International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
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Int. J. Infect. Dis. · Jan 2009
The economic impact of aspergillosis: analysis of hospital expenditures across patient subgroups.
To measure the impact of invasive aspergillosis infection on US hospital costs and financial performance across different patient populations. ⋯ Aspergillosis affects a wide range of patient groups and has a negative economic impact across many DRGs. Improved prevention, diagnosis, and patient management strategies can help mitigate these effects on hospital financial performance.
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To investigate the incidence, risk factors, causative fungi, and outcomes of fungemia in adult, non-HIV-infected patients. ⋯ Candidemia, especially that caused by non-albicans Candida, was an important nosocomial infection in this tertiary care hospital in Northeast Thailand. The mortality rate was high, particularly in patients who were critically ill. Rapid diagnosis and early treatment are therefore important challenges for improving clinical outcomes.
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Int. J. Infect. Dis. · Jan 2009
Acute respiratory failure due to Pneumocystis pneumonia: outcome and prognostic factors.
To examine the outcome and prognostic factors of in-hospital mortality in patients with acute respiratory failure (ARF) caused by Pneumocystis pneumonia (PCP) admitted to a medical intensive care unit. ⋯ The mortality rate in patients with ARF caused by PCP was high. Various variable factors were related to a poor prognosis. For improved survival, multimodality treatments are needed to reduce these risk factors.
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Int. J. Infect. Dis. · Jan 2009
Case ReportsStreptococcus pyogenes subdural empyema not detected by computed tomography.
A previously healthy 5-year-old boy presented with a non-specific febrile illness and seizures. Streptococcus pyogenes was identified in his blood culture. ⋯ Our patient diverges from the few previously reported S. pyogenes intracranial infections in that there was neither an adjacent infection nor a bacterial meningitis. In addition, we discuss the few studies addressing the sensitivity of CT for the diagnosis of bacterial intracranial infections.