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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Distribution of patients Age & Gender (n = 80) Table-01 Age Male Female 1 Total 11-20 01 00 01 {1.25%) 21-30 02 01 03 {3.75%) 31-40 02 02 04 (5%) 41-50 16 06 35 {27.5%) 51-60 13 14 32 (40%) 61-70 05 09 14 {17.5%) 71-80 04 00 04 (5%) Total 48 32 GO Risk Factors for Unresolved Pneumonia (n = 80} Table-02 Smoking 24 30% Alcohol 16 20% Diabetes 16 20% Hypertension 08 10% COPD 09 11.2% HIV 08 10% Anemia 09 11.2 Etiology for Unresolved Pneumonia (n = 80) table-03 Definite PTB 16 27.5% Suspected PTB 12 15 Malignancy 08 10% PCP 08 10% Lung Abscess 06 7.5% Bronchietasis 06 7.5% Empyema 02 2.5% Antibiotic Resistance 20 25% Others 02 2.5%
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.
As many as 6.6 % 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).