Adult community acquired pneumonia in a tertiary care teaching hospital of Assam: a hospital based study

AUTHORS : Kalita Deepjyoti1 , Deka Sangeeta2 , Hazarika NK3
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Adult Community-acquired pneumonia(CAP) is a common problem-afflicting world over. Delay in isolation of pathogens, emergence of newer agent and rapidly evolving drug resistance globally are making the effective management of CAP, especially in developing countries, very challenging. Empirical therapy, based on knowledge of local pathogen profile and drug resistance pattern is the mainstay. This study was a preliminary work in local CAP subjects. Aim: To profile a pathogen list as well as to study the pattern of resistance in important pathogens. Methods:Semi quantitative culture method was employed on sputum sample followed by drug sensitivity testing based on disc diffusion technique. Biphasic PPLO media was employed with a view to isolate Mycoplasma pneumoniae as well. Epidemiological data were analysed in the backdrop of lab data generated. Results:Adult CAP was found to be more common in middle-aged to elderly male with Strpetococcus pneumoniae and Klebsiella pneumoniae being the major pathogens followed by other common. There were no Haemophilus influenzae isolate. Penicillin resistance in Pneumococci was high and drug resistance in other agents were found to be of moderate to high level. Conclusion :Drug resistance is a menace and it needs to be contained urgently. A larger study with more intensive experimental component is the need of the hour.

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