作者
Anna Rozaliyani, Rudyanto Sedono, Anwar Jusuf, Cleopas M Rumende, Wahju Aniwidyaningsih, Erlina Burhan, Diah Handayani, Evy Yunihastuti, Forman E Siagian, Achmad M Jayusman, Adria Rusli, Saleha Sungkar, Joedo Prihartono, Ferry Hagen, Jacques F Meis, Retno Wahyuningsih
发表日期
2019/2
期刊
Saudi medical journal
卷号
40
期号
2
页码范围
140
出版商
Saudi medical journal
简介
Objectives:
To improve the quality of invasive pulmonary aspergillosis (IPA) management for intensive care unit (ICU) patients using a practical diagnostic scoring model.
Methods:
This nested case-control study aimed to determine the incidence of IPA in 405 ICU patients, between July 2012 and June 2014, at 6 hospitals in Jakarta, Indonesia. Phenotypic identifications and galactomannan (GM) tests of sera and lung excreta were performed in mycology laboratory, Parasitology Department, Faculty of Medicine, Universitas Indonesia in Jakarta, Indonesia.
Results:
The incidence of IPA in the ICUs was 7.7%(31 of 405 patients). A scoring model used for IPA diagnosis showed 4 variables as the most potential risk factors: lung excreta GM index (score 2), solid organ malignancy (score 2), pulmonary tuberculosis (score 2), and systemic corticosteroids (score 1). Patients were included in a high-risk group if their score was> …
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A Rozaliyani, R Sedono, A Jusuf, CM Rumende… - Saudi medical journal, 2019