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MANAGEMENT AND OUTCOME OF COMMUNITY ACQUIRED PNEUMONIA IN A TERTIARY CARE HOSPITAL

Dr.Hadia Riaz, Dr.Mehwish Kalsoom, Dr.Saba Irshad

Background: Lower Respiratory Tract (LRT) infections are the reason of 1/5 the deaths caused due to infectious diseases and Pneumonia. Timely and appropriate empirical treatment based on knowledge of local etiological factors is important in the management of the disease. Investigation data has been available from different geographical regions. Methods: The present prospective observational study was completed in the study duration at CHEST Medicine Ward of Services Hospital lahore. The number of patients included in the study was 50 and all of them were above 12 years of age with CAP on clinical diagnosis assisted by radiology. Results: In 22% cases haemoglobin was below 10gm. Leucocytosis was observed in 72% cases. Ten percent patients were seropositive for HIV. Treatment with penicillin group of drugs had a moderate response (approximately 22%). Most of the patients had to be put on other group of drugs like Cephalosporins, macrolides and quinolones for clinical response. Delayed resolution in 12 (24%) patients, synpneumonic effusion in 6 (12%) and septicaemia in 3 (6%) patients, were the most common complications observed during the study period. The mortality rate was found 6%. Conclusions: The results indicate a low response to treatment by penicillin group antibiotics and a high rate of complications. Mortality is similar to reports.

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