Evaluation of In-Hospital Management of Pneumonia Patients
Background: To audit the practices involved in management of pneumonia patients in our settings and to compare them with standard recommended guidelines by British Thoracic Society (BTS). Methods: In this cross sectional study inclusion criteria was all patients admitted with suspicion of lower respiratory infection/pneumonia, with no exclusion. Clinical presentation , diagnostic workup, treatment modalities and complications were analyzed.
Results: Majority (97.3%) of the patients were admitted through emergency. Length of stay was less than 1 week in 72%. CURB-65 was applied in 2.6%. Majority (96% ) patients had inadequate investigations. Most commonly prescribed first line antibiotic was Cephalosporins given to 56%.. Co-morbidities were registered in 96%, which contributed towards expiry rate of 60%.
Conclusion: The management of pneumonia patients in our settings is not in line to the recommended standard guidelines . This results in increased complications, prolonged hospital stay and an overall poor prognosis.