BACTERIOLOGICAL PROFILE IN COMMUNITY ACQUIRED PNEUMONIA IN A TERTIARY CARE HOSPITAL

Vinut S. Math*, Sanjeev Chetty and A. M. Koppad

ABSTRACT

Introduction: Community acquired pneumonia (CAP) refers to clinical signs and symptoms of pneumonia acquired outside a hospital setting.[1] Methods and Material: It was a prospective study conducted at department of Paediatrics,Navodaya Medical College Hospital and Research Centre,Raichur for a period of 1 year on children with community acquired pneumonia admitted in ward and PICU. Total 60 cases were enrolled in the studyaccording to recent WHO guidelines of community acquired pneumonia. Oropharyngeal swab and blood culture samples were collected from every child and sent for culture and sensitivity. Results: Out of 60 cases,43(71.6%) were diagnosed as pneumonia and 17 (28.4%) were as severe pneumonia. On blood culture only 11 (18.3%) had positive growth and on oropharyngeal swab culture 14(23.33%) had growth. Microorganisms isolated in blood culture were predominantly Staphylococcus aureus, while in throat swab culture Streptococcus predominated. Conclusion: The overall rate of isolation of organism in CAP is low.The yield of culture positivity was 23% in throat swabs, with Streptococcus pneumonia being most common isolate, whereas 18% in blood culture with Staphylococcus aureus being predominantly isolated organism.

Keywords: CAP, Blood culture, Oropharyngeal swab culture.