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Predictive risk factors for L. monocytogenes meningitis compared to pneumococcal meningitis: a multicenter case-control study

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Author(s)
Seungjin LimDoo Ryeon ChungYeon‑Sook KimKyung Mok SohnSeung‑Ji KangSook‑In JungShin‑Woo KimHyun Ha ChangSeung Soon LeeIn‑Gyu BaeJin Seo LeeChisook MoonHyun Kyun KiHyun Ah KimSeong Yeol RyuJoon‑Sup YeomJun Seong SonSoo‑youn MoonKi Tae KwonHyuck LeeSang Taek HeoCheol‑In KangKyong Ran PeckJae‑Hoon SongJi‑Young Rhee
Keimyung Author(s)
Ryu, Seong YeolKim, Hyun Ah
Department
Dept. of Internal Medicine (내과학)
Journal Title
Infection
Issued Date
2017
Volume
45
Issue
1
Keyword
Immunocompromised hostLiver diseasesElderly Streptococcus pneumoniaeListeriosis
Abstract
Purpose Various immunocompromised conditions increase
the risk of meningitis caused by Listeria monocytogenes.
However, the relative importance of these risk factors has
not been well established. We determined the risk factors
that predict meningitis due to L. monocytogenes compared
to that caused by Streptococcus pneumoniae.
Methods A nationwide multicenter case–control study
was conducted in Korea. Cases of meningitis caused by
L. monocytogenes between 1998 and 2013 were included.
Patients with pneumococcal meningitis were included as controls. Multivariate logistic regression analysis was used
to predict the risk factors of Listeria meningitis.
Results A total of 36 cases and 113 controls were enrolled.
The most significant predictive risk factor of Listeria meningitis
was a prior history of receiving immunosuppressive
therapy (odds ratio 8.12, 95 % CI 2.47–26.69). Chronic
liver disease was the second most important predictive risk
factor (OR 5.03, 95 % CI 1.56–16.22). Delaying appropriate
antibiotic therapy by more than 6 h (hazard ratio 2.78)
and fatal underlying disease (hazard ratio 2.88) were associated
with increased mortality.
Keimyung Author(s)(Kor)
류성열
김현아
Publisher
School of Medicine
Citation
Seungjin Lim et al. (2017). Predictive risk factors for L. monocytogenes meningitis compared to pneumococcal meningitis: a multicenter case-control study. Infection, 45(1), 67–74. doi: 10.1007/s15010-016-0939-2
Type
Article
ISSN
0300-8126
Source
https://link.springer.com/article/10.1007%2Fs15010-016-0939-2
DOI
10.1007/s15010-016-0939-2
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32771
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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