Evaluation of In-Hospital Management of Pneumonia Patients

Background: To audit the practices involved in the management of pneumonia patients in our settings and to compare them with standard recommended guidelines by the British Thoracic Society (BTS). Methods: In this cross-sectional study inclusion criteria were all patients admitted with suspicion of l...

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Bibliographic Details
Published inJournal of Rawalpindi Medical College Vol. 22
Main Authors Daniyal Nagi, Asad Ali, Hafiz Mudabbar Mahboob, Mamoona Ghias, Saif-ur- Rehman, Hira Kareem
Format Journal Article
LanguageEnglish
Published Rawalpindi Medical University 01.06.2018
Subjects
Community acquired
Pneumonia
Streptocaus pnuemiae
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Summary:Background: To audit the practices involved in the management of pneumonia patients in our settings and to compare them with standard recommended guidelines by the British Thoracic Society (BTS). Methods: In this cross-sectional study inclusion criteria were all patients admitted with suspicion of lower respiratory infection/pneumonia, with no exclusion. Clinical presentation, diagnostic workup, treatment modalities and complications were analyzed. Results: Majority (97.3%) of the patients were admitted through an emergency. Length of stay was less than 1 week in 72%. CURB-65 was applied in 2.6%. Majority (96% ) patients had inadequate investigations. Most commonly prescribed the first-line antibiotic was Cephalosporins given to 56%.. Co-morbidities were registered in 96%, which contributed towards expiry rate of 60%. Conclusion: The management of pneumonia patients in our settings is not in line with the recommended standard guidelines. This results in increased complications, prolonged hospital stay, and an overall poor prognosis.
ISSN:1683-3562
1683-3562