Abstract

MONTIEL, Dora Elizabeth; JAROLIN, Magali; NUNEZ, Pedro  and  LOPEZ IBARRA, Fátima. Clinical characteristics and mortality of patients with Community-acquired pneumonia at the Itauguá National Hospital. Rev. cient. cienc. salud [online]. 2020, vol.2, n.1, pp.44-53. ISSN 2664-2891.  https://doi.org/10.53732/rccsalud/02.01.2020.44.

Background: Community-acquired pneumonia (CAP) is a frequent disease that is associated with significant mortality and morbidity. Objective: To determine the clinical characteristics and mortality of patients with community acquired pneumonia admitted to the Department of Internal Medicine of Itaugua National Hospital in the period 2009-2017 Patients and methods: Observational, descriptive, retrospective, cross-sectional study of adult patients with a diagnosis of community pneumonia was performed, admitted to the Itaugua National Hospital in the period of January 2009 - December 2017. Medical charts of patients with CAP were retrospectively reviewed and demographic data, history of influenza vaccine, presence of comorbidity, laboratory findings of cultures and mortality were analyzed. Data were analyzed with Epi Info 2007, using descriptive statistics and to establish association, Chi-square test at a significant level 0f 0.05. Results: 168 patients between 18 to 101 years (mean 57 ± 23 years) were studied, slight predominance of women (55%); 92.2% had co-morbidity, the most frequent was high blood pressure, smoking, and ethylism; 11 (6.5%) had history of flu vaccination; 31 (18.4%) admitted to the intensity care unit. Staphylococcus aureus Coagulase negative Staphylococcus and Streptococcus pneumoniae were the most frequently isolated microorganism, mortality rate was 29.7%, which was associated with age >65 years and the presence of chronic renal failure and neoplasia. Conclusion: Most of the patients had some comorbidity. Mortality was within the expected range and associated with an age older than 65 years.

Keywords : pneumonia; comorbidity; mortality.

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