unresolved pneumonia


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un·re·solved pneu·mo·ni·a

pneumonia in which the alveolar exudate persists and eventually undergoes fibrosis.
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This study stresses the importance of systematic approach to all unresolved pneumonias with proper invasive, sonological, microbiological investigations at appropriate time to arrive at a diagnosis and for a corrective treatment to prevent the ever increasing mortality and morbidity in CAP patients.
6 % patients satisfied the criteria for unresolved pneumonia and 90% of them had at least one comorbid condition.
60% of the unresolved pneumonia patients, 40% patients with late resolution and 22% of patients who died had history of frequent usage of antibiotics (used more than 4 different antibiotics in the last 6 months).
The treatment of culture negative CAP patients were demanding and challenging as they had prolonged stay (16vs 11), more ICU support (9vs7), require a change in antibiotics (40vs36), unresolved pneumonia (19vs10), deaths (16vs8) when compared to culture positive cases.
Table 1:-Distribution of CAP patients Age Male Female Total 11-20 12 3 20 21-30 21 16 37 31-40 32 22 54 41-50 36 42 78 51-60 66 34 100 61-70 70 48 118 71-80 30 13 43 Total 267 183 450 Table 2:- Comparative statistics between culture negative and culture positive CAP patients Culture Culture total positive negative Prolonged stay 27 11 16 DAMA 11 4 7 ICU support 16 7 9 Change of antibiotics 76 36 40 Unresolved pneumonia 30 10 20 Death 24 8 16 Table 3:- Microorganism isolated form CAP patients(n=165) Organism isolated Total Percentage Streptococcus pneumonia 54 32.