Abstract Issue

Volume 12 Issue 4 ( October-December ) 2023

Original Articles

A prospective study on clinical and radiological resolution of community acquired pneumonia
Dr. Manmeet Pratap Singh, Dr. Mohammad Vasil Mannan

Background: Pneumonia, a disease that has afflicted humanity since ancient times, is characterized by the acute inflammation of the pulmonary parenchyma. This inflammation can stem from a variety of infective and noninfective causes, and it typically manifests with clinical and radiological characteristics indicative of the consolidation of one or more segments of either or both lungs. Pneumonia essentially represents a pulmonary inflammatory process, with consolidation being the most pronounced and noteworthy hallmark of this condition. In essence, consolidation is a key feature of pneumonia, symbolizing the affected and inflamed areas of the lung tissue. Methods: A prospective observational clinical study was carried out at a tertiary care facility over the course of one year. The study encompassed all patients who received a diagnosis of community-acquired pneumonia, in accordance with the criteria established by the Infectious Diseases Society of America (IDSA). Treatment for these patients adhered to the guidelines set forth by the American Thoracic Society (ATS). Specifically, all patients were initiated on an empirical antibiotic regimen in line with the ATS recommendations. Results: In this study, a total of 236 patients were initially enrolled. However, 12 patients were lost to follow-up, and 4 were excluded due to a positive sputum AFB smear result. Consequently, 204 patients successfully completed the study. Among this group, 41% were aged 60 years and above, while 31% fell within the age range of 46 to 60 years. The mean age of the entire study population was 53.49 years, with a standard deviation of 15.35.The study primarily consisted of male patients, making up the majority at 90% of the total participants. As for clinical symptoms observed at the time of presentation, fever and cough were universally present in all patients. Dyspnoea was the next most common symptom, affecting 73% of the patients. Pleuritic chest pain was reported by 67% of the participants, while wheezing was noted in 7% of the cases. These findings provide a comprehensive overview of the demographic and clinical characteristics of the patient population under study. Conclusion: In this study, the clinical resolution of community-acquired pneumonia was observed in 73% of patients within a two-week timeframe. Several factors were found to be associated with a delay in the resolution of community-acquired pneumonia. These included advanced age, female gender, a prolonged duration of symptoms prior to diagnosis, involvement of multiple lung lobes, and the presence of co-existing medical conditions. These findings shed light on the various factors that can influence the pace of recovery in patients with community-acquired pneumonia, highlighting the importance of considering these variables in the clinical management of the condition.

 
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