||||
| 主題 | bacterial culture | |||||||||||||||||||||||||
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| 主題Scheme | Other | |||||||||||||||||||||||||
| 主題 | pneumonia | |||||||||||||||||||||||||
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| 主題Scheme | Other | |||||||||||||||||||||||||
| 主題 | esophageal carcinoma | |||||||||||||||||||||||||
| 主題 | ||||||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||||||
| 主題 | esophagectomy | |||||||||||||||||||||||||
