“Microbiology and Outcomes of Community Acquired Pneumonia”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
Background: Community acquired pneumonia (CAP) is an acute illness acquired in the community with symptoms suggestive of lower respiratory tract infection (LRTI) together with the presence of a chest radiography of intrapulmonary shadowing which is likely to be new and has no clear alternative cause. Objective: To study the microbiology and different aetiologies of community acquired pneumonia (CAP), the complications associated with community acquired pneumonia, and the treatment outcomes. Methods: Cross sectional, prospective studydone at the Institute of Internal Medicine, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai from October 2016 to May 2017. 50 patients admitted with a clinical diagnosis of pneumonia were evaluated and non-infectious causes were excluded. Clinical data was collated and analysed. Results: Total of 50 patients were included in our study. Sputum staining showed gram positive organisms in 25 cases (50%), gram negative organisms in 12 cases (24%), mixed growth in 1 case (2%) and no organism in 12 cases (24%). Culture of the sputum yielded Streptococcus (most common), Staphylococcus, Klebsiella, Pseudomonas, E. coli, mixed growth or no organism. Involvement was unilateral in 92% and bilateral in 8% of cases. Complications included pleural effusion, lung abscess, circulatory failure and jaundice. 82% of patients were cured completely, 14% had a partial response to treatment, and 4% of patients died despite therapy.
Authors and Affiliations
Dr. G. Subbaraghavalu, Dr. R. Penchalaiah
Keywords
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- EP ID EP377357
- DOI 10.9790/0853-1707071113.
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