Clinical study of community acquired pneumonia at MNR medical college and hospital, Sangareddy
Background: This study is done to study the clinical profile of community acquired pneumonia in patients admitted in medical wards at MNR Hospital, Sangareddy and to find out the associated risk factors of community acquired pneumonia.
Methods: 75 Patients admitted in the department of medicine of MNR Medical college and Hospital, Sangareddy with clinical manifestations of Community acquired pneumonia from august 2012 to January 2015 (Two years and 6 months) were taken into the study. All adult patients of both genders aged above 14 yrs, who presented with acute onset of fever associated with chills and rigors, having cough with expectoration and/ or chest pain and breathlessness were included in the study. All the patients were subjected for detailed clinical examination to make a provisional diagnosis of community acquired pneumonia (CAP). Patients with hospital acquired pneumonia, aspiration pneumonia and PCP pneumonia in patients with HIV were excluded.
Results: Among 75 cases studied, the mean patient age was 52.1 years with Male: Female patient ratio 3.17:1. The associated diseases in this study are COPD (30.67%) and DM (12.0%).The most common presenting symptoms were fever (100%), cough (100%), and expectoration (100%); other symptoms included chest pain (60%), dyspnoea (61.33%). The respiratory signs included bronchial breath sounds, increased VF and VR, and presence of whispering pectorolique in all subjects.Conclusions: Identification and determining the clinical patterns of community acquired pneumonia helps in adoption of regionally optimized diagnostic approach.
Seaton A, Seaton D, Leich AG. Crofton & Douglas’s. Respiratory Diseases. 5th edition. Vol-1 Chapter 13; 2008: 356-429.
Mandell LA, Wunderink R. Harrison’s Principles of Internal Medicine, 18th edition. Pneumonia, Chapter 257; 2012: 2130-2141.
Ganguly D. API Text Book of Medicine. Section 23 Pneumonia, 9th edition, Chapter 7 page; 2012: 1719-1725.
Epidemiology of Community-Acquired Pneumonia Supplement to Journal of The Association Of Physicians of India. 2013;61:7-8.
Macfarlane J. Community-acquired pneumonia. Br J Dis Chest. 1987;81:116.
Macfarlane J. An overview of community acquired pneumonia. Semin Respir Infect. 1994;9:153.
Arms RA, Dines DE, Tinstman TC. Aspiration pneumonia. Chest. 1974;65:136.
Berlett JG. Oxford Text Book of Medicine- Pneumonia. Normal host, 4th edition chapter. 2004;17;1357-67.
Dey AB, Nagarkar KM, Kumar V. Clinical presentation and predictors of outcome inn adult patients with community-acquired pneumonia. Natl Med-India. 1997;104:169-72.
Metlay JP, Fine MJ. Testing strategies in the initial management of patients with CAP. Ann Intern Med. 2003;138(2):109-18.
Ganong WF. Medical physiology Respiration. Chapter 34, Pulmonary Function 22nd edition; 649-698.
Abdullah BB, Zoheb M, Ashraf SM, Ali S, Nausheen N. Research Article A Study of Community-Acquired Pneumonias in Elderly Individuals in Bijapur, India. Int Scholarly Res Network Pulmonol. 2012; 2012:936790:10.
MacFarlane JT, Finch RG, Ward MJ, Macrae AD. Hospital study adult community acquired pneumonia. The community. Lancet. 1982;2:255-8.
Kobashi Y, Okimoto N, Matsushima T, Soejima R. Clinical analysis of community-acquired pneumonia in the elderly. Internal Med. 2001;40(8):703–7.
Spiteri MA, Cook DG, Clarke SW. Reliability of eliciting physical signs in examination of the chest. Lancet. 1988;331:873–5.