Publications by authors named "Nam Su Ku"

Background: Septic arthritis is frequently complicated by bloodstream infection (BSI), which can lead to metastatic infections and sepsis. In the current study, we aimed to identify risk factors for septic arthritis-related BSI and assess its impact on clinical outcomes.

Methods: A retrospective review spanning 15 years (January 2009 to May 2023) was conducted on patients diagnosed with septic arthritis.

View Article and Find Full Text PDF

Background: Despite recent advances and global improvements in sepsis recognition and supportive care, mortality rates remain high, and adherence to sepsis bundle components in Korea is low. To address this, the Korean Sepsis Alliance, affiliated with the Korean Society of Critical Care Medicine, developed the first sepsis treatment guidelines for Korea based on a comprehensive systematic review and meta-analysis.

Methods: A de novo method was used to develop the guidelines.

View Article and Find Full Text PDF

Background: We aimed to assess the incidence of infective endocarditis (IE) and evaluate the impact of hypertension (HTN) with underweight on the risk of IE among patients with diabetic mellitus (DM) using a nationwide population-based cohort in Korea.

Methods: We identified 2,603,012 participants (57.4 ± 12.

View Article and Find Full Text PDF
Article Synopsis
  • The study examined how weight changes in diabetic patients affect the risk of developing infective endocarditis (IE).
  • It involved over 1.7 million patients, assessing weight variations and their correlation with IE occurrences during a follow-up period.
  • Findings showed that both significant weight loss and weight gain increase the risk of developing IE, with more extreme changes leading to higher risk levels.
View Article and Find Full Text PDF
Article Synopsis
  • Renal replacement therapy (RRT) is critical for treating sepsis-related acute kidney injury (AKI), but its ideal timing is debated; this study focused on the effects of starting continuous kidney replacement therapy (CKRT) within 6 hours of AKI onset.
  • Analyzing data from the MIMIC-IV database, the study found that patients who received early CKRT had a significantly lower 28-day mortality rate compared to those who started later (26.7% vs. 43.9%).
  • Additionally, early CKRT patients experienced more days without needing mechanical ventilation or vasopressors, indicating better overall clinical outcomes despite no significant difference when comparing CKRT initiation within 12 hours versus later.
View Article and Find Full Text PDF
Article Synopsis
  • A study investigated the long-term effects of COVID-19 on lymphoma patients to understand the frequency, risk factors, and mortality associated with prolonged COVID-19.
  • Among 583 lymphoma patients analyzed, 19.7% were diagnosed with COVID-19, with 24 of those experiencing prolonged symptoms, particularly linked to specific treatments like rituximab after bendamustine and rituximab therapy.
  • Prolonged COVID-19 significantly increased the risk of hospitalization and was identified as an independent risk factor for higher mortality within a year.
View Article and Find Full Text PDF
Article Synopsis
  • Severe fever with thrombocytopenia syndrome (SFTS) is caused by the SFTS virus (SFTSV) and is transmitted by ticks.
  • CP-COV03 is a new antiviral drug that improves the availability of niclosamide, which has shown effectiveness against over 30 viruses in testing.
  • The study tested CP-COV03 on SFTSV-infected Vero cells and found that it significantly reduced viral effects, suggesting it could be a promising treatment for SFTS.
View Article and Find Full Text PDF
Article Synopsis
  • Korea is experiencing a steady increase in newly diagnosed HIV cases, with women living with HIV making up 6.4% of the population, yet research on this group is limited.
  • A study analyzed data from 443 women living with HIV, identifying heterosexual contact as the primary risk factor, with 91.2% receiving antiretroviral therapy.
  • Findings showed significant health outcomes, including 118 pregnancies and various health issues such as breast and cervical cancer, indicating the need for focused health strategies for women with HIV in Korea.
View Article and Find Full Text PDF

Patients with diabetes mellitus (DM) are at a higher risk of infectious diseases, and exercise is an important treatment modality for DM. Despite their susceptibility to infection in diabetic patients, the association between the amount of physical activity and the incidence of infective endocarditis (IE) is unclear. We attempted to demonstrate risk reduction by physical activity in diabetic patients with IE.

View Article and Find Full Text PDF

With advancements in antiretroviral therapy (ART), the average lifespan of people with human immunodeficiency virus (HIV) is increasing, as is the number of older adults with HIV. Accordingly, the number of patients with HIV who undergo surgery or require critical care for various reasons is increasing. Since the prognosis of people with HIV depends on the continuous and effective maintenance of ART, there is a need to consider effectively maintaining ART in people with HIV in these conditions.

View Article and Find Full Text PDF
Article Synopsis
  • This study aimed to explore how the use of contrast mediums during CT scans impacts long-term mortality and kidney function in patients suffering from septic acute kidney injury (AKI).
  • It analyzed data from 1,521 patients with septic shock, comparing outcomes of those who received contrast vs. non-contrast CT scans, focusing on mortality and dialysis rates within 90 days.
  • The results showed no significant differences in 90-day mortality, dialysis rates, or worsening kidney function between the two groups, suggesting that using intravenous contrast does not negatively affect patients with septic AKI.
View Article and Find Full Text PDF

Solid organ transplant (SOT) recipients are at significant risk of hepatitis B (HB) virus (HBV) reactivation (HBVr). Despite the clinical significance of HBVr after solid organ transplantation, data on the risk factors for HBVr and vaccine effectiveness in SOT recipients with resolved HBV infection are limited. This study evaluated the risk factors for HBVr and the seroconversion rates after HBV vaccination in SOT recipients.

View Article and Find Full Text PDF

Right-sided infective endocarditis (RSIE) is less common than left-sided infective endocarditis (LSIE) and exhibits distinct epidemiological, clinical, and microbiological characteristics. Previous studies have focused primarily on RSIE in patients with intravenous drug use. We investigated the characteristics and risk factors for RSIE in an area where intravenous drug use is uncommon.

View Article and Find Full Text PDF

Background: Even amid the coronavirus disease-19 (COVID-19) pandemic, the spread of multidrug-resistant bacteria and infection control are still important tasks. After recognizing the carbapenem-resistant (CRAB) outbreak that occurred in the isolation room for COVID-19, we would like to introduce what infection control measures were implemented to eradicate it.

Materials And Methods: All COVID-19 patients with CRAB in any specimen admitted to the COVID-19 isolation ward of the tertiary hospital in Korea from October to November 2021 were analyzed.

View Article and Find Full Text PDF

Background: The obesity paradox suggests that individuals with obesity may have a survival advantage against specific critical illnesses, including sepsis. However, whether this paradox occurs at younger ages remains unclear. Therefore, we aimed to investigate whether obesity could improve survival in younger adult patients with sepsis.

View Article and Find Full Text PDF

Background: Little is known about the risk factors and frequency of metronidazole-associated neurological adverse events.

Objective: To investigate the risk factors and frequency of metronidazole-associated neurological adverse events.

Design: This retrospective study contained two parts.

View Article and Find Full Text PDF

Purpose: We aimed to explore the clinical characteristics of Campylobacter bacteraemia and identify the trends, risk factors for mortality, and antimicrobial susceptibility patterns from clinical samples.

Methods: This retrospective cohort study included patients confirmed to have Campylobacter bacteraemia from seven hospitals between January 2010 and June 2021. Data on demographics and underlying history, clinical manifestation, and antimicrobial susceptibility patterns were collected and analyzed.

View Article and Find Full Text PDF

Introduction: Gut microbiota dysbiosis is associated with susceptibility to sepsis and poor outcomes. However, changes to the intestinal microbiota during sepsis and their value as biomarkers are unclear. In this study, we compared the intestinal microbiota of patients with sepsis and healthy controls.

View Article and Find Full Text PDF
Article Synopsis
  • * The study included 248 patients, revealing that a small number were ANA-positive and a larger group were aPL-positive, with follow-up showing varying persistence of these autoantibodies over time.
  • * Despite findings of autoantibody positivity, no significant differences in clinical outcomes were observed between autoantibody-positive and negative patients, although those with IgG aCL showed a trend towards worse outcomes, indicating further research is needed to
View Article and Find Full Text PDF

Introduction: The incidence of postendoscopic retrograde cholangiopancreatography (ERCP) infections is reported to be up to 18% in patients with biliary obstruction. Antibiotic prophylaxis may reduce the risk of infectious complications after ERCP; however, the clinical value of prophylactic antibiotics in ERCP remains controversial.

Methods: We conducted a double-blind, placebo-controlled, randomized trial to investigate whether the use of prophylactic antibiotics would reduce infectious complications after ERCP in patients with biliary obstruction.

View Article and Find Full Text PDF

Progressive multifocal leukoencephalopathy (PML) is a rare but fatal opportunistic infection and mainly occurs in patients with immunosuppressive conditions. Despite the increasing number of patients receiving immunosuppressive treatments, studies on PML are still lacking due to its low prevalence and incidence. We retrospectively reviewed patients diagnosed with PML in two tertiary hospitals in South Korea from 1999 to 2021.

View Article and Find Full Text PDF

Human immunodeficiency virus (HIV) infection causes chronic inflammation in affected individuals. Chronic inflammation may hinder immunological recovery. Treatment with combination antiretroviral therapy (cART) is insufficient to reduce inflammation.

View Article and Find Full Text PDF

Background: Bloodstream infection (BSI) caused by carbapenem-resistant (CRE) significantly influences patient morbidity and mortality. We aimed to identify the characteristics, outcomes, and risk factors of mortality in adult patients with CRE bacteremia and elucidate the differences between carbapenemase-producing (CP)-CRE BSI and non-CP-CRE BSI.

Methods: This retrospective study included 147 patients who developed CRE BSI between January 2016 and January 2019 at a large tertiary care hospital in South Korea.

View Article and Find Full Text PDF

A PHP Error was encountered

Severity: Warning

Message: fopen(/var/lib/php/sessions/ci_session4tds7cfebof5jgivdahp2snn10579v66): Failed to open stream: No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 177

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: session_start(): Failed to read session data: user (path: /var/lib/php/sessions)

Filename: Session/Session.php

Line Number: 137

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once