KHẢO SÁT VIỆC ĐIỀU TRỊ VIÊM PHỔI MẮC PHẢI CỘNG ĐỒNG TRÊN BỆNH NHÂN NỘI TRÚ TẠI BỆNH VIỆN BẠCH MAI TỪ 10/2022 ĐẾN 06/2023

Abstract

Objective: To investigate risk factors, bacterial pathogens and the indication of antibiotics among inpatients with community – acquired pneumonia (CAP) at Bach Mai Hospital. Subject and method: A cross – sectional study was conducted on 83 patients with CAP admitted to the Centre of Respiratory at Bach Mai hospital from October 2022 to June 2023. Medical records were reviewed for data analysis. Result: Average age is 63,1±1,8. There is no significant difference between male and female patients in all age groups. The most common comorbidity is diabetes (27,7%), followed by chronic pulmonary diseases (24,1%). The incidence of isolated bacteria was relatively low (8,4%), mainly Klebsiella pneumoniae. Combination of two antibiotics was the most common first therapy, with the two most indicated antibiotics being Ceftazidime (42,2%) and Levofloxacin (27,7%). There were 96,4% of patients successfully treated. Conclusion: The study results show that the rate of detecting microbial etiologies is still low and the choice of antibiotics should consider risk factors and comorbidities, as well as adherence to guidelines for the management of CAP, avoiding the overuse of broad – spectrum antibiotics.