MATCHING OF CLINICAL, RADIOLOGIC AND LABORATORY FINDINGS OF ACUTE BACTERIAL COMMUNITY ACQUIRED PNEUMONIA IN ADULTS ADMITTED TO HOSPITAL

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MOHAMMADIFARD M.; IBRAHIMZADEH A.

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Paper Information

Journal: JOURNAL OF ILAM UNIVERSITY OF MEDICAL SCIENCES Year:2014 | Volume:22 | Issue:SUPPLEMENT Page(s): 57-64

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Title

MATCHING OF CLINICAL, RADIOLOGIC AND LABORATORY FINDINGS OF ACUTE BACTERIAL COMMUNITY ACQUIRED PNEUMONIA IN ADULTS ADMITTED TO HOSPITAL

Author(s)

MOHAMMADIFARD M. | IBRAHIMZADEH A. | Issue Writer Certificate

Keywords

CAPQ2

CLINICAL FINDINGSQ2

LABORATORY FINDINGSQ2

RADIOLOGIC FINDINGSQ2

Abstract

Introduction: Pneumonia is still the most common cause of human death due to infectious disease. The causative agent of pneumonia is often undetectable. Due to the the need of patients suffering from CAP to have appropriate and in time treatment, we carried out this study to evaluate the clinical, laboratory and RADIOLOGIC FINDINGS in adults suffering from acute community acquired Pneumonia.Materials & Methods: In this study, we evaluated 152 patients with the mean age 60.86 (19-92) year, with initial clinical diagnosis of Community Acquired Pneumonia (CAP) referring to the Emergency department. A checklist was completed for each patient based on his or her demographic information. Finally, we compared the diagnostic value of different finding with each other. The data was collected, entered into SPSS and analyzed in the level of a=0.05. Findings: Acute bacterial CAP was confirmed as a final diagnosis in 50% of the patients under study. The most common clinical signs and symptoms were fever, cough, sputum and abnormal breath sounds on examination. Microbiologically, among 121 cases whose specimens were cultured, 20 cases were culture positive for lung pathogens. The most common germ was Staphylococcus Aureus (7 cases), then Pneumococcus, Klebsiella, pseudomonas and Moraxella Catarrhalis were the next. The most common radiologic pattern noted was petechial infiltration (42.8%), lobar infiltration (9.2%) and in 23% of patients no abnormal radiologic finding was noted. In this study, laboratory diagnosis had sensitivity = 22.37% and specificity =96.05%. For radiologic diagnosis sensitivity = 100% and specificity = 89.47%, in case of CRP positive sensitivity = 90.79% and specificity = 50%.Discussion & Conclusion: In this study, CXR was the best way for the diagnosis of CAP. If this diagnostic test was inaccessible, we should put together valuable clinical signs and symptoms such as cough, sputum, fever and abnormal breath sounds in combination with CRP and WBC count.

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APA: Copy

MOHAMMADIFARD, M., & IBRAHIMZADEH, A.. (2014). MATCHING OF CLINICAL, RADIOLOGIC AND LABORATORY FINDINGS OF ACUTE BACTERIAL COMMUNITY ACQUIRED PNEUMONIA IN ADULTS ADMITTED TO HOSPITAL. JOURNAL OF ILAM UNIVERSITY OF MEDICAL SCIENCES, 22(SUPPLEMENT), 57-64. SID. https://sid.ir/paper/90262/en

Vancouver: Copy

MOHAMMADIFARD M., IBRAHIMZADEH A.. MATCHING OF CLINICAL, RADIOLOGIC AND LABORATORY FINDINGS OF ACUTE BACTERIAL COMMUNITY ACQUIRED PNEUMONIA IN ADULTS ADMITTED TO HOSPITAL. JOURNAL OF ILAM UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2014;22(SUPPLEMENT):57-64. Available from: https://sid.ir/paper/90262/en

IEEE: Copy

M. MOHAMMADIFARD, and A. IBRAHIMZADEH, “MATCHING OF CLINICAL, RADIOLOGIC AND LABORATORY FINDINGS OF ACUTE BACTERIAL COMMUNITY ACQUIRED PNEUMONIA IN ADULTS ADMITTED TO HOSPITAL,” JOURNAL OF ILAM UNIVERSITY OF MEDICAL SCIENCES, vol. 22, no. SUPPLEMENT, pp. 57–64, 2014, [Online]. Available: https://sid.ir/paper/90262/en

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