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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<author><name sortKey="Nour, Mohamed O" sort="Nour, Mohamed O" uniqKey="Nour M" first="Mohamed O." last="Nour">Mohamed O. Nour</name>
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<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>
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<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>
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<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>
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<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>
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<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>
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<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>
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