Clinical or epidemiologic diagnosis of nosocomial pneumonia: is there any difference?
作者： Klaus-Dieter Beck , Petra Gastmeier
DOI: 10.1016/S0196-6553(02)48203-X
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摘要: Abstract Objective To evaluate the draft Centers for Disease Control and Prevention definitions of nosocomial pneumonia in comparison with current CDC to increase acceptance by intensive care specialists. Setting A 12-bed medical unit a German teaching hospital. Method Clinicians were asked retrospectively assess all patients year 1999 according 3 different pneumonia: definitions, their own clinical criteria diagnosing treating. test agreement observed between sets criteria, κ method described Fleiss was used; evaluating strength various categories, recommendations Landis Koch applied. Results One thousand eight hundred forty-two assessed. According 31 developed during stay unit. The number cases 30 32. However, intermediate = 0.62 (95% CI, 0.47-0.76) but excellent 0.98 0.95-1.02). Conclusion Even though are useful, assessment greater draftdefinitions might lead improved surveillance data
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