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To determine which factors are important in predicting the outcome of patients with severe pneumonia requiring mechanical ventilation, we compared 43 surviving pneumonic patients with 37 non-surviving pneumonic patients. The following results were obtained. The following characteristics were noted in the non-surviving patients as compared with surviving patients; 1. a worsening of performance status in the background, 2. presence of physical signs such as hypotension and trachycardia, 3. abnormal laboratory data such as leukocytosis, lymphocytopenia, hypoalbuminemia, hepatorenal dysfunction and metabolic acidosis, 4. presence of massive pulmonary infiltrations on chest roentgenograms, 5. a prevalence of resistant microorganisms for many antibiotics such as MRSA (Methicillin resistant Staphylococcus aureus). These results suggest that the most important factor affecting the prognosis of patients with severe pneumonia requiring mechanical ventilation may by the condition of the host and of the microorganisms rather than antibiotic treatment.
Y Kobashi, and
K Fujita, and
T Karino, and
T Yano, and
J Nakamura, and
N Okimoto, and
T Matsushima, and
R Soejima
June 1998,
Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases,
Y Kobashi, and
K Fujita, and
T Karino, and
T Yano, and
J Nakamura, and
N Okimoto, and
T Matsushima, and
R Soejima
January 2022,
Pediatrics international : official journal of the Japan Pediatric Society,
Y Kobashi, and
K Fujita, and
T Karino, and
T Yano, and
J Nakamura, and
N Okimoto, and
T Matsushima, and
R Soejima
January 2011,
Tuberkuloz ve toraks,
Y Kobashi, and
K Fujita, and
T Karino, and
T Yano, and
J Nakamura, and
N Okimoto, and
T Matsushima, and
R Soejima
October 2006,
Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society,
Y Kobashi, and
K Fujita, and
T Karino, and
T Yano, and
J Nakamura, and
N Okimoto, and
T Matsushima, and
R Soejima
September 2000,
Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society,
Y Kobashi, and
K Fujita, and
T Karino, and
T Yano, and
J Nakamura, and
N Okimoto, and
T Matsushima, and
R Soejima
June 1988,
The American review of respiratory disease,
Y Kobashi, and
K Fujita, and
T Karino, and
T Yano, and
J Nakamura, and
N Okimoto, and
T Matsushima, and
R Soejima
April 2005,
Chang Gung medical journal,
Y Kobashi, and
K Fujita, and
T Karino, and
T Yano, and
J Nakamura, and
N Okimoto, and
T Matsushima, and
R Soejima
January 2013,
International journal of burns and trauma,
Y Kobashi, and
K Fujita, and
T Karino, and
T Yano, and
J Nakamura, and
N Okimoto, and
T Matsushima, and
R Soejima
August 2011,
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy,
Y Kobashi, and
K Fujita, and
T Karino, and
T Yano, and
J Nakamura, and
N Okimoto, and
T Matsushima, and
R Soejima
January 2021,
Pakistan journal of pharmaceutical sciences,
