Change for the Better: Severe Pneumonia at the Emergency Department
This is a single-centre observational study of adult patients with severe pneumonia requiring hospitalization conducted at the emergency department. During the observation period (94 weeks), 398 patients were diagnosed with severe pneumonia and required further treatment at the hospital. The median...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Pathogens |
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| Online Access: | https://www.mdpi.com/2076-0817/11/7/779 |
| _version_ | 1797416537524535296 |
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| author | Dariusz Kawecki Anna Majewska Jarosław Czerwinski |
| author_facet | Dariusz Kawecki Anna Majewska Jarosław Czerwinski |
| author_sort | Dariusz Kawecki |
| collection | DOAJ |
| description | This is a single-centre observational study of adult patients with severe pneumonia requiring hospitalization conducted at the emergency department. During the observation period (94 weeks), 398 patients were diagnosed with severe pneumonia and required further treatment at the hospital. The median age of patients was 73 years. About 65% of patients had at least one chronic comorbidity. Almost 30% of patients had cardiovascular disorders, and 13% had diabetes mellitus. The average Emergency Department length of stay was 3.56 days. The average length of hospitalization was 15.8 days. Overall, 94% of patients treated for pneumonia received a beta-lactam antibiotic. The median time from ED admission to the administration of the first dose of antimicrobial agent was less than 6 h. Microbiology test samples were obtained from 48.7% patients. Gram-positive cocci were isolated most commonly (52.9%) from blood samples. Biological material from the lower respiratory tract was collected from 8.3% of patients, and from 47.2% of positive samples, fungi were cultured. The urine samples were obtained from 35.9% patients, and Gram-negative rods (76%) were isolated most commonly. Overall, 16.1% of patients died during the hospitalization. The mean age of patients who died was 79 years. This observational study is the first single-centre study conducted as part of the Polish Emergency Department Research Organization (PEDRO) project. It aims to provide up-to-date information about patients with pneumonia in order to improve medical care and develop local diagnostic and therapeutic recommendations. |
| first_indexed | 2024-03-09T06:04:39Z |
| format | Article |
| id | doaj.art-b6c6d1b2ada84bb1abe71af2842dc7a5 |
| institution | Directory Open Access Journal |
| issn | 2076-0817 |
| language | English |
| last_indexed | 2024-03-09T06:04:39Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pathogens |
| spelling | doaj.art-b6c6d1b2ada84bb1abe71af2842dc7a52023-12-03T12:05:12ZengMDPI AGPathogens2076-08172022-07-0111777910.3390/pathogens11070779Change for the Better: Severe Pneumonia at the Emergency DepartmentDariusz Kawecki0Anna Majewska1Jarosław Czerwinski2Department of Emergency, Medical University of Warsaw, 02-005 Warsaw, PolandDepartment of Medical Microbiology, Medical University of Warsaw, 02-004 Warsaw, PolandDepartment of Emergency, Medical University of Warsaw, 02-005 Warsaw, PolandThis is a single-centre observational study of adult patients with severe pneumonia requiring hospitalization conducted at the emergency department. During the observation period (94 weeks), 398 patients were diagnosed with severe pneumonia and required further treatment at the hospital. The median age of patients was 73 years. About 65% of patients had at least one chronic comorbidity. Almost 30% of patients had cardiovascular disorders, and 13% had diabetes mellitus. The average Emergency Department length of stay was 3.56 days. The average length of hospitalization was 15.8 days. Overall, 94% of patients treated for pneumonia received a beta-lactam antibiotic. The median time from ED admission to the administration of the first dose of antimicrobial agent was less than 6 h. Microbiology test samples were obtained from 48.7% patients. Gram-positive cocci were isolated most commonly (52.9%) from blood samples. Biological material from the lower respiratory tract was collected from 8.3% of patients, and from 47.2% of positive samples, fungi were cultured. The urine samples were obtained from 35.9% patients, and Gram-negative rods (76%) were isolated most commonly. Overall, 16.1% of patients died during the hospitalization. The mean age of patients who died was 79 years. This observational study is the first single-centre study conducted as part of the Polish Emergency Department Research Organization (PEDRO) project. It aims to provide up-to-date information about patients with pneumonia in order to improve medical care and develop local diagnostic and therapeutic recommendations.https://www.mdpi.com/2076-0817/11/7/779agingcommunity-acquired pneumoniadiagnosisemergency departmentmicrobiology examinationmortality |
| spellingShingle | Dariusz Kawecki Anna Majewska Jarosław Czerwinski Change for the Better: Severe Pneumonia at the Emergency Department Pathogens aging community-acquired pneumonia diagnosis emergency department microbiology examination mortality |
| title | Change for the Better: Severe Pneumonia at the Emergency Department |
| title_full | Change for the Better: Severe Pneumonia at the Emergency Department |
| title_fullStr | Change for the Better: Severe Pneumonia at the Emergency Department |
| title_full_unstemmed | Change for the Better: Severe Pneumonia at the Emergency Department |
| title_short | Change for the Better: Severe Pneumonia at the Emergency Department |
| title_sort | change for the better severe pneumonia at the emergency department |
| topic | aging community-acquired pneumonia diagnosis emergency department microbiology examination mortality |
| url | https://www.mdpi.com/2076-0817/11/7/779 |
| work_keys_str_mv | AT dariuszkawecki changeforthebetterseverepneumoniaattheemergencydepartment AT annamajewska changeforthebetterseverepneumoniaattheemergencydepartment AT jarosławczerwinski changeforthebetterseverepneumoniaattheemergencydepartment |