Clinical presentations and outcome of severe community-acquired pneumonia
Identifieur interne : 002B93 ( Ncbi/Curation ); précédent : 002B92; suivant : 002B94Clinical presentations and outcome of severe community-acquired pneumonia
Auteurs : Mousa Elshamly [Égypte] ; Mohamed O. Nour [Égypte] ; Abdelmaaboud M. M. Omar [Égypte]Source :
- The Egyptian Journal of Chest Diseases and Tuberculosis [ 0422-7638 ] ; 2016.
Abstract
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%.
To evaluate the clinical presentation, bacteriological profile and outcome of severe community-acquired pneumonia (SCAP).
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.
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
SCAP occurs more frequently in those with comorbidities. The most frequent isolated causative organism of SCAP is
Url:
DOI: 10.1016/j.ejcdt.2016.06.002
PubMed: NONE
PubMed Central: 7125902
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Clinical presentations and outcome of severe community-acquired pneumonia</title><author><name sortKey="Elshamly, Mousa" sort="Elshamly, Mousa" uniqKey="Elshamly M" first="Mousa" last="Elshamly">Mousa Elshamly</name><affiliation wicri:level="1"><nlm:aff id="af005">Department of Chest Diseases, Faculty of Medicine, Al-Azhar University, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Chest Diseases, Faculty of Medicine, Al-Azhar University</wicri:regionArea><wicri:noRegion>Al-Azhar University</wicri:noRegion></affiliation></author><author><name sortKey="Nour, Mohamed O" sort="Nour, Mohamed O" uniqKey="Nour M" first="Mohamed O." last="Nour">Mohamed O. Nour</name><affiliation wicri:level="1"><nlm:aff id="af010">Department of Community & Occupational Medicine, Faculty of Medicine, Al-Azhar University (Damietta Branch), Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Community & Occupational Medicine, Faculty of Medicine, Al-Azhar University (Damietta Branch)</wicri:regionArea><wicri:noRegion>Al-Azhar University (Damietta Branch)</wicri:noRegion></affiliation></author><author><name sortKey="Omar, Abdelmaaboud M M" sort="Omar, Abdelmaaboud M M" uniqKey="Omar A" first="Abdelmaaboud M. M." last="Omar">Abdelmaaboud M. M. Omar</name><affiliation wicri:level="1"><nlm:aff id="af015">Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University</wicri:regionArea><wicri:noRegion>Al-Azhar University</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">7125902</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7125902</idno><idno type="RBID">PMC:7125902</idno><idno type="doi">10.1016/j.ejcdt.2016.06.002</idno><idno type="pmid">NONE</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000C11</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C11</idno><idno type="wicri:Area/Pmc/Curation">000C11</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000C11</idno><idno type="wicri:Area/Pmc/Checkpoint">000C26</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000C26</idno><idno type="wicri:Area/Ncbi/Merge">002B93</idno><idno type="wicri:Area/Ncbi/Curation">002B93</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Clinical presentations and outcome of severe community-acquired pneumonia</title><author><name sortKey="Elshamly, Mousa" sort="Elshamly, Mousa" uniqKey="Elshamly M" first="Mousa" last="Elshamly">Mousa Elshamly</name><affiliation wicri:level="1"><nlm:aff id="af005">Department of Chest Diseases, Faculty of Medicine, Al-Azhar University, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Chest Diseases, Faculty of Medicine, Al-Azhar University</wicri:regionArea><wicri:noRegion>Al-Azhar University</wicri:noRegion></affiliation></author><author><name sortKey="Nour, Mohamed O" sort="Nour, Mohamed O" uniqKey="Nour M" first="Mohamed O." last="Nour">Mohamed O. Nour</name><affiliation wicri:level="1"><nlm:aff id="af010">Department of Community & Occupational Medicine, Faculty of Medicine, Al-Azhar University (Damietta Branch), Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Community & Occupational Medicine, Faculty of Medicine, Al-Azhar University (Damietta Branch)</wicri:regionArea><wicri:noRegion>Al-Azhar University (Damietta Branch)</wicri:noRegion></affiliation></author><author><name sortKey="Omar, Abdelmaaboud M M" sort="Omar, Abdelmaaboud M M" uniqKey="Omar A" first="Abdelmaaboud M. M." last="Omar">Abdelmaaboud M. M. Omar</name><affiliation wicri:level="1"><nlm:aff id="af015">Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University</wicri:regionArea><wicri:noRegion>Al-Azhar University</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Egyptian Journal of Chest Diseases and Tuberculosis</title><idno type="ISSN">0422-7638</idno><idno type="eISSN">2090-9950</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>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%.</p></sec><sec><title>Objective</title><p>To evaluate the clinical presentation, bacteriological profile and outcome of severe community-acquired pneumonia (SCAP).</p></sec><sec><title>Patients and methods</title><p>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.</p></sec><sec><title>Results</title><p>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 <italic>Streptococcus pneumoniae</italic>, Influenza H1N1, and <italic>Staphylococcus aureus</italic>. Mortality was 24% and it was common in patients with comorbidity than in patients without comorbidities.</p></sec><sec><title>Conclusion</title><p>SCAP occurs more frequently in those with comorbidities. The most frequent isolated causative organism of SCAP is <italic>S. pneumoniae</italic>, Influenza H1N1 and <italic>S. aureus</italic>. SCAP is associated with significant mortality, early recognition and prompt treatment may improve outcome.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Marik, P E" uniqKey="Marik P">P.E. 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