Magnitude of Community Acquired Pneumonia among Hospital treated Adults in Tikur Anbessa Specialized Hospital: A Hospital Based Retrospective Study.

Authors

  • Tamene Abera Desissa Department of Internal Medicine, College of Health Sciences
  • Amsalu Bekele Binegdie Department of Internal Medicine, College of Health Sciences,Addis Ababa University
  • Wondwossen Amogne
  • Yimtubezinash Woldeamanuel Department of Microbiology, Immunology & parasitology, Addis Ababa University
  • Professor Daniel Asrat Department of Microbiology, Immunology & parasitology, Addis Ababa University
  • Tamrat Abebe Department of Microbiology, Immunology & parasitology, Addis Ababa University
  • Stephen Aston 3Academic Clinical Lecturer in Infectious Diseases, Institute of Infection and Global Health, University of Liverpool

Keywords:

Magnitude, CAP, hospital

Abstract

 Pneumonia is a major cause of morbiddity and mortaiity in low and middel income countries.The aim of this study  was to determin the magnitude of  community acquired pneumonia(CAP) among hospital treated  adult patients at Tikur Anbessa Specilized hospital (TASH)

Methods: This is a register based retrospective CAP study aimed to determine the magnitude of CAP treated at TASH over the last two years. Data was collected using a structured checklist. Data analysis was conducted by use of SPSS.

Result: A total of 104 Patients with clinically suspected and radiologically confirmed patients with CAP were included in the analysis. 55 (54%) were males. All of the patients had at least one co morbidity with CAP.  CAP makes 1.19 % (104/8673) of all patients managed as in patient.  Indication for admission by CURB-65 criteria was only 28% (29/104). On average patients were on IV antibiotics for 8 days with average LOS of 10.8 days before discharge.16 % were started on anti-TB. Most of them 97% (101/104) managed in the general wards and none of them were bacteremic. Sputum culture was done for only 8 %. 86 % (89/104) survived to discharge and 14 % (15/104) died in the hospital. 10.5% readmitted within 30 days.

Conclusion:This study demonstrated that only few of inpatient managed cases were due to CAP. The main indication for admission was presence of comorbidity. This is a baseline study that could be used for further prospective study to characterize all aspects of CAP in TASH.

References

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2021-03-26

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