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Clinical and Bacteriological Profile of Patients Admitted to ICU with Community Acquired Pneumonia in a Tertiary Care Centre

M. Mahendra

2018

70 participants · 1 citation

Abstract

Introduction: Community acquired pneumonia (CAP) causes significant mortality and morbidity all over the world, especially in developing countries like India. There is scarce data on the bacteriological profile in patients admitted to ICU from South India so it is necessary to study the clinical and bacteriological profile of these patients for better understanding and treatment of pneumonia. Methodology: We conducted a prospective study in department of Pulmonology in a tertiary care centre during October to December 2017. Consecutive patients admitted with community acquired pneumonia (CAP) were included in the study after obtaining informed consent. Patients with Hospital acquired pneumonia, Health care associated pneumonia were excluded from the study. All patients were interviewed with questionnaire, which included demographic data, risk factors like smoking and alcoholism, comorbidities, number of admissions, emergency visits, use of intravenous or oral antibiotics in past, respiratory past medical history such as COPD, bronchiectasis and asthma. Results: 70 patients were included into study. Mean age of the cohort was 42.5±10.2 years and 45 (64.28%) of them were men. More than half the populations (52%) were chronic smokers. COPD (20%) was the most common comorbidity. Of 70 patients, 15(21.4%) patients needed invasive mechanical ventilation, 12% needed inotropes and 10% needed non-invasive ventilation. We could identify causative organisms in around 52.8% of patients.…

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Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 70 participants or records.

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