A study of Community Acquired Pneumonia in the Elderly.
In: International Archives of Integrated Medicine, Jg. 6 (2019-12-01), Heft 12, S. 1-9
Online
academicJournal
Zugriff:
Background: Elderly patients are more predisposed to pneumonia because of their impaired gag reflex, decreased mucociliary function, waning immunity, impaired febrile response, and various degrees of cardiopulmonary dysfunction. Community acquired pneumonia (CAP) in elderly patients has peculiar clinical characteristics. Clinical presentation may vary from mild alterations of patients' general condition, confusion to severe respiratory distress or decompensation of underlying illness. This may cause a delay in establishing diagnosis and consequently in starting antibiotic therapy. Aims and objectives: To study the risk factors, clinical profile, bacterial etiologies and antibiotic sensitivity pattern for Community acquired Pneumonia in elderly. Materials and methods: It was prospective observational study. Study population was elderly patients (age ≥60 years) detected having CAP (both in-patient and out-patient) attending MGM Hospital for treatment. Detailed history, thorough physical examination of all the systems with emphasis on respiratory system was done. Investigations including blood, sputum and radiological were done relevant to the study. Results: 56.9% (37) were in age group of 60-69 with male preponderance - 61.5% of the patients. Productive cough was the most common presentation. 46% were smokers. The most common organism in the sputum culture was Streptococcus spp at 55% out of which S. Pneumoniae were at 22%. Maximum patients i.e. 53.8% had CURB score of 1 and PSI index showed majority at Low risk. Streptococcus was found in those having risk factors: Diabetes Mellitus, COPD, Smoking and regular alcohol consumption. Conclusions: Patients with positive history of smoking and regular alcohol consumption are more prone to CAP. COPD, history of TB contact, recent pneumonia and Diabetes Mellitus are the main risk factors for community acquired pneumonia. Productive cough is the presentation in elderly patients. S. Pneumoniae and K. Pneumoniae were the most common pathogens. β- Lactams - aminopenicillins, cephalosporins, macrolides and 2nd generation fluoroquinolones are commonly sensitive first line drugs. [ABSTRACT FROM AUTHOR]
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A study of Community Acquired Pneumonia in the Elderly.
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Autor/in / Beteiligte Person: | Pillai, Anupa ; Sabnis, Shwet ; Biswas, Tushar Kanti |
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Zeitschrift: | International Archives of Integrated Medicine, Jg. 6 (2019-12-01), Heft 12, S. 1-9 |
Veröffentlichung: | 2019 |
Medientyp: | academicJournal |
ISSN: | 2394-0026 (print) |
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