Clinical presentations and outcome of severe community-acquired pneumonia
| Autor: | Mohamed O. Nour, Mousa Elshamly, Abdelmaaboud M.M. Omar |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
Physical examination Article law.invention Hypoxemia 03 medical and health sciences 0302 clinical medicine Community-acquired pneumonia law Internal medicine medicine Blood culture 030212 general & internal medicine Intensive care medicine Severe community acquired pneumonia Outcome lcsh:RC705-779 medicine.diagnostic_test Septic shock business.industry lcsh:Diseases of the respiratory system Presentation medicine.disease Intensive care unit respiratory tract diseases Pneumonia 030228 respiratory system Sputum medicine.symptom business |
| Zdroj: | Egyptian Journal of Chest Disease and Tuberculosis, Vol 65, Iss 4, Pp 831-839 (2016) The Egyptian Journal of Chest Diseases and Tuberculosis |
| ISSN: | 0422-7638 |
| DOI: | 10.1016/j.ejcdt.2016.06.002 |
| Popis: | Background Severe community-acquired pneumonia (SCAP) represents a frequent and potentially life-threatening condition. About 10% of all hospitalized patients with CAP require admission to the intensive care unit (ICU), and the mortality of these patients reaches 20–50%. Objective To evaluate the clinical presentation, bacteriological profile and outcome of severe community-acquired pneumonia (SCAP). Patients and methods 54 patients presented by symptoms and sign of severe community acquired pneumonia who were admitted to respiratory care unit of Alhussein, Al-Azhar University Hospital from August 2015 to March 2016 were subjected to full clinical examination, chest X ray, complete blood picture, sputum and blood culture, PCR for suspected cases of Influenza H1N1 and MERS-COV, treatment, follow up, data collections and statistical analysis. Results The present study included 54 patients 26 males and 28 females with SCAP who were admitted to respiratory care unit of Alhussein, Al-Azhar University Hospital. The most common comorbidities were diabetes mellitus and hypertension. The most common presentations were fever, cough, dyspnea and hypoxemia. Two patients developed renal failure and 4 patients developed septic shock. The most common isolated organism was Streptococcus pneumoniae , Influenza H1N1, and Staphylococcus aureus . Mortality was 24% and it was common in patients with comorbidity than in patients without comorbidities. Conclusion SCAP occurs more frequently in those with comorbidities. The most frequent isolated causative organism of SCAP is S. pneumoniae , Influenza H1N1 and S. aureus . SCAP is associated with significant mortality, early recognition and prompt treatment may improve outcome. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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