Etiology, Epidemiology, Antimicrobial sensitivity and Outcome of community acquired pneumonia at Max Super Speciality Hospital, Saket, New Delhi

Aim & Objective: Toevaluate the Etiology, Epidemiology, Antimicrobial sensitivity and Outcome ofCommunity-Acquired Pneumonia (CAP).

 Outcome: it will bemeasured at the end of study in term of Organism responsible for communityacquired pneumonia, epidemiology and their antimicrobial sensitivity.

 Design: Prospectiveepidemiologic study, to be done at MAX SUPER SPECIALITY HOSPITAL, SAKET, NEWDELHI

 MATERIAL AND METHODS:-

All adult more than 18 years ofage, between August, 2012 and July, 2013, who will be treated at Max SuperSpecialty Hospital (A Unit Of Max Healthcare Institute Limited), Saket, NewDelhi with clinical diagnosis of community acquired pneumonia will be studiedprospectively. It will include the patients that come in as out patientsdepartment or ER or inpatients department and occasionally patient admitted inother department with other presumptive illness and in whom a diagnosis of CAPmade during the 24 hr of hospitalization

 Patient demographic features willbe recorded according to study proforma. A detailed clinical history will betaken. History for co morbid illness and habits like smoking and alcoholism arewill be taken. Co morbid illnesses were defined as the presence of coexistingcardiac failure, ischemic heart disease, chronic lung disease (COPD), chronicliver disease (cirrhosis of liver), chronic kidney disease (diabeticnephropathy) and diabetes mellitus. A detailed clinical examination will becarried out including general physical examination, vital signs, andrespiratory system examination, mainly for signs of consolidation and othersystemic examination for the co morbid illness. Routine investigations likehemoglobin, total leucocytes count, differential count, ESR, random bloodsugar, renal profile, liver function tests, spo2 and paired blood culture willbe recorded. Radiological evaluation inform of chest x ray will be done. Sputumwill be collected for gram stain and culture and sensitivity, other investigationwill be recorded if they are done, are CRP, Procalcitonin and CECT chest.

Outcome of CAP will be measuredin term of in clinical improvement OR lab parameter improvement OR radiologicalimprovement.

 A)    Clinicalimprovement includes-Body temperature, Pulse rate, Systolic BP, Respiratoryrate and Spo2.

 B)    Labimprovement includes-TLC,[CRP and Procalcitonin- if done].

 C)    Radiologicalimprovement by comparing day 1st chest x- ray and last chest x- ray availableat the time of discharge in IPD patients and follow up chest x- ray in OPDpatients.