Original Research Article
Year: 2019 | Month: June | Volume: 6 | Issue: 6 | Pages: 80-84
Clinical and Bacteriological Profile of Community Acquired Pneumonia in Hospitalised Patients in a Tertiary Care Hospital in Puducherry
S. Doraickannu1, A. Sivaraman2, Dasin3, Vithiavathi4
1Associate professor, Dept. of General Medicine, Aarupadai Veedu Medical College, Pondicherry
2Assistant Professor, Dept. of General Medicine, Indira Gandhi Medical College and Research Institute, Pondicherry
3Post graduate, Dept. of General Medicine, Aarupadai Veedu Medical College, Pondicherry
4Professor, Dept. of General Medicine, Aarupadai Veedu Medical College, Pondicherry
ABSTRACT
Background: Pneumonia is one of the most important, serious and debilitating infectious diseases, accounting for a considerable number of hospital admissions with an increasing rate of serious complications.
Aim: (i) To study the clinical profile of Community Acquired Pneumonia. (ii) To determine the various predisposing factors. (iii) To identify the most common pathogen causing Community Acquired Pneumonia in hospitalized patients in Aarupadai Veedu Medical College and Hospital, Puducherry (AVMC&H).
Methods:50 patients with Community acquired pneumonia (CAP) aged more than 18 years were enrolled in this cross sectional study. In all the patients demographic data and detailed history were recorded followed by complete physical examination, Chest X-ray, blood culture, sputum culture and other investigation wherever applicable in a preformed proforma. The study was conducted between October 2015 to September 2017.
Result: CAP was found predominantly in females (58%) and elderly age group > 50 years (52%). The most common predisposing factors associated with CAP are: type 2 diabetes mellitus (44%), systemic hypertension (28%), bronchial asthma (10%), Chronic obstructive pulmonary disease (8%). The commonest mode of presentation was cough with expectoration (100%) followed by fever (80%). Crepitations (84%) was the most common clinical sign. Signs of possibly harmful systemic response was seen in 92% of study group. The commonest organism involved in causing community acquired pneumonia in this study is Streptococcus Pneumoniae (42%) followed by Klebsiella and Pseudomonas aeruginosa (20%). Lobar pneumonia was the commonest radiological presentation.
Conclusion: Streptococcus pneumoniae is the most common pathogen responsible for CAP in this geographical area. Our observations will be useful to help the physicians to start rational empirical treatment for patients with CAP.
Key words: community acquired pneumonia, etiology, streptococcus pneumoniae, sputum culture.
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