Retrospective analysis of management of inpatient adults with community-acquired pneumonia (findings of medical reports)

Abstract

A retrospective comparative trial was performed to analyze management of adult patients with community-acquired pneumonia (CAP) hospitalized to a large clinical hospital of Moscow from January, 2006, to December, 2006. The study involved 42 in-patients with CAP (21 of them were discharged and 21 died). Time period from the onset of the disease to the hospital admission was 9.5 (95 % CI 6.4–12.6) days without a significant difference between the groups. Death occurred in 6.7 (95 % CI 2.7–10.7) days in average after presentation. Factors influencing the course of CAP in inpatient adults were inadequate and / or delayed antibacterial treatment before the admission, underestimation of severity of the disease in presentation to the hospital, uncommon use of computed tomography of the lungs to diagnose complications of CAP, poor adherence to current guidelines for management of patients with CAP