Clinical and bacteriological profile of community acquired pneumonia cases at a tertiary care centre in South India
Introduction: There are very few and conflicting data regarding bacteriological aetiology of community acquired pneumonia (CAP) cases in India.
Objectives: The main objective of our study was to determine the clinical profile and bacteriological agents causing CAP and to study their antibiotic susceptibility pattern to help the clinicians choose the appropriate antibiotic for treatment.
Methods: A cross sectional study was involving 200 patients clinically diagnosed as community acquired pneumonia were included. A detailed proforma for clinical history was filled up for each patient. In all the patients, Chest X-ray, Blood culture and sensitivity, Sputum Grams stain, Acid fast staining, culture and sensitivity were done. Serological studies for Mycoplasma specific IgM antibodies were also done for all patients.
Results: Of the 200 patients, 86 (43%) yielded identifiable aetiology with 02 having mixed growth. Klebsiella pneumonia 28 (14%) was the most common isolate followed by Staphylococcus aureus 12 (6%). 14 (7%) cases were positive for Mycoplasma specific IgM antibodies.
Conclusions: Community acquired pneumonia remains an important public health problem. There is need for further studies and also to add conventional serologic tests for atypical and viral pathogens in all patients admitted with community acquired pneumonia.
2. Samuel KM. Notes on Clinical Laboratory Techniques. 4th edn. Madras: MGK Iyyer and sons; 1986; 168.
3. Bansal S, Kashyap S, Pal LS, Goel A. Clinical and bacteriological profile of community acquired pneumonia in Shimla, Himachal Pradesh. Indian J Chest Dis Allied Sci. 2004 Jan-Mar; 46(1):17-22.
4. Aydogdu M, Ozyilmaz E, Aksoy H, Gursel G, Ekim N. Mortality prediction in community – acquired pneumonia requiring maechnical ventilation;values of pneumonia and intensive care unit severity scores.Tuberkuloz ve Toraks Dergisi 2010; 58 : 25-34.
5. Dey AB, Nagarkar KM, Kumar V. Clinical presentation and predictors of outcome in adult patients with community-acquired pneumonia. Natl Med J India. 1997 Jul-Aug;10(4):169-72.
6. Bartlett JG, Dowell SF, Mandell LA, File Jr TM, Musher DM, Fine MJ. Practice guidelines for the management of community-acquired pneumonia in adults. Infectious Diseases Society of America. Clin Infect Dis. 2000 Aug;31(2):347-82. Epub 2000 Sep 7.
7. Madhu SB, Gupta U, Guleria JS, Talwar V. Clinical and bacteriological profile of hospitalized CAP a preliminary study. Indian J Chest Dis Allied Sci 1990; 32:96-100.
8. Woodhead MA, Macfarlane JT, McCracken JS, Rose DH, Finch RG. Prospective study of the aetiology and outcome of pneumonia in the community. Lancet. 1987 Mar 21;1(8534):671-4.
9. Kulpati DD, Kumar A. Flexible fiberoptic bronchoscopy in lower respiratory tract infection. Indian J Chest Dis Allied Sci. 1980 Jan-Mar; 22(1): 39-46.
10. Kulpati DD, Khastgir T. Reappraisal of pneumonias. J Assoc Physicians India. 1988 Nov;36 (11):660-4.
11. Sharma BK, Manjunatha S, Verma S, Singh S, Sagar S. Profile of pneumonias in hospitalized medical patients. Indian J Chest Dis Allied Sci. 1988 JulSep;30(3):199-204.
12. Barlett JG. Bacteriological diagnosis of pulmonary infections. In: Sackner MA, editor. Diagnostic techniques in pulmonary disease. Part 1. New York: Marcel Dekker Inc.; 1980. p. 707-45.
13. Wollschlager C, Khan F. The contribution of blood cultures to the diagnosis and management of community acquired pneumonia. Am Rev Resp Dis 1985;131:80.
14. Shah BA, Singh G, Naik MA, Dhobi GN. Bacteriological and clinical profile of Community acquired pneumonia in hospitalized patients. Lung India 2010;27:54-7
15. Menon RU, George AP, Menon UK. Etiology and anti-microbial sensitivity of organisms causing community acquired pneumonia: A single hospital study. J Family Med Prim Care 2013;2:244-9
16. Dey AB, Chaudhry R, Kumar P, Nisar N, Nagarkar KM. Mycoplasma pneumoniae and communityacquired pneumonia. Natl Med J India. 2000 MarApr;13(2):66-70.
Copyright (c) 2017 Biomedical Review: Journal of Basic and Applied Medical Sciences (JBAMS)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.