Assessment of management and outcome of lower respiratory tract infection

Assal, Gehan M El; ElFattah, Eman Badawy Abd; Aref, Nouran A

doi:10.4103/ejcdt.ejcdt_179_19

Cited by 1 publication

(1 citation statement)

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“…In agreement with this study El-Assal et al (13) , showed more than half of the patients were diagnosed as having acute exacerbation of COPD (52%), either alone or associated with other secondary diagnosis, 27% were diagnosed as having interstitial lung disease (ILD), 18% were diagnosed as having pneumonia, and 3% as having bronchiectasis. According to Stolza et al (14) final diagnosis were 87 acute COPD exacerbations, 60 community-acquired pneumonia cases, 59 cases of acute bronchitis, 13 cases of acute asthma exacerbations, and 24 cases of miscellaneous diagnoses.…”

Section: Discussionsupporting

confidence: 91%

Antibiotic Susceptibility Pattern of Bacterial Isolated from Lower Respiratory Tract Infections at Respiratory Intensive Care Unit

Amin,

Abdelsalam,

Ahmed

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: The control of infections in intensive care units (ICUs) is becoming more difficult. Antibiotics utilization Recent antibiotic overuse has prompted the emergence resistance to antibiotics, which poses a threat to healthcare, especially in developing nations without access to antibiogram in most ICUs.Objectives: This study aimed to present antibiotic susceptibility pattern of microbial infections and describe some antibiotic use features. Patients and method: This is a cross sectional study included 53 patients with lower respiratory tract infections admitted in respiratory ICU chest department, University Hospitals of Zagazig in the period from September 2018 to September 2019, we collected the following data: past history, length of hospital stay and comorbidities. The following parameters were assessed: clinical pulmonary infection score (CPIS), general and local examination, radiological and routine laboratory investigation, arterial blood gases (ABG) and microbiological results of isolated microbes and their susceptibility pattern using (blood and sputum culture). Result: Among studied patients one patient died during the study and excluded, mean age was 56.4815.73, 53.8% were males and 46.2% were females. 36 (69.23%) were improved, 16 (30.77%) were complicated. Blood and sputum culture were done for all patients most organism detected in sputum culture was Klebsiella pneumonie, in blood culture was Staphylococcus aures. According to culture towards Klebsiella, highest sensitivity was levofloxacin (93.33%), Streptococcus pneumoniae highest sensitivity was levofloxacin (83.33%), Staphylococcus aureus highest sensitivity was linezolid (85%), Pseudomonas aeruginosa. highest sensitivity was meropenem (83.33%), Acinetobacter highest sensitivity was imepenem (58%). Conclusion: Combined clinical, laboratory, radiological and microbiological findings help in diagnosis and treatment of LRTI.

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Section: Discussionsupporting

confidence: 91%