Research Information System
Thesis Type: Expertise In Medicine
Institution Of The Thesis: Gazi Üniversitesi, Tıp Fakültesi, Turkey
Approval Date: 2020
Thesis Language: Turkish
Student: HAKAN KATI
Supervisor: ESİN ŞENOL
Abstract:In Turkey, the pneumonia in the community and that it was aimed to determine to what extent the factors of S. pneumoniae pneumonia. Our study was conducted on patients with pneumonia developing in the community meeting the election criteria followed in Gazi University Faculty of Medicine Hospital polyclinics, services and intensive care units in three winter seasons between November 2016 and April 2019. A total of 101 patients were enrolled in the study, 35.6% were in outpatient clinics, 58.4% were in hospital, 5.9% were in intensive care conditions, and 64.4% were male, with an average age of 61. The most common complaints (83.2%) are dyspnea, chills, purulent sputum, respectively, after coughing. In 72.3% of patient; diabetes mellitus, coronary artery disease and chronic obstructive pulmonary disease were the most common comorbid diseases, respectively. 3.9% of patients received pneumococcal vaccine, 18.8% had seasonal influenza vaccine, 0.9% had both vaccines. 26.7% of patients regularly smoke cigarettes. 85.7% of outpatient patients and 52.3% of inpatient patients received CURB-65 ‘0’ and ‘1’ scores; 14.2% of outpatient patients and 47.6% of inpatient patients received ‘2’ and above scores. Unilateral (47,5%), unilober, bilateral, multilober involvement and pleural fluid were most commonly observed radiographic findings respectively. 29.9% of the patients received blood cultures, of which 3.3% had Staphylococcus aureus, 16.6% had Streptococcus pyogenes and coagulase negative staphylococci, which could be called contamination. In 12.9% of patients, Legionella pneumophila antigen test was performed and all negative results were obtained, 50.9% had Gram stain done in sputum samples and 3.9% had Gr (+) diplococci, 56.9% had sputum culture and 10.5% had Staphylococcus aureus, 8.7% had Haemophilus influenzae and 3.5% had Streptococcus pneumoniae. All patients were tested for pneumococcal urinary antigen and positive results were observed in 7.9% of patients. Pneumonia, which develops in the community, is a common and potentially serious disease. Symptoms and findings may not indicate the presence of pneumonia in the patient. Antibiotics used can alter the yield of cultures. Rapid diagnostic tests will increase our rates of acquired pneumonia diagnosis in the community. Pneumonia in community, pneumococ, urinary antigen test