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The Analysis Study or Prevalence, Risk Factor, Diagnosis, Management and Complication of Pneumonia: A Comprehensive Systematic Review

Bella Lucinta Rillova Arif Lubis, Dianni Arma Wahyu Setia Ningsih, Dewi Purwanti, Armaita Armaita, Linda Marni, Nomira Putri

The Indonesian Journal of General Medicine, 2025

Abstract

Introduction: Community-acquired pneumonia (CAP) is a significant global health concern, often leading to severe complications such as bacteremia, respiratory failure, and septic shock. Bacteremia, detected through blood cultures, is a critical indicator of systemic infection and is associated with worse clinical outcomes, including prolonged ICU stays and higher mortality rates. With the rise of antimicrobial resistance and advancements in vaccine research, understanding the current epidemiology and management of CAP, particularly bacteremic CAP, is essential. Methods: This systematic review adheres to PRISMA 2020 guidelines and aims to evaluate the prevalence, risk factors, diagnosis, management, and complications of CAP, with a focus on bacteremia. Studies published between 2019 and 2025 were included, focusing on diagnostic methods, treatment strategies, and outcomes. Data were extracted from PubMed, Embase, Cochrane Library, and Web of Science. Results: Nine studies were included, highlighting trends in diagnostic practices, antibiotic stewardship, and the effectiveness of various treatment regimens. Key findings include increased use of C-reactive protein (CRP) and chest X-rays (CXR) in primary care, the benefits of syndromic molecular testing for pathogen-directed treatment, and the comparative effectiveness of antibiotic regimens such as beta-lactam plus macrolide (BL+M) and fluoroquinolones (FQ). Studies also emphasized the importance of clinical evaluation in…

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